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Large Loss Claim Case Study

HVAC Investigators (HVACi) is the nation’s leading provider of HVAC and refrigeration damage  assessments. Its thorough investigations, swift turnaround time, and actionable reports enable insurance carriers to settle HVAC claims more quickly and with a higher degree of accuracy. After a recent examination of the traditional large loss claim process, HVACi discovered that these high exposure claims were not receiving the level of service that they warranted. To address this void, HVACi developed an investigation process specific to large loss claims. The following case study shows the impact of how these processes and procedures, along with well-equipped resources, improve how large loss HVAC claims are brought to a successful and equitable settlement.

Case Study

New Bilingual Claims Representatives

New Service Offering from HVACi
Announcing HVACi’s Spanish Language Services

Charlotte, North Carolina – August 5, 2014 – HVAC Investigators (HVACi) is now offering its claims assessment service for Spanish speaking policy holders. HVACi experienced an increase in Spanish speaking claim volume and put a plan into action accommodate this trend. To accomplish this goal, HVACi hired bilingual claims representatives to ensure that all claims, whether in English or Spanish, receive excellent service.

According to the 2010 Census, over 37.6 million people in the United States speak Spanish at home and more than 25% of that group speaks little to no English. Between 1980 and 2010, the number of people that speak Spanish as their first language increased by greater than 232%, as documented by the United States Census Bureau.

With over 12% of the population speaking Spanish as a first language, HVACi elected to add new claims representatives that are bilingual in both English and Spanish. According to HVACi’s Claims Operations Manager, Damon Stafford, “The addition of this service was an excellent way for us to extend our reach. We want everyone to feel comfortable with the process and receive outstanding service. The only way to achieve that is by bridging the gap and communicating with the claimant in his or her preferred language.”

“I’ve processed a substantial amount of claims in the past few weeks, where the policy holder only speaks Spanish” says Ashley Reid; one of HVACi’s Spanish speaking claims representatives. “Formerly, many carriers were using translation services to handle these claims. Now, we can overcome the language barrier without the complication of third party involvement.”

HVAC Investigators is the nation’s leading provider of objective assessments and market analysis of HVAC insurance claims. The company provides timely inspections and actionable reports to help carriers settle HVAC claims more quickly and with a higher degree of accuracy. For more information, or to submit an assignment, visit HVACinvestigators.com or call 888.407.5224.

2014 Annual Claims Report has been Released

CHARLOTTE, N.C., May 27, 2014

HVAC Investigators (HVACi), an established market leader providing insurance carriers across the country with heating, ventilation and air conditioning (HVAC) damage assessments, recently published its 2014 Annual Claims Report. Provided to insurance carriers across the country, this report provides thought provoking data on HVAC trends that can help carriers make more informed decisions on their specialty HVAC and refrigeration claims. The report is free to insurance professionals, upon request, by emailing info@hvacinvestigators.com.

The 2014 Annual Claims Report includes critical industry statistics, including: Reported Cause of Loss vs. Actual Cause of Loss, Frequency of Repairs vs. Replacements, Recommended Repair by Cause of Loss, Frequency of Claims by Geographic Region, and Claimed Cause of Loss by Month. The report was based on the actual results of thousands of residential and commercial HVAC insurance claims investigations across the United States in 2013, and serves as a barometer for emerging trends and paradigms in the industry.

“We’re excited about the new data that this year’s report provides.” said Matthew Livingston, HVAC Investigators’ Manager of Customer Education. “For the 2014 Report, we’ve introduced statistics related to Frequency of Coverage by Age of System, and Claimed Damage by Month. We’re confident this will provide additional insight to insurance carriers searching for better ways to settle HVAC claims.”

The 2014 Annual Claims Report affirms that insurance carriers should seek to improve their claims accuracy, whenever possible, with the help of qualified, objective professionals – particularly in light of ever-changing market influences, including equipment price fluctuations, regional labor rates, parts availability, pending changes to SEER rating requirements, and the eventual phase out of R-22 refrigerant.

Highlights of the 2014 Annual Claims Report:

Reported Cause of Loss vs. Actual Cause of Loss
A staggering number (27% of all claims investigated in 2013) were ultimately diagnosed as “Wear and Tear”, “Not-Damaged”, or were “Withdrawn” by the insured after initial contact.

Residential and Commercial Accuracy
The average claims accuracy was $3,689 per residential claim and $39,072 per commercial claim in 2013. Based on the average variance per claim, a typical Property insurance carrier had a total potential claims accuracy of more than $20,000,000 in 2013, had they engaged an outside HVAC claims expert.

Repair vs. Replace Frequency
Nearly 9 out of every 10 claims investigated by HVACi last year resulted in a repair recommendation to bring the insured back to pre-loss condition…or weren’t damaged at all.

Claims by Geographic Region
HVAC claims in the Southeastern states (29%) accounted for the largest percentage of total claims, followed closely by the Southwest states (17%), and the Mid-Atlantic states (12%).

ABOUT HVAC INVESTIGATORS
HVAC Investigators is the nation’s leading provider of objective assessments and market analysis of HVAC insurance claims. The company provides timely inspections and actionable reports to help carriers settle HVAC claims more quickly and with a higher degree of accuracy. For more information, or to submit an assignment, visit HVACinvestigators.com or call 888.407.5224.