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Claim Basics

  • George Toldy
  • Sep 13
  • 3 min read

Updated: Oct 6

1️⃣ What is a Public Adjuster?

A Public Adjuster is a licensed professional who works exclusively for policyholders — not the insurance company. Unlike company or independent adjusters, whose job is to protect the insurer’s bottom line, a Public Adjuster’s role is to advocate for you. We inspect damage, review your policy, prepare detailed documentation, and negotiate directly with the insurance company to ensure you receive a full and fair settlement. In short, we level the playing field so property owners aren’t left underpaid or overwhelmed.


2️⃣ Understanding Your Insurance Policy (Deductibles, Exclusions, Coverage)

Insurance policies can be confusing, full of technical terms and fine print. Three key areas every homeowner and business owner should understand are:


  • Deductibles – The out-of-pocket amount you must pay before coverage kicks in.

  • Exclusions – Specific situations or damages your policy does not cover (e.g., flooding without flood insurance).

  • Coverage – The limits and types of protection your policy provides, such as dwelling coverage, personal property, or additional living expenses (ALE).


By understanding these terms, you can avoid surprises and make smarter decisions when filing a claim.


3️⃣ Steps to Take After Storm, Fire, or Water Damage

The moments after property damage can be stressful, but taking the right steps helps protect both your safety and your claim:


  1. Ensure Safety First – Evacuate if needed and avoid hazards like downed power lines or standing water.

  2. Document Everything – Take photos and videos of all visible damage before cleaning or repairs.

  3. Prevent Further Damage – Make temporary repairs (like tarping a roof or shutting off water) to stop more loss.

  4. Review Your Policy – Know your coverage and deductibles before calling your insurer.

  5. Call a Public Adjuster – Get professional help early to ensure your claim is filed properly and you don’t leave money on the table.


4️⃣ The Importance of Timely Action

When disaster strikes, time is of the essence. Delaying action can lead to further damage and complications with your insurance claim. Here’s why timely action is crucial:


  • Mitigate Losses: The sooner you act, the less damage you may incur. Quick responses can prevent minor issues from escalating into major problems.

  • Strengthen Your Claim: Insurance companies often look for evidence of prompt action. Documenting your efforts to mitigate damage can support your claim.

  • Peace of Mind: Taking swift action helps restore your sense of control during a chaotic time. It allows you to focus on recovery rather than the stress of potential losses.


5️⃣ Working with Your Insurance Company

Navigating the insurance process can be daunting. Here are some tips for effectively working with your insurance company:


  • Be Prepared: Gather all necessary documentation, including your policy, photos of damage, and any repair estimates.

  • Stay Organized: Keep a detailed record of all communications with your insurer. This includes dates, times, and the names of representatives you speak with.

  • Follow Up: Don’t hesitate to reach out if you haven’t heard back. Persistence can pay off in ensuring your claim is processed efficiently.


6️⃣ Why Choose a Public Adjuster?

Choosing to work with a Public Adjuster can make a significant difference in your claim experience. Here’s how we help:


  • Expertise: We understand the intricacies of insurance policies and claims processes. Our knowledge can help you avoid common pitfalls.

  • Advocacy: We represent your interests, ensuring you receive the maximum settlement possible.

  • Stress Reduction: Let us handle the negotiations and paperwork. This allows you to focus on what matters most—your recovery.


7️⃣ Conclusion

In conclusion, understanding the role of a Public Adjuster and the intricacies of your insurance policy is vital. By taking the right steps after property damage, you can protect your interests and ensure a smoother claims process. If you find yourself in a challenging situation, remember that professional help is available. A Public Adjuster can be your ally in navigating the complexities of insurance claims, ensuring you receive the compensation you deserve.


For more information on how we can assist you, visit Texas Claim Pro.


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Dallas-Fort Worth Metropolitan Area, TX, USA

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Gyorgy Toldy, Public Insurance Adjuster

Insurance Specialist

Texas Florida Licensed and Bonded

Texas PA License # 3172010

Florida PA License # W675274

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Texas Claim Pro is a licensed Public Insurance Adjuster in Texas
(TDI #3172010). We are not attorneys and do not provide legal advice.

 

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