Who Does an Insurance Adjuster Work For?

 

If you report an insurance claim, your insurance company assigns a claims adjuster to settle your loss. The adjuster’s job is to pay insurance proceeds required by the terms of your policy. Depending upon the type, severity and location your claim, you might work with different types of insurance adjusters:

Staff Adjuster

A staff adjuster is an employee of the insurance company. There are two types of staff insurance adjusters:

  • Inside adjusters are desk jockeys. They take statements over the phone, collect bills and documentation from you and anyone else involved in your loss or accident. The also gather information from police or fire officials, or your body shop or contractor. Though they may be hundreds of miles from you, they are often familiar with the area they are assigned to and the local retailers and repair shops.
  • Outside adjusters work in the field. They handle claims that require physical inspection. Outside adjusters specialize in auto, property or liability claims. Auto specialists are sometimes called appraisers. Many are trained in auto body repair techniques (or have repair shop experience), and work closely with body shops to agree on the repair cost for your vehicle.

Independent Adjuster

An Independent Adjuster (IA) is NOT an employee of the insurance company. Most are small business owners contracted by insurance companies to settle your claim when your insurance company does not have staff available. IA’s have a lot in common with independent insurance agencies. They often live and work in your area, and represent multiple insurance companies. Many independent adjusters are former insurance company staff adjusters. In order to be re-hired by an insurance company, an independent adjuster must provide excellent service to you, while keeping track of different insurance company policies and procedures.

Paid by Insurers

Both staff and independent insurance adjusters are paid by the insurance company; their job is to guide you through the (hopefully) unfamiliar process of claim settlement, and to pay you and others what’s fair. The claim adjuster job attracts empathetic people who enjoy helping others. After you’ve had one of  life’s unpleasant experiences, they enjoy it when they see a smile on your face at the end of the process.

Of course, no insurance company wants to over-pay for a claim. They do monitor adjusters to make sure they are paying only what’s fair. But good adjusters know that an insurance company is defined by its claim payment reputation. Insurance companies that treat people with respect and fairness enjoy a good reputation; those with a tight-fisted one quickly lose favor, especially in the age of Social Media.

Your Insurance Agent: Your Claim Advocate

In our South Portland Maine insurance agency, most insurance claims go very smoothly: the company adjuster connects quickly with you, gathers the information they need, and settles your claim without complication.  Sometimes, claims do go off track.  You might be extremely busy and have trouble connecting with the adjuster. The circumstances of your claim might require more investigation. Or, you or your adjuster may have a question about coverage.

Your local insurance agent can be your claims advocate. We can’t create coverage where there isn’t any, but we can help make sure you get the settlement you deserve. We can also help both you and the insurance company reach agreement and settle your claim quickly and fairly.

If you have questions about Portland Maine business insurance or personal insurance, contact a Noyes Hall & Allen insurance agent at 207-799-5541. We’re local, independent and committed to you.

Marriage, Divorce and Maine Home + Auto Insurance

On November 6, 2012, Maine voters approved citizen initiative Question One, allowing same sex marriage. Yes on One proponents claimed that only marriage, granted LGBTQ couples equality with everyone else. No on One proponents were concerned that a change in the traditional definition of marriage as “one woman, one man” might affect many aspects of life.

How Important is Marriage in Insurance?

In a word, VERY.

Most people justifiably think medical insurance is the type most affected by marriage. That’s where most of the public discussion is, too. But Maine homeowners and auto insurance contracts also treat spouses very differently than other people.

How does being married affect your Maine home and auto insurance?  Let’s look at the most common insurance forms in Maine, ISO homeowners and auto policies. Although they are industry standards, your policy form may be different. Check with your own agent to be sure.

What Happens to Your Homeowners Insurance When you Get Married?

Spouses who reside in the same household are automatically defined as “YOU”. In insurance, it’s good to be YOU.

On most policies, an INSURED is defined as:

  • YOU;
  • your resident relatives;
  • full time students who are < 24 and your relatives, and lived with you prior to moving out; and
  • certain other minors in your care.

Are unmarried couples INSUREDS or not? To answer that, we have to ask the grammatically incorrect question, “who is YOU?”

“YOU” is defined as:

  • The Named Insured, as shown on the front page of the policy (called the Declarations);
  • That person’s spouse if they are a resident of the same household.
If both partners’ names appear on the policy they’re both YOU. But what if one unmarried partner’s name isn’t on the policy? They’re not an INSURED! What if your partner bought the house and you moved in later? Sorry, you’re not an insured. 

What if you were married instead?

Married couples are both YOUs as long as they live in the same household. Even if both names are not on the policy. Pretty important, don’t you think?
Let’s say you move in with someone who already owned a home. In this common situation, being married is the difference between having insurance for your property and protection from lawsuits and having none at all!
Of course, this example applies to any couples, straight or gay.

How Marriage Affects Auto Insurance

The definition of YOU in the auto policy is quite similar. It includes the Named Insured and a spouse who is a resident of the household. One additional benefit of being married: your interest in the policy transfers to a surviving resident spouse upon your death.

Warning!

You probably noticed that a spouse must be a resident of the same household to have all of these benefits. If you separate, your status changes. Divorce affects your homeowners and auto insurance, too.

It’s important that you contact your Maine insurance agent to talk about these situations. They can help you make sure that you remain insured, one way or another.

If you live in Southern Maine and are looking for an Portland Maine area independent insurance agency that can answer these and other insurance  questions, call Noyes Hall & Allen at 207-799.-5541.

Protect Yourself From Carbon Monoxide This Winter

 

About 20,000 Americans suffer from unintentional carbon monoxide (CO) poisoning every year, including 400 deaths. Carbon monoxide is an odorless, colorless gas that can cause sudden illness and death if you inhale it.

Know the Symptoms of Carbon Monoxide Poisoning

Common symptoms of CO poisoning include headache, dizziness, confusion, chest pain and nausea. People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms. If you suspect CO poisoning, get outside immediately and call 911.

Tips to Avoid Deadly CO Poisoning

Properly use and maintain fuel burning appliances such as your boiler, furnace, space heaters and similar heaters. Have them professionally checked. Ideally, you should do this before the start of the heating season, but it’s not too late now.

Install a quality CO alarm. Check the batteries twice  a year, along with smoke detector batteries.

NEVER use these appliances indoors or in a closed garage:  a generator, charcoal or gas grill, pressure washer or other gas or propane fueled device.

Keep vents and flues clear of debris. 

NEVER leave your car idling in a garage.

Check your vehicle’s exhaust system for leaks to help prevent CO from collecting inside your vehicle.

In Case of Power Outage

NEVER use a gas range or oven to heat a home.

Run generators outdoors only– never in an enclosed space.

Photo of generator
emergency.cdc.gov

Use flashlights for indoor light – not liquid fuel lanterns.

Use gas or charcoal grills or camping stoves outside – never indoors.

If your home gets too cold, go to a friend’s house or a community shelter.

 

Our local Maine insurance agency wants you to stay warm and safe this winter. If you have questions about whether your Maine homeowners, condo or renters insurance covers winter storm damage, contact Noyes Hall & Allen Insurance at 207-799-5541.

 

 

Insurance for a Maine Home with a Wood Pellet Stove or Wood Boiler

 

Wood and pellet stoves and boilers have long been a popular source of heat for Maine homes and businesses. However, the vast majority of Maine homes use oil as heating fuel. Recent increases in oil prices have led to greater interest in alternative heating fuels in Maine. This has inspired technological improvements in wood-burning appliances.

Graph of home heating fuels in Maine 2011Source: US Census Bureau, American FactFinder

Insurance companies are often slow to adapt to new technologies and changing behaviors. This is prudent, since they rely on empirical data and the law of large numbers to manage risk. Their risk is much greater in the early years of adoption.

Maine homeowners insurance companies have carefully accepted homes heated by wood, provided:

  • The wood or pellet stove or boiler is a secondary heat source.
  • The primary heat source is controlled by a thermostat.
  • The stove is UL approved and installed in accordance with fire codes.
  • The insured follows woodstove safety tips.

In 2012, one of the insurance companies we represent, announced that they would insure homes, farms and businesses with certain wood and pellet stoves and boilers as the primary source of heat. Unfortunately, that is no longer the case. Homes using pellet or wood stoves must have a thermostatically controlled backup heat source, such as oil, propane or electric.

In addition to the traditional requirements listed above, some insurers require the make and model of the wood stove or boiler, and require the appliance to be:

  • Professionally Installed;
  • Self igniting and thermostatically controlled;
  • Fed automatically by auger or gravity from a bulk storage hopper or silo (pellet fuel only);
  • Protected by a sprinkler head above the unit, if required by code.

For more information about insuring your Maine home or business, contact Noyes Hall & Allen Insurance in South Portland at 207-799-5541. Our Trusted Choice independent Maine insurance agency represents many insurance companies.

 

Does Insurance Cover Damage From Water Main Breaks?

 

After the recent rash of water main breaks in South Portland Maine, many locals wonder if their Maine business insurance policy or Maine homeowners insurance covers water damage from such an occurrence.  Here are some answers, depending on what kind of Maine insurance policy you purchased.

Is the Water District Responsible for Broken Water Mains?

In general, Maine public utilities are not considered liable except in cases of negligence. If they were repairing a main and forgot to shut off the water before disconnecting, causing a flood, you might have recourse. If the break is caused by an unforeseen circumstance, wear & tear, etc., you are probably on your own to repair the damage.

Basic Insurance Policies

Off-the-shelf Maine business property insurance policies do not cover water backup or flood damage. Neither do basic  Maine homeowners, renters or condominium policies. While most do cover damage from leaking, freezing, or breaking of plumbing fixtures and appliances on the premises, damage from water that comes from the ground or under the ground is excluded.  The two most common coverages that you can purchase are Water Backup Coverage , Underground Line Insurance Coverage and Flood Insurance.

Water Backup Insurance Coverage

Maine businesses and residents can purchase an endorsement to their property insurance policy that covers backup of sewers and drains. Water backup insurance is relatively inexpensive, because it only covers damage from water that backs up into your building. Damage from surface water or seepage through a foundation are not covered. If the water main break caused your drain to overflow, backing water into your building, you may have coverage. Unfortunately, that’s not usually what happens with a water main break. Usually, the water bubbles to the surface and inundates an area. To get coverage for that, you need to buy flood insurance.

Underground Line Insurance

Some Maine insurance companies now offer underground service line coverage. They have a coverage limit – often $10,000, with a $500 deductible. Insurers now selling this coverage in Maine include Andover Companies, Concord Group and Vermont Mutual. Some sell the coverage a la carte, while others include it in a special bundle of coverage. In all cases, you have to purchase it – it’s not automatically covered by homeowners policies.


Related Post:

More Maine Home Insurers Cover Water & Sewer Lines


Flood Insurance in Maine

Only a small percentage of residents and businesses in Greater Portland purchase Maine Flood Insurance. That’s unfortunate. They think that because they’re not in an area that susceptible to flooding, they’ll take their chances. Maybe they never even thought about buying flood insurance.  But, many events can cause a flood, from heavy rains to hurricanes to snowmelt.

To be defined as a flood, surface water must cover area that is normally dry land. If that area is more than 2 acres, or at least 2 contiguous property parcels are affected (including yours), you have experienced a flood. The only way to buy flood insurance is to buy a special flood policy (except for specially policies generally reserved for large corporations and commercial projects). Flood insurance policies exclude damage from water than seeps or leaks onto your property, unless a flood was the proximate cause of the leak.

If your home or business is in southern Maine, we would be happy to answer your questions about insuring your property. We have provided Maine business property insurance and personal insurance services to the Portland Maine area for more than 75 years. Contact a Noyes Hall & Allen Insurance agent at 207-799-5541.

Which Are The Largest Home and Auto Insurance Companies in Maine?

 

Are you shopping for Maine car insurance or Maine homeowners insurance? You might be interested to know what insurance companies your neighbors have chosen. The Maine Bureau of Insurance gathers and reports data on the largest insurers in the state. We’ve compiled it below.

2011 Maine Homeowners & Auto Insurance Market Share Leaders
(click to enlarge)

Surprised?

Insurers that spend the most on advertising aren’t always the biggest. A certain direct writer with a cold-blooded spokesman spends $1 billion a year on advertising. It’s hard to watch TV or listen to the radio without being exposed to one of their ads. But, they’re not even in the top 5 insurers in Maine.

Companies that sell primarily through Maine independent insurance agents spend far less on advertising. They rely on the agents who represent them (like us) to recommend their company when it best fits our clients’ needs. That’s why some of the top insurance companies in Maine like Concord Group or Peerless Insurance may not be household brands, but are actually IN more households than some of the “big names”.

Here’s a detailed list of the 26 largest insurers of homes and autos in Maine:

List of the 26 largest home and auto insurers in Maine in 2011

 

If you think this is surprising, stay tuned for our report on insurers’ complaint ratios in Maine.

If you have questions about Maine home and auto insurance, we’re happy to help. Contact Noyes Hall & Allen Insurance in South Portland at 207-799-5541.

 

How to Register a Car or Truck in Maine

If you’ve recently moved to Maine or bought a car, you’ll need to register your vehicle in Maine. Before you can do that, you’ll need to provide proof  of  Maine auto insurance and pay excise tax at your local city or town hall.

It takes a little time, but it’s not a very complicated process.

1) Buy Maine Auto Insurance – Maine law requires you to carry at least minimal liability insurance. If you have a loan or lease on your vehicle, you’ll also need to buy physical damage coverage (commonly called “comprehensive and collision”). If you have moved to Maine, you will need to insure your car here in order to register it here. If you live in Southern Maine, you can get up to 5 Maine auto insurance quotes at once on our web site, or simply call us for a quote. If you have a Maine commercial vehicle, insurance is still required. Call Noyes Hall & Allen for a business auto insurance quote.

Noyes Hall & Allen Insurance can send proof of insurance to your smartphone
Noyes Hall & Allen can send proof of Maine car insurance to your smartphone.

Your insurance company or agent will provide you with an insurance card. You’ll need to bring that to…

2. Pay Maine Excise Tax  at your local city or town hall. Most municipalities accept faxed or emailed insurance cards if you forget yours. We can also email one right to your smartphone, and you can simply show it to the person at the excise tax desk. If you’re re-registering a vehicle, you can do that at the same time at many municipal offices. If you’re registering a vehicle for the first time, though, you’ll need to….

3. Register Your Vehicle and Pick Up Your Plates at a Maine Bureau of Motor Vehicles location. Generally, the fee is $35.00 a year for personal vehicles, unless you have a specialty plate. You’ll need to bring evidence that you’ve paid your excise tax and your proof of insurance.

Re-registration is usually an easy process. Simply bring your proof of insurance to your city or town hall. Many municipalities allow you to pay excise tax and registration right there – no need to go anywhere else.

If you have questions about insuring Maine personal or business vehicles, contact our experienced Portland Maine area insurance agents at 207-799-5541.

Does Your Car Insurance Cover a UHaul Truck?

The first of the month is a busy time for UHaul, Ryder and other truck rental shops. Pizza shops and beer stores too, as people bribe their friends to help them move. Our clients often ask if their Maine auto insurance policy covers them when they rent a truck.

Our answer is based upon Maine’s most common auto insurance forms, the ISO Personal Auto Policy. Check with your agent to be sure about your coverage.

As long as you’re renting for personal, not business use, your auto insurance protects you for liability, uninsured motorist and medical payments – NOT physical damage (“comprehensive and collision”). So, we recommend purchasing the Collision Damage Waiver coverage that the truck rental agency sells.

By the way, we’re talking about a big truck here – not a 1/2 or 3/4 ton pickup. If you rent one of those, they’re covered the same way a rental car is.

Does Maine Auto Insurance Cover a Rented Trailer?

As long as it’s for personal use, your liability coverage applies just as for the renting a car or truck. Physical damage coverage is limited to $1,500. If the value of the trailer you rent is greater than $1500, buy the CDW coverage offered by the rental agency.

Does My Business Auto Insurance Cover a Truck Rented for Business Purposes?

If your business purchased Hired Auto coverage (part of a businessowners insurance policy or a business auto policy), you may have liability coverage. There are ways to cover the physical damage to a truck you rent for business. Contact your Maine business insurance agency for answers.

See our blog post for information about insuring a rental car on your Maine auto insurance policy. If you have questions about Maine auto insurance or Maine commercial vehicle insurance, contact Noyes Hall & Allen Insurance at 207-799-5541.

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Homeowners Insurance and the Party Host

It’s summer in Maine, the short, sweet season we all wait for. Our social calendars fill up this time of year. From back yards to beaches, function halls to to city streets,  it seems there’s a festival, party, wedding or other event to celebrate every weekend.

If you host a party, are you liable for injuries to a guest? What if you rent a hall? Does it make a difference if you provide alcohol for your guests, or they bring their own? Are you responsible for your guests after they leave? If you are liable, does your Maine homeowners insurance cover you? Here are some answers.

What is Negligence?

To be legally liable for injury or damage, you have to be found negligent. Negligence is a very complex subject. There are entire books written about the subject. But at its most simple, negligence requires 4 things:

  • A duty of reasonable care – for example to keep your steps in good condition.
  • A breach of that duty –  e.g. leaving your child’s tennis ball on the stairs.
  • Harm – injury to a person or damage to property – e.g. your guest, a Division I scholarship pitcher, falls down the stairs and breaks his pitching arm.
  • Proximate cause – e.g. the ball caused the guest to fall, which caused the injury.
Let’s consider some possible party scenarios, and how your Maine homeowners insurance, condo or renters insurance might respond.

Someone is Injured at Your Home

You hold a high degree of care to people you invite onto your premises. If you host a party for your son’s baseball team, you could be considered liable if:

  • someone twists their ankle in a hole in your yard;
  • someone slips on water in your kitchen;
  • your deck collapses when people are on it;
  • someone is injured when horsing around the deck of your pool.

Homeowners, Condo or Renters Insurance – If you’re negligent, the liability section of your policy would pay damages to people who are injured, along with any legal expenses to defend you.

Someone is Injured Away From Your Home

If you rent a function hall or hotel for a wedding  reception, bat mitzvah or other party, you will probably sign a contract. The contract specifies who is responsible for any damage or injury. The hall may ask you for proof of Maine liability insurance. Usually, your homeowners or renters insurance is sufficient. For an large or involved function, you may need to buy Special Event Insurance. Your local Maine insurance agent can help you evaluate this.

Homeowners, Condo or Renters Insurance – Your local agent can help you evaluate the contract and whether the liability section of your policy would pay damages  or legal expenses to defend you.

Hosting a Party With Alcohol

There is a special area of negligence called “host liquor liability”. In short, if you provide alcohol to guests, the chances of injury or damage increase. You may be held responsible for injuries or damage caused by intoxicated guests, even after they leave your premises. The best way to protect yourself is to hire a professional bartender, and ask them for proof of insurance.

What if your party is not at your home? It doesn’t matter; if you are the host or organizer of the party, you can be found responsible.

What if your party is BYOB? You’re still not off the hook. If you allow people to consume too much alcohol on your premises, or allow them to leave while drunk, you might be found responsible for the consequences. Needless to say, if you allow minors to consume alcohol, you can be subject to criminal law and penalties, not just negligence law.

Homeowners, Condo or Renters Insurance – Most policies provide liability coverage for host liquor liability at your home or another location, as long as you’re not charging for alcohol.  No insurance policy covers criminal penalties or defense against criminal allegations.

If you are a Maine resident, and have questions about insurance, we’re happy to answer them. Contact a Noyes Hall & Allen agent at 207-799-5541. We’re independent and committed to you.

When Should You Change Insurance Companies?

Is it time to shop insurance or change insurance companies? No one enjoys doing it, but sometimes it’s necessary. When is it smart to change insurance companies? How much savings is enough to make a switch?

When you shop insurance or change insurance companies, compare cost, savings and risk.

We’ve all thought it:

“My homeowners insurance bill went up again!”

“I’m paying too much for car insurance!”

“I need to cut my business insurance costs!”

“My insurance company wants me to repair my house, and I don’t have the money!”

What’s the Threshold to Change Insurance Companies?

Everyone’s different. Some clients choose to stay with their current insurer in spite of $300 savings per year for similar coverage. Others want to switch insurance companies to save a fraction of that, and with a higher deductible. Neither is right or wrong. It depends on your risk tolerance and price sensitivity.

Can Your Agent Shop Insurance For You?

Does your insurance agent represent more than one company? One reason people choose Noyes Hall & Allen, a Portland Maine Independent Insurance Agency is that we represent several insurance companies. This offers you the ability to shop and change insurance companies without having to start a whole new  relationship.

Because we represent so many insurers, we have a good handle on market conditions. We review most policy renewals every year. If we question whether a policy remains competitive, we compare options.

That usually happens in one of three scenarios:

  • Excessive Price Increase – the premium increases by more than the current market rate change percentage.
  • You’ve been with one insurer for many years – Even if you never had an excessive premium increase, your rates can creep above the market over the years. We can check options to make sure that your current insurance company is still the best value for you.
  • New company or coverage options – Once in a while, a new insurance company enters the market, or an existing company offers an important new coverage that you don’t currently have. That might cause us to compare options and present them to you.

 Related Post: When a Great Car Insurance Quote Isn’t


Changing Insurance Companies: Savings

Changing insurance companies is not to be done lightly. You can save money, but there are costs and risks to consider, too. If the savings outweigh the risks, maybe it’s time to change insurance companies. We can help you evaluate that.

Saving Money When You Change Insurance Companies

It’s easy to measure savings – or is it?

Insurance is a competitive business. Companies compete on price, coverage and service. You may find savings of $300 per year. Is that for similar coverage – or does it transfer more risk to you? An insurance agent can tell you the difference.

  • Compare “apples to apples” as close as possible.
  • Check liability limits, property deductibles, and type of coverage.
  • Consult an insurance agent to help you review quotes. A good agent will tell you if their program is not the best for you. Pay attention to their answer.

Costs to Change Insurance Companies

How much is an hour of your free time worth? It can easily take 3 -5 hours to switch insurance. You have to:

  1. Research insurance companies,
  2. Choose one (or more) to get quotes from
  3. Provide information for quotes
  4. Compare the quotes and coverage
  5. Apply for a policy
  6. Cancel your old insurance
  7. Set up new billing arrangements.

An independent insurance agency that represents many companies, and can save time. But even if you use an IA you can’t eliminate these steps completely. It still takes time. And time is money.

  • Cost of Lost Benefits
    Many insurance companies reward longevity. Some offer insurance discounts to customers who are claim-free for 3 or more years. Others are more lenient in underwriting or billing for long-term clients with a good payment or claim history.

    Estimate a dollar value on those lost benefits and advantages when deciding whether to change insurers. Your insurance agent can help. If you think the savings outweigh the costs, you may want to change. If not, stay put.

Risks of Changing Insurance Companies

  • Risk of Losing Coverage  
    Insurance companies’ coverage can vary a lot. When you change companies, it’s difficult to impossible – even for an experienced insurance agent – to duplicate the coverage you had before. Trying to match coverage on your own (on a web site or 800 number)? That’s risky. A local insurance agent can help you evaluate and discuss whether there are important differences.
  • Risk of a New Insurance Company
    It’s expensive for insurance companies to underwrite new policies. To control costs, they quote your insurance using a “quick qualification” process. They only spend money on expensive reports for people who intend to buy. Then they underwrite fully. That creates some risk for new customers.

    After you apply, they inspect your property and order more reports (motor vehicle records, claim histories, etc). Depending on their findings they may :

If you’ve already cancelled your other policy, you can find yourself looking for insurance in a hurry – and end up worse off than you were before. If you shop on your own, without an agent to advocate for you, you’ll be on your own to fight the insurance company.

If you have questions about the right time to shop for Maine personal or business insurance, contact a Noyes Hall & Allen Insurance agent at 207-799-5541. We offer a choice of Maine’s top insurance companies, and our advice is always free.

We’re independent and committed to you.