Once a claim is denied, overturning that decision becomes significantly more challenging. It requires meticulous documentation and strategic effort, far exceeding what would have been needed if done correctly from the outset. At Pro Building, we understand that the initial steps are crucial in this process. Our approach involves carefully assessing the reasons for denial, compiling comprehensive documentation to dispel any doubts, and presenting it in a clear, organized manner. While this doesn’t guarantee success, it is an essential step whether you're appealing to adjusters, supervisors, or preparing the case for legal action. By handling these critical early stages with precision, we help keep the door open for successful dispute resolution, ensuring your claim is given the best possible chance of approval.

If your claim is denied, the contract that we have in place is an Assignment of Benefits for that claim. Because of this, if your claim is denied, there would be nothing owed to Pro Building for that claim. Now, if you choose to move forward with the project, even with a denial of the claim, you would be responsible for whatever amount is agreed upon between you and Pro Building to complete the work on the property. If there are any tarping fees or emergency services performed, regardless of the coverage of claim, the carrier usually pays for all mitigation efforts made since it is required by the insurance policy. Therefore, even if the claim is denied, those items may still be paid by the carrier and be responsible for payment to Pro Building by the insured.

Unfortunately, the deductible is not something that we have any say over. This is an agreement that is in place between the insured and the insurance carrier. It is a pre-determined amount that you have agreed to pay if any claim arises and the rest of the risk is transferred to the carrier. Because of this, we are unable to "waive", "eat", or alter the deductible in any capacity. We have multiple options for financing including both in-house payment plans as well as official loans to assist if you need financing for your deductible.

Often times with roof claims, you may have some interior damage to the home. If you choose not to have Pro Building complete the interior damage, we will credit the interior ACV amount back to you for you to complete at a later time, which essentially would reduce the amount of money that you would owe out of pocket. This is not a tactic to get out of paying a deductible, however, and you should weigh the decision of whether or not the interior work is important enough to you to pay for at this time.

We have an extensive list of upgrades that you may choose from to improve the value, efficiency, or look of your home. The most standard items that people choose are:
- Fortified Roofing Upgrade

- Class 3/Class 4 Shingle Upgrades (Includes upgraded hip & ridge caps as well)

- Upgraded Pipe Boots (Our standard is already a free upgrade that we provide)

- Decking Thickness to 5/8" Upgrade

- Radiant Barrier Energy Efficiency Upgrade

It's important to understand that claims resulting from Acts of God - such as storms, lightning, or other natural disasters - do not affect your individual insurance premium. By law, insurance companies cannot single out a property for rate increases due to such events. Instead, they must assess the combined risk of an entire zip code, adjusting rates for the area as a whole. If everyone in your zip code is already getting a new roof, your rate will go up regardless of whether or not you file a claim and get approval for the replacement.

On the other hand, water damage claims related to faults within your home's plumbing system can influence your premium. If a claim is filed due to a plumbing failure, your insurance provider may view this as a sign of potential future risks, which could lead to a rate adjustment. This is the same as with any fault within your electrical system as well. However, if the water damage is caused by a failing appliance, and that appliance is replaced, it usually won’t result in a premium increase as long as it's properly documented and underwriting is made aware of the replacement of the appliance. This is because the underlying risk has been mitigated by the replacement, reducing the likelihood of a recurring issue.

With most carriers, if you have not had a claim in the past 3-6 years, they will apply a policy discount of a few hundred dollars usually to your annual premium. Filing any type of claim has the potential to remove this discount if the carrier doesn't have some sort of policy in place for just having one claim on your recent history. After being claims free for 3-6 years (depending on the carrier's underwriting requirements), you will then be eligible for that discount to be applied to your policy again.

The timeline for completing your project can vary based on several factors, the most significant of which is the insurance carrier's approval process.

The time required to capture and submit proper documentation is inevitable, but it's important to understand that the carrier's approval process can be quite unpredictable with some adjusters approving claims quickly for one company and another adjuster in the same company denying the same damage that was approved for the last client with a different adjuster. Insurance companies may delay, deny, or defend claims which makes it challenging to provide a definitive time frame until approvals are fully secured.

Once we have 100% approval from your carrier (less than 100% happens regularly and more documentation and waiting for the carrier is often required), our production process can move forward.

For roofing projects, we typically a lead time of about 3-4 weeks post approvals granted before we begin, with most roofs being completed in just one day - unless your roof is particularly high or complex, which might require an additional day or two. We do offer some quicker options for roofing to get houses sold and work to customize plans for our clients on timing if they're requesting a certain date for the roof to be completed by - this must be communicated to the representative of Pro Building so that we can adjust and plan accordingly.

For interior projects, such as a single bathroom claim, the average completion time is around 4 weeks post approval, unless remodeling, design changes, or further planning are involved. Kitchens generally take about 6 weeks post approval to complete, though, like bathrooms, this can extend if significant redesign or additional planning is necessary.

In some cases, the planning and design phase can take as long as the construction itself, depending on the complexity and requirements of the project. We strive to be as transparent and communicative as possible throughout this process so that you’re informed as we make progress.