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Ocean Point Claims Company
Ocean Point Claims:reinspection triggers and outcomes
Claim Process

Reinspection Triggers

Reinspections happen when the carrier needs updated documentation on a claim: supplement review, scope dispute resolution, or to respond to policyholder escalation. Understanding when they happen (and don't) helps strategy.

Common reinspection triggers

  • Supplemental claim submitted
  • Scope dispute with policyholder evidence
  • Engineer or expert report filed
  • CRN filed
  • Appraisal requested

What reinspection looks like

  • Same or different adjuster returns
  • Focus on disputed areas
  • New photos / measurements
  • Policyholder or rep present
  • Follow-up written report

Ocean Point Claims:after inspection internal

Outcomes

Scope increase

  • New evidence supports additional scope
  • Often when policyholder documentation is strong

Scope unchanged

  • Carrier's position maintained
  • Often when carrier defends initial position

Further investigation

  • Engineer retained
  • SIU involvement
  • Additional time

Policyholder strategy

Before requesting reinspection

  • Have specific new evidence to show
  • Prepare for the visit
  • Have expert reports ready
  • Document the areas you want re-reviewed

During reinspection

  • Be present
  • Point out specific items
  • Provide your own photos and measurements
  • Follow up with written recap

Related

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