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Ocean Point Claims Company
Ocean Point Claims:role in complex claims
Public Adjuster

Role of a Public Adjuster in Complex Claims

On standard claims, policyholders may navigate successfully alone. On complex claims, large losses, disputed coverage, multiple perils, commercial, public adjusters provide specific functions that materially change outcomes.

What a public adjuster does

  • Policy review: coverages, endorsements, exclusions
  • Loss documentation: scope, photos, measurements
  • Xactimate estimate: Florida-current pricing
  • Claim submission and management
  • Carrier negotiation: line-by-line scope and pricing
  • Escalation: appraisal, mediation, CRN
  • Supplemental claim preparation

When PA value is highest

Large losses

  • $50K+ claims typically benefit
  • $250K+ almost always benefit
  • Commercial claims essentially always

Disputed coverage

  • Denied claims
  • Exclusion-based disputes
  • Causation disputes
  • Policy interpretation issues

Multiple perils

  • Fire + water + smoke
  • Hurricane + flood
  • Storm + ensuing-loss

Specialty coverage

  • Business interruption
  • Cast iron / legacy plumbing
  • Sinkhole
  • High-value contents

Ocean Point Claims:public adjuster impact on settlements

When PA value is lower

  • Small, straightforward claims
  • Coverage not in dispute
  • Scope agreed by both parties
  • Policyholder has time and expertise

Fee economics

  • Contingency (no up-front)
  • FL statutory caps under Fla. Stat. 626.854
  • Typically more than offsets representation cost on complex claims
  • No recovery, no fee

Related

Ready to talk to a licensed Florida public adjuster?

Free claim review. No recovery, no fee. Answered 24/7.

License
FL DFS #W829547
Experience
21 years · 500+ mediations
Rating
5★ (85 Google reviews)
Fee
No recovery, no fee
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