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Ocean Point Claims Company
Ocean Point Claims:what happens if my claim is denied unfairly
FAQ

What happens if my Florida claim is denied unfairly?

Florida policyholders have four primary paths after an unfair denial: request reconsideration with documentation, invoke the appraisal clause, file a Civil Remedy Notice, or sue for breach of contract.

Path 1: Reconsideration

File a written request for reconsideration with new documentation: independent estimate, engineer report, weather data.


Path 2: Appraisal

If the dispute is over amount (and the denial is really an underpayment), invoke the appraisal clause.


Public adjuster charge Florida

Path 3: Civil Remedy Notice

For bad-faith patterns, unreasonable denial, failure to investigate, lowballing, file a CRN under Fla. Stat. 624.155.


Path 4: Litigation

Breach of contract action. Attorney required. Post-2022 one-way fee shifting has been largely eliminated.


When to hire public adjuster

DFS mediation

Fla. Stat. 627.7015 provides a free DFS mediation program for personal-lines residential property claims.

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