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Ocean Point Claims Company
Insurance scope reduction tactic
Insurer Tactic

Scope reduction: the quietest form of underpayment

Scope reduction happens in the Xactimate estimate. The carrier's adjuster writes a scope, but line items that should be there aren't: demo, drying, protection, matching, code upgrades. No single omission is obviously wrong. Collectively, they produce significant underpayment.

Common missing line items

Demolition and haul-away

Removing damaged materials (drywall, flooring, cabinets, insulation) takes labor. Disposal costs money. Carriers sometimes omit these entirely.

Drying equipment hours

Industrial dehumidifiers and air movers rent by the day. Typical water losses require 3-5 days of drying. Carrier estimates often specify fewer days or no drying equipment at all.

Protection and containment

Plastic sheeting, floor protection, dust control: standard on restoration jobs, often omitted from carrier estimates.

Matching

Per Fla. Stat. 626.9744, when damaged items can't be matched, the continuous area must be replaced. Carriers often pay for partial replacement only.

Code upgrades

Post-SB 2A Florida building code has significant impact on costs. If your policy has law and ordinance coverage, the carrier should include code-upgrade line items. Often they don't.

Overhead & profit (O&P)

For complex multi-trade jobs (typically when 3+ trades are involved), Florida law and industry practice support adding 10% overhead + 10% profit to the subtotals. Carriers sometimes omit O&P.

Contents

Personal property claims often get limited scheduling by the carrier: under-valued, depreciated aggressively.


How to counter

  1. Get the carrier's full Xactimate estimate (not just the settlement letter)
  2. Compare line-by-line against a full re-estimate
  3. Identify missing line items
  4. Document support for each missing item (damage photos, contractor invoices, matching unavailability)
  5. Submit a supplemental claim with the difference itemized

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