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Ocean Point Claims Company
Ocean Point Claims:insurance vs contractor pricing gaps
Pricing

Insurance vs. Contractor Pricing

The single most common source of claim frustration is the gap between the contractor's bid to do the work and the insurer's estimate. Multiple factors create the gap, and specific approaches reconcile it.

Why the gap exists

Carrier pricing approach

  • Xactimate mid-market pricing
  • Standardized assumptions
  • Commoditized scope

Contractor pricing approach

  • Post-event surge pricing
  • Specific job complexity
  • Profit margin
  • Market-based bidding

Common gap drivers

  • Labor rates (contractor higher in post-event markets)
  • Material surcharges (supply chain pressures)
  • Mobilization and access
  • Job-specific complexity
  • Minimum-project pricing

Ocean Point Claims:labor rate discrepancies

Reconciling the gap

Document current market

  • Multiple contractor quotes
  • Supplier pricing
  • Labor market evidence

Work with the adjuster

  • Explain the specific contractor scope
  • Identify line-item differences
  • Negotiate adjustments

Escalate if needed

  • Supplemental filing with additional evidence
  • Appraisal when amount-only dispute
  • Mediation for flexibility

Consider contractor negotiation

  • Contractor may adjust for insurance-scope alignment
  • Contractor carries market-pricing risk
  • Contractor-carrier direct negotiation sometimes possible

Related

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