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Ocean Point Claims Company
Ocean Point Claims:water mitigation vs carrier conflicts
Water Damage Guide

Water Mitigation vs. Carrier Conflicts

Water mitigation contractors and insurance carriers are often in direct conflict over scope and pricing. Understanding the conflict, and positioning the policyholder correctly within it, protects both the claim outcome and the policyholder's rights.

The mitigation contractor's incentives

Mitigation contractors are incentivized to:

  • Maximize scope of drying equipment and days on-site
  • Maximize tear-out quantity
  • Charge at their own rate schedule (often exceeding Xactimate)
  • Bill the carrier directly where possible (often via AOB)

The carrier's incentives

Carriers are incentivized to:

  • Minimize approved scope
  • Pay Xactimate rates (often below contractor rates)
  • Challenge unnecessary equipment / drying days
  • Direct policyholders to "preferred vendors" with negotiated rates

Ocean Point Claims:flooring removal disputes

Where the conflict lands on the policyholder

  • Contractor invoices that exceed the carrier's approved amount
  • AOB signed to the contractor, foreclosing direct policyholder relationship
  • Carrier delays on mitigation approval, leading to more damage
  • Competing scope opinions mid-remediation

What policyholders should do

  1. Do NOT sign an AOB without review. The contractor can be paid without an AOB. AOBs transfer your claim rights: read carefully, consult a public adjuster or attorney.
  2. Get the mitigation scope approved in writing before it starts. The carrier should issue a written mitigation authorization with approved scope and daily rates.
  3. Keep the scope log. Every day, document what equipment was running, how many air movers / dehumidifiers, what readings were taken.
  4. Confirm drying goals. IICRC standards require drying to specific moisture benchmarks; document when benchmarks are reached.
  5. Retain copies of all invoices. Contractor billing to the carrier should match approved scope.

Ocean Point Claims:water behind walls cabinets

When conflicts become claims issues

  • Contractor sues policyholder for balance after carrier payment falls short: common
  • Carrier disputes days-on-site or equipment count: document the log
  • Contractor does unnecessary tear-out: IH report can defend necessary tear-out
  • Policyholder caught between both: public adjuster mediates

How Ocean Point positions the policyholder

We work with mitigation contractors on scope-definition pre-work, document the mitigation daily for the claim file, coordinate with the carrier on authorization, and ensure the policyholder retains claim rights (no AOB, no loss-of-rights agreements).

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