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Ocean Point Claims Company
Ocean Point Claims:how adjusters document damages
Claim Process

How Adjusters Document Damages

Field adjuster documentation follows a specific workflow. Understanding that workflow reveals where scope routinely gets understated.

The workflow

Pre-inspection preparation

  • Claim file review
  • Policy review
  • Satellite / aerial imagery
  • Prior claim history check

Site documentation

  • Exterior 360 walkaround
  • Interior room-by-room
  • Photo standard: wide + medium + close
  • Measurement capture (laser measure typical)

Scope documentation

  • Xactimate sketch on tablet or desktop
  • Line-item entry during or after inspection
  • Pricing from regional price list
  • Quantity from measurements

Narrative

  • Cause-of-loss description
  • Policyholder statements noted
  • Observations written up
  • Recommendations to desk

Documentation gaps

Photos

  • Often only affected areas, no context
  • Short time allotted per photo
  • Limited angles per subject
  • Minimal attic/crawl/HVAC coverage

Measurements

  • Rounded down frequently
  • Ceiling heights assumed standard
  • Ancillary rooms under-measured

Scope

  • Basic item selections (not specialty)
  • Standard finish assumptions
  • Code upgrades not claimed

Ocean Point Claims:reinspection triggers and outcomes

Policyholder counter-documentation

  • Your own photo coverage (exhaustive)
  • Your own measurements
  • Your own Xactimate estimate
  • Scope letter with specific pricing citations

Related

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