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Insurance Company Bad Faith Claims

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One tactic insurance companies use to circumvent bad faith liability is claiming that they reasonably relied on their experts’ reports to deny a claim. Texas law on bad faith states that an insurer breaches its duty of good faith when: (1) denies or delays payment of a claim for which liability is reasonably clear, and (2) the insurer knew or should have known that liability was reasonably clear. For that reason, you need a team like Elite Roofing Solutions, because insurance companies often claim that because their retained experts decided that there was no valid insurance claim, liability was not reasonably clear and they should not be found liable for bad faith. Courts typically side with the facts of a case which  require courts to doubt this argument, just as the Texas Supreme Court did in  State Farm Lloyds vs. Nicolau , 951 S.W.2d 444 (Tex. 1997). What happened was a homeowner filed a lawsuit against its insurer for foundation and other structural damage that resulted f...

Roof Insurance Claims in Texas

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It pays to have us on your roof with an insurance adjuster Did you know that most insurance claims in the U.S. are grossly underpaid? Even worse, many legitimate claims are completely denied. This doesn't necessarily mean that your insurance company is out to cheat you. However, when it comes to spotting roof damage, we've spent a lot more time on rooftops than even an insurance adjuster.   Elite Roofing Solutions technicians know what to look for regarding roof damage and may be able to see problems that the adjuster doesn't. We have worked with many insurance adjusters over the years and take a non-adversarial approach when talking with them. Let us represent you. Hail damage Let’s say you have hail damage on your roof. A common practice for insurance companies is to mark a 10’ x 10’ square and count the number of hail marks. However, the section of roof they choose to measure can have a big impact on whether you get a new roof or your claim gets denied. Unnecessary Claim...

Commercial Roofing: Evaluating Your Roof

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Identifying signs of potential commercial roofing problems before leaks begin will save time and money. Sometimes signs of a   roof problem   are obvious, such as the edge flashing tearing away or peeling back. Once this happens, you should know to immediately contact a   roofing professional   like   Roofing Professionals of Texas .   Below are common types of   commercial roofing   and problems that indicate roof leaks or conditions that could signal the potential for leaks. If you observe these signs of trouble, contact a roof professional to help determine next steps. For guidance on choosing a roofing professional like Roofing Professionals of Texas, please see  Hiring a Roofing professional like  Roofing Professionals of Texas. For information about metal coverings on a parapet wall or expansion joints, please see “Evaluating Flashing and Coping.” Commercial Roofing Built-Up Roof (BUR)/Modified Bitumen (MB): INSPECTION CHECKLI...

TPO (Thermoplastic polyolefin) on your Roof

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Roofing systems  characteristically get care only when they need upkeep. As long as a  roof needs  marginal repairs and keeps the contents of a facility dry and safe, maintenance and engineering managers have little to think about —or so the thinking goes. But  roofing  manufacturers say there is quite a bit to contemplate, especially when considering single-ply systems. According to manufacturers, these systems continue to harvest interest, thanks in part to the cost and performance benefits they deliver. Although varieties of single-plies have been around for more than 40 years, only in the last decade has the full performance potential of the systems been realized with the advent of new thermoplastic formulations. New plies also are increasingly economical, say manufacturers, and particularly favored by consumers when they carry Energy Star ratings. System Options Single-plies exist predominantly as two types: vulcanized unweldable elastomerics — nearly all o...

Can A Roofing Contractor Pay Your Deductible?

Professional Roof Services Call Today for your Free Estimate 469-906-2600 or 855-631-ROOF Can A Roofing Contractor Pay Your Deductible? In a word “No” . There really should be no debate over this, yet there are far too many unethical contractors in this world who take part in this practice. Never will you find someone from your insurance carrier telling you this practice is acceptable. You will never find a deductible covering contractor disclosing the details on an invoice. Below are a few important facts to know before you do business with a company that offers to cover part or all of your deductible. We will reproduce a few important sections of the law and standard insurance contracts for you to read over and digest. Please note, I offer no legal advice. Freddie@roofingprotx. com What Does An Insurance Contract Say About Deductibles? There is a good deal of fine print in an insurance contract, but the basics are not hard to understand. You pay a monthly premium for coverage in exch...

Beware of Contractors wanting to wave your deductible. You are committing a FELONY of INSURANCE FRAUD.

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Texas Laws on Insurance Fraud Texas Penal Code & Insurance Fraud TITLE 7. OFFENSES AGAINST PROPERTY CHAPTER 35. INSURANCE FRAUD Sec. 35.01. DEFINITIONS. In this chapter: (1) "Insurance policy" means a written instrument in which is provided the terms of any certificate of insurance, binder of coverage, contract of insurance, benefit plan, nonprofit hospital service plan, motor club service plan, surety bond, cash bond, or any other alternative to insurance authorized by Chapter 601, Transportation Code. The term includes any instrument authorized to be regulated by the Texas Department of Insurance. (2) "Insurer" has the meaning assigned by Article 1.02, Insurance Code. (3) "Statement" means an oral or written communication or a record or documented representation of fact made to an insurer. The term includes computer-generated information. (4) "Value of the claim" means the total dollar amount of a claim for payment under an insurance policy...