Skip to content
Ocean Point Claims Company
Ocean Point Claims:supplement review process
Claim Process

Supplement Review Process

A supplemental claim isn't a new claim: it's an addition to the existing one. The review process inside carriers has specific characteristics worth understanding.

What a supplement is

  • Additional scope on an existing claim
  • Within 18 months of date of loss (627.70132)
  • Doesn't require denial of original
  • Can include new damage or missed scope

Carrier review process

  1. Supplement received and logged
  2. Original claim file reviewed
  3. Reserve re-evaluated
  4. New scope considered against:
    • Coverage
    • Policy compliance (duties after loss)
    • Pricing integrity
    • Timing
  5. Re-inspection if warranted
  6. Supplement paid, denied, or partially accepted

Ocean Point Claims:umpire decision dynamics

Common supplement grounds

  • Hidden damage discovered during repairs
  • Code-upgrade requirements found
  • Matching-statute scope
  • ALE extensions
  • Expert report supporting additional scope
  • Emerging damage from original peril

What to include

  • Specific new scope (not a restatement of original)
  • Evidence supporting each addition
  • Expert report when applicable
  • Revised Xactimate estimate
  • Cover letter explaining basis

Ocean Point Claims:appraisal panel selection process

Common carrier objections

  • "Not timely": cite 18-month window
  • "Not supported": submit additional evidence
  • "Already paid": distinguish new scope
  • "Not caused by original peril": causation documentation

Related

Ready to talk to a licensed Florida public adjuster?

Free claim review. No recovery, no fee. Answered 24/7.

License
FL DFS #W829547
Experience
21 years · 500+ mediations
Rating
5★ (85 Google reviews)
Fee
No recovery, no fee
📞 (888) 824-1306Free Claim Review