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Navigating Water Damage Insurance Claims: What Homeowners in Maine and New Hampshire Need to Know

A senior woman looks worried as he deals with a water leak in the kitchen ceiling. Buckets and pots are on the floor to catch the flowing water, and towels are soaking up the puddles. The woman is defocused in the background, using his smart phone.

With thorough documentation and timely reporting to insurers, water damage mitigation efforts can help Maine and New Hampshire homeowners navigate water damage insurance claims. While most policies require reasonable steps to minimize further damage to your property, understanding policy details beforehand, the coverage, and exclusions related to water damage is the best way to increase the likelihood of a favorable payout in the event of an accident. 

Otherwise, it’s just as likely that you could encounter challenges when submitting water damage insurance claims. Failure to take immediate mitigation steps or delays in reporting can lead to claim denials. Disputes over the cause of the damage and insufficient documentation, like missing photos or repair receipts, can delay or weaken claims. Policy exclusions like flooding or sewer backups may leave homeowners uncovered for significant damages. Adjusters might undervalue the damage or provide inadequate payouts, especially under Actual Cash Value (ACV) policies that factor in depreciation. 

Understanding Types of Coverage

A standard insurance policy for your home generally offers comprehensive coverage for your personal property and your dwelling, as well as personal liability for injury or damages to another property. This means that if a natural disaster strikes that damages your property, like a fire or major storm, you have peace of mind knowing that your home and belongings are protected against various risks by your comprehensive coverage. Unfortunately, water damage to your home is not covered as comprehensively as other types of damage. Water damage is often subject to scrutiny by your insurance company, and it may or may not require additional insurance from the homeowner. 

Understanding the coverage and exclusions related to water damage in a homeowner’s insurance policy is essential because water damage can result from various causes, some of which may not be covered. For example, sudden and accidental incidents like burst pipes are typically covered, while gradual issues related to poor maintenance or flooding from natural disasters often require separate policies or endorsements. Knowing what is included and excluded helps you take proactive measures, such as purchasing additional coverage like flood insurance. It ensures you’re prepared to handle claims effectively without unexpected out-of-pocket expenses. 

Review Your Policy

It is in the best interests of every homeowner to review their policy documents to know beforehand what is covered and what is not, as well as the extent of that coverage. For instance, even if the policy covers water damage, it’s just as important to know if it covers Replacement Cost Value (RCV) or Actual Cash Value (ACV) of the damaged property. Knowing can be the difference between financial protection and financial strain. RCV reimburses you the full cost of repairing or replacing damaged items with new ones of similar kind and quality without factoring in depreciation. ACV only covers the depreciated value of damaged items, leaving homeowners to cover the gap between the payout and actual replacement costs, leading to significant out-of-pocket expenses.  Your insurance company may have specific requirements or exclusions for water damage, so it’s best to clarify these details before making a claim. By doing so, you can avoid potential surprises or disputes when seeking compensation for water-related damages to your home.

The Importance of Water Damage Mitigation

Water damage mitigation refers to the immediate steps homeowners take to minimize damage after a water-related incident, such as a burst pipe, roof leak, or appliance malfunction, to prevent further harm to the property. Prompt mitigation can help prevent secondary issues like structural damage and mold growth and, most importantly, will likely support a successful claim.

Water damage can have severe and long-lasting effects on a property without mitigation. The visible damage is often just the beginning, as hidden damage within walls, subfloors, and ceilings can take weeks or months to dry, leading to increased secondary damage from the significant threat of mold growth. By taking action, mitigation efforts save time and money on repairs and ensure a safer living environment by addressing health risks like mold or mildew. That said, because proactive mitigation aligns with insurance requirements, it supports smoother claims processing, potentially maximizing reimbursement for covered damages.

How a Professional Assessment Can Help Homeowners Navigate Claims

A professional assessment from a water damage restoration company can be invaluable in helping homeowners navigate insurance claims. Octagon Cleaning & Restoration provides a detailed evaluation of the extent of the damage, the cause, and the necessary repairs, offering precise documentation that insurers require to process claims. Our assessment typically includes moisture mapping, damage photos, repair estimates, and potential secondary risks like mold growth, which strengthen the claim by presenting credible evidence. 

Our team of professionals can also help identify hidden issues, such as water trapped behind walls, that homeowners might overlook but are critical for complete restoration. More importantly, we have experience working with insurers and can help homeowners communicate effectively with adjusters, ensuring the claim is thorough and accurate for a better chance of a favorable settlement.

When water damage happens, it’s important to have the right coverage for your property. Knowing you have an experienced professional water damage restoration company navigating the water damage insurance claims with you is just as important. Look no further than Octagon Cleaning & Restoration. We are IICRC certified in the standards that insurance companies adhere to. For more information, contact us today. 

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