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Ocean Point Claims Company
Ocean Point Claims:engineering report shopping
Insurer Tactic

Engineering Report Shopping

When carrier engineers produce causation findings favorable to the policyholder, some carriers quietly reassign the matter to another engineer. This report-shopping pattern has been documented in Florida litigation.

The pattern

  • First engineer inspects
  • First engineer finds storm causation
  • Report reaches carrier
  • Carrier "requests revision" or reassigns to second engineer
  • Second engineer finds wear-and-tear
  • Second report forms basis of denial

Why it happens

  • Carrier has panel of engineering firms
  • Firms that produce "carrier-friendly" reports get more work
  • Economic incentive affects findings

Ocean Point Claims:claim file note manipulation

Documented cases

Florida case law (Altman Contractors, others) has addressed engineering-report issues in property claims. Discovery in litigation has produced internal carrier communications revealing report-shopping in specific cases.


How to identify

  • Request full claim file
  • Look for multiple engineering references
  • Check reports for contradictions
  • Request "first draft" of any engineering report
  • Note any lapse between inspection and report issuance

Ocean Point Claims:desk adjuster override patterns

Counter-approach

  • Independent engineering engagement by policyholder side
  • Side-by-side report comparison
  • Deposition of carrier engineer in litigation
  • Bad-faith argument if pattern is documented

Related

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