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

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.
Reviewed by Eli Goins, FL DFS License #P159790 · Last updated
By Eli Goins · FL DFS #P159790 · Reviewed: · 1 min read

Short answer: You have several paths after an unfair Florida denial. First, request reconsideration with new documentation like an independent estimate, engineer report, or weather data. If the real dispute is over amount, invoke the appraisal clause. For bad-faith conduct, file a Civil Remedy Notice, and as a last resort, 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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Reviewed by Eli Goins, FL DFS License #P159790 · Last updated

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