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5 Insights to Achieve Effective Policyholder Communication

Effective communication and superior customer service can be just as important as the claim result to a policyholder. While it sounds easy, a lack of communication is a common complaint among insureds against their property insurance carriers. Adjusters can help in the effort to close that gap by following these tips while handling claims.

Whether in person, on the phone, or through electronic means, it’s important insurance professionals explain claims thoroughly while still maintaining empathy and superior customer service. Photo Credit: “Workplace” by Free-Photos / CC BY 4.0

1. Maintain an Empathetic Tone

It doesn’t matter if the claimed item is something small or very costly. If your policyholder contacted you, that means it’s important enough to them and worth the time, effort, and resources to file a claim. Showing and maintaining empathy – regardless of whether the incident winds up resulting in a settlement – is critical. This demonstrates to the policyholder that you genuinely care for them as a customer.

Empathy can go a long way. Make sure it isn’t forced like it came from a script or so over the top that it seems fake. If the claim doesn’t merit a settlement, it’s important to relay the news in a caring way but still firm enough that the policyholder understands this decision was necessary.

2. Keep an Open Line of Communication with a Variety of Options

Adjusters should provide multiple methods for insureds to obtain an answer. Make sure to give policyholders email addresses, phone numbers, and other information for who to contact if they have questions. If they do reach out to you, make sure to be responsive and follow up quickly, even if there aren’t any updates, so your clients know you’re working on it.

Effective communication doesn’t mean insureds have to be able to talk to adjusters at any given moment. A frequently asked questions page on a website can give a general overview. Phone apps and personal logins can give policyholders access to their account to check on updates, see progress of their claim, or receive messages.

3. Avoid Jargon – But Provide Education as Needed

Your role shouldn’t stop at reporting coverage amounts. It’s important to educate policyholders about how things work, what the damages include, and why a decision was made without using terminology that goes over their heads. Answer questions and keep details clear and concise without unnecessarily confusing them or acting like they wouldn’t understand.

Policyholders shouldn’t need a dictionary or an equipment manual to be able to understand what you are talking about, but feel free to educate them if they ask questions. Photo Credit: “Girl” by Наталия Когут/ CC BY 4.0

Not every policyholder will want an explanation or as in-depth a description as others. Figure out their interest level and go from there.

4. Don’t Make the Policyholder’s Contractor the Enemy

When explaining a claim resolution keep to the facts and leave the policyholder’s contractor out of it. Making the contractor out to be the enemy could cause insureds to lose trust in you if they believed the contractor, and it could leave a negative impression on the conversation.

Keep the discussion related to data-based testing results and manufacturer pricing to explain findings and resolutions. It would be inappropriate to make it personal.

Stick to the facts when reviewing claims, both before a settlement decision is made and after, to eliminate speculation and doubt. Photo Credit: “Mimi-Thian” by Mimi Thian / CC BY 4.0

5. Leave Speculation and Doubt Out of the Conversation

Keeping only to the facts is also important so as not to leave room for speculation or doubt. If the policyholder thinks you aren’t sure about the claim findings or resolution, they may question it, too. Go through the process both when the claim is filed so insureds know what to expect and review it again to explain how the results were found. It maintains credibility and makes it more understandable even if the solution isn’t in the policyholder’s favor.

Close the Communication Gap

Ensuring questions are readily answered, that insureds are kept in the loop, and that discussions are fact-based is critical to a more positive policyholder experience.

When adjusters assign our experts an onsite assessment or a desktop review for a claim with HVAC equipment, we are quick to jump on it and not keep anyone waiting. Insureds are contacted through a variety of methods, and adjusters can track progress and maintain communication through the portal. Adjusters who submit a claim to HVACi can use our comprehensive, actionable reports to explain findings to policyholders in clear and understandable terms. Close the communication gap to keep superior customer service levels.

Scary Story: Unhappy Customer

Hail Claims Involving Residential and Commercial HVAC Systems Webinar Recording

Be more familiar with which HVAC components are susceptible to hail damage and what measures can return your policyholder to pre-loss condition during HVACi’s Hail Claims Involving Residential and Commercial HVAC Systems Webinar. Find out the significance of hail damage in insurance claims, ways to identify if cause of loss is hail or another peril, and repair options that could be available.

During the webinar, we’ll review:

  • The significance of hail damage to HVAC systems
  • Components frequently damaged by hail
  • Signs of hail damage to residential and commercial HVAC systems
  • Real-life residential and commercial hail claims
  • Potential repair options

Watch our Hail Claims Involving Residential and Commercial HVAC Systems Webinar recording by filling out the form provided.

Important: Pre-recorded webinars do not qualify for CE credit.

Watch the Webinar

Restaurant Hail Claim Case Study

Rooftop HVAC systems are prone to hail damage because of their location outdoors; however, adjusters shouldn’t be so quick to settle for unwarranted major repairs or replacements – even if they receive pushback from an insured or public adjuster.

Fill out the form to read about the experience of an adjuster who was handling a claim related to 17 HVAC systems, ranging from package units to exhaust fans, that had an estimated replacement value of more than $110,000. Find out what HVACi advised to return the policyholder to pre-loss condition and how we could uphold that recommendation with data-driven facts when a public adjuster questioned it.

Request Your Case Study

Ins and Outs of Hail-Related HVAC Claims eBook

Hail causes billions of dollars in property damages to commercial and residential policyholders each year. Any outdoor equipment could be at risk, and that includes your insured’s HVAC systems. But before you automatically assume hail damages will require settlement for a full replacement, fill out the form to receive your copy of the HVACi hail eBook.

This comprehensive overview includes:

  • The significance of hail in insurance claims
  • Components likely to be affected by hail, depending on the system type
  • Tips to confirm hail is the cause of loss
  • Repair options that are more likely than requiring a full replacement
  • Images and diagrams to make this information easy to read and understand

Hail-related claims can come in at any time of the year. Keep this resource on hand to refer to for your next one.

Request Your eBook

HVACi Customer Case Study

Controlling claims leakage while increasing adjuster efficiency, consistency, and accuracy are among top priorities for insurance carriers. One Top 10 carrier found a way to tackle all those challenges by collaborating with HVACi for claims with HVAC and Refrigeration equipment.

Fill out the form to receive your one-page HVACi Customer Case Study that shows how that partnership has benefited both the carrier and policyholders. Compare total exposures to HVACi’s recommended settlements for a year to note the millions of dollars in total annual indemnity leakage control. Also take note of the cycle times from HVACi representatives contacting the insured to when they return reports to commercial and residential adjusters, and then consider how a similar partnership could positively impact your carrier.

Request Your Case Study

CCG IQ 2020 Annual Report

CCG IQ 2020 AR - Overview Stats

For years CCG IQ’s damage assessment brands, HVACi and StrikeCheck, have been publishing separate annual claims reports to equip carriers with data-driven facts and trends to help them control claim leakage and keep a superior policyholder experience. This year, all of CCG IQ’s suite of services, including claims assessments, underwriting inspections, and lightning verification, are highlighted in the CCG IQ 2020 Annual Report. This offers an enhanced overview of a broader spectrum of risks and perils that impact a carrier’s overall book of business for better decision-making.

Fill out the form to receive key insights into perils and hazards that have affected policies throughout their life cycle. The data reflects the thousands of claims, underwriting, and lightning assignments CCG IQ completed in 2020 using technology and experience to provide insurance carriers objective, knowledgeable, and timely policy solutions.

The report includes:

  • Reported vs. actual cause of loss, repair and replacement costs, and frequency of claims by item type for HVAC systems and all electrically powered items
  • Claim trends for time of year, states, and claimed amounts
  • Catastrophe claim data
  • Lightning data by month, location, and frequency
  • Average coverage amount vs. replacement amounts
  • Frequency of certain home characteristics, roof problems, and property features
  • States with the highest potential for hazards
  • Plus, a demonstration of how claims, lightning, and underwriting data can be combined for better decision-making about a specific region

Review the annual report and consider how CCG IQ can support your carrier’s efforts to increase carrier efficiency and improve claims leakage and loss ratios.

Request Your CCG IQ 2020 Annual Report

CCG IQ 2020 Annual Report

CCG IQ 2020 AR - Overview Stats

For years CCG IQ’s damage assessment brands, HVACi and StrikeCheck, have been publishing separate annual claims reports to equip carriers with data-driven facts and trends to help them control claim leakage and keep a superior policyholder experience. This year, all of CCG IQ’s suite of services, including claims assessments, underwriting inspections, and lightning verification, are highlighted in the CCG IQ 2020 Annual Report. This offers an enhanced overview of a broader spectrum of risks and perils that impact a carrier’s overall book of business for better decision-making.

Fill out the form to receive key insights into perils and hazards that have affected policies throughout their life cycle. The data reflects the thousands of claims, underwriting, and lightning assignments CCG IQ completed in 2020 using technology and experience to provide insurance carriers objective, knowledgeable, and timely policy solutions.

The report includes:

  • Reported vs. actual cause of loss, repair and replacement costs, and frequency of claims by item type for HVAC systems and all electrically powered items
  • Claim trends for time of year, states, and claimed amounts
  • Catastrophe claim data
  • Lightning data by month, location, and frequency
  • Average coverage amount vs. replacement amounts
  • Frequency of certain home characteristics, roof problems, and property features
  • States with the highest potential for hazards
  • Plus, a demonstration of how claims, lightning, and underwriting data can be combined for better decision-making about a specific region

Review the annual report and consider how CCG IQ can support your carrier’s efforts to increase carrier efficiency and improve claims leakage and loss ratios.

Request Your CCG IQ 2020 Annual Report

CCG IQ 2020 Annual Report

For years CCG IQ’s damage assessment brands, HVACi and StrikeCheck, have been publishing separate annual claims reports to equip carriers with data-driven facts and trends to help them control claim leakage and keep a superior policyholder experience. This year, all of CCG IQ’s suite of services, including claims assessments, underwriting inspections, and lightning verification, are highlighted in the CCG IQ 2020 Annual Report. This offers an enhanced overview of a broader spectrum of risks and perils that impact a carrier’s overall book of business for better decision-making.

Fill out the form to receive key insights into perils and hazards that have affected policies throughout their life cycle. The data reflects the thousands of claims, underwriting, and lightning assignments CCG IQ completed in 2020 using technology and experience to provide insurance carriers objective, knowledgeable, and timely policy solutions.

The report includes:

  • Reported vs. actual cause of loss, repair and replacement costs, and frequency of claims by item type for HVAC systems and all electrically powered items
  • Claim trends for time of year, states, and claimed amounts
  • Catastrophe claim data
  • Lightning data by month, location, and frequency
  • Average coverage amount vs. replacement amounts
  • Frequency of certain home characteristics, roof problems, and property features
  • States with the highest potential for hazards
  • Plus, a demonstration of how claims, lightning, and underwriting data can be combined for better decision-making about a specific region

Review the annual report and consider how CCG IQ can support your carrier’s efforts to increase carrier efficiency and improve claims leakage and loss ratios.

Request Your CCG IQ 2020 Annual Report

4 Times Squirrels Caused HVAC System Claims

Are squirrels as innocent as they look? Photo Credit: “Squirrel” by Alastair Newton / CC BY 4.0

This squirrel looks cute, but underneath those innocent eyes is a mouth with 22 teeth that have caused major problems for policyholders. We at HVACi reviewed dozens of HVAC system claims that linked back to these rodents and picked out a few that left us feeling a little squirrelly about what all these animals are capable of.

1. Power Struggle

Squirrels seem to find wires tempting to bite. Photo Credit: “Squirrel” by ImageFile / CC BY 4.0

Power lines seem to be especially enticing because several claims assigned to us involved a squirrel chewing through them. For this claim, the squirrel’s action caused arcing and mini fires, according to the commercial policyholder. Five package units on two connected buildings were reported malfunctioning. It would cost an estimated $122,899 to replace the systems.

HVACi’s comprehensive evaluation found that four of the five systems were damaged, though the fifth was working properly at the time of assessment. Among the failed components were compressors and refrigerant circuit compressors. One of the system’s compressors was “shorted to (the) ground.” A fan motor and blower motor also failed from high voltage surge. Despite the damages, no full replacements were required. New compressors, blower motors, and a fan motor would return the policyholder to pre-loss condition, but it still proved to be a costly incident caused by a squirrel encounter.

Recommended Settlement: $30,270

2. Not Guilty on All Charges

Squirrels often get onto the roof and then into attics, causing damages. Photo Credit: “Brown Squirrel on Brown Wooden Roof” by Muhil Mohan / CC BY 4.0

The squirrel in this claim also found wires appealing, but this time they were in a policyholder’s attic. After the utility company made the necessary repairs and restored power, a high voltage surge was claimed to have damaged the HVAC system. A contractor recommended the insured replace the split system at an estimated $16,000 cost.

However, we can’t entirely blame a squirrel for this one. The policyholder had the contractor make the full replacement prior to the HVAC system assessment. Though it wasn’t connected to the power source during the evaluation, the old system didn’t have any visual or measured evidence of surge-related damages. If the system malfunctioned when powered on, it would have been because of internal mechanical failures from normal wear and tear. The system was also very dirty with a significant amount of rust and corrosion.

Recommended Settlement: If coverage was afforded, the settlement was $369 to clean up the system.

3. A Surge of Damages

In this next claim, the squirrel kept a distance from the policyholder’s property but proved to be the source of the peril. According to the policyholder, a squirrel damaged a transformer and knocked out power. When it returned, the 2-part heat pump no longer functioned properly. The customer had the system inspected and was recommended to get a full replacement.

This time, there was evidence of damage to the air handler disconnect box caused by a high voltage surge. Otherwise, the system condition and wiring were typical for its age and use, and the outdoor components were operational during HVACi’s assessment. Switching out the disconnect box and having the system retested were among the recommendations to return the policyholder back to pre-loss condition. A full replacement wasn’t necessary, but the squirrel still caused a repair that hadn’t previously been required.

Recommended settlement: $208

4. Fired Up During a Power Outage

Transformers are another popular place for squirrels to cause problems. Photo Credit: “Electrician” by alcangel144 / CC BY 4.0

The squirrels in the previous claims all did something that resulted in an HVAC system needing repairs. But for this last one, this squirrel caused enough trouble to require a full replacement.

Like another policyholder’s story on our list, the squirrel in this claim took a trip up a transformer that led to a power outage. When the wood-burning boiler lost power water circulation stopped, but the wood kept burning. This caused the boiler to overheat and compromised the integrity of the entire system. Because of that, the assessment determined a replacement boiler was needed to return the insured to pre-loss condition because repairs would meet or exceed the cost of replacement.

Recommended Settlement: $15,193

If you suspect a squirrel may have caused mayhem for your policyholder’s HVAC system, submit a claim to HVACi. We’ll complete a comprehensive onsite assessment to determine the actual cause of loss and scope of damage and recommend repairs or replacements to return your policyholder to pre-loss condition.

Weird Claims Hall of Flame

Factors That Influence Whether to Repair or Replace An HVAC System

To replace or not to replace? That is the question. For an adjuster, this query about whether a full HVAC system replacement is necessary shouldn’t be as daunting or as vague as Hamlet debating life or death. There are definitive answers for how to best resolve your policyholders’ claims. You just need all the necessary information to determine accurate claim settlements in a timely manner.

On average, less than half of the HVAC systems that HVACi assessed needed a full-system replacement. Cause of loss and scope of damage are two critical factors in determining whether a repair or a replacement is required to return an HVAC system to pre-loss condition. Here are some considerations that also play a part.

Age of an HVAC System

The age and how well a policyholder maintains an HVAC system could impact whether the equipment requires a replacement.

The age of equipment may have a supporting role in whether a repair or replacement HVAC system is necessary. For example, residential HVAC systems typically have a median lifespan of 15 years, according the ASHRAE. How well the policyholder has maintained an HVAC system increases its lifespan, but a failure to do so could affect the cause of damage and its extent.

When considering the claim, adjusters should evaluate the age and condition. The problem may be common for systems of that age and type, which could point more to age-related wear and tear in lieu of a different peril. In this case, the policy will determine if any action – repairs or replacements – is covered based on the cause of loss.

It’s critical to determine how damage was sustained before settling for a repair or a replacement.

Cost of Repairs Versus A Replacement

In this claim HVACi assessed, a bent HVAC system gas line directed the flame into the burner compartment causing multiple components to be charred and melted. While repairs could have been possible, the cost would meet or exceed that of a replacement.

Cost takes centerstage only when the price for repairs exceeds that of a full replacement. The average expense to repair a residential HVAC system is roughly $1,700; however, replacement costs are nearly $7,500. Adjusters should consider if the HVAC system can be returned to pre-loss condition with a minor or a major repair instead of an unnecessary replacement.

There are times when the damage a system sustains requires repairs that are more than a replacement would cost. This could occur if multiple major components are damaged or labor costs are too high. A scenario where this might be the case is a fire occurring in an HVAC component that also causes soot and smoke to spread through the system’s ductwork and can’t be cleaned.

To compare replacement and repair pricing most accurately, it’s important adjusters first verify market costs for labor and equipment. Location, system type, and the individual contractor may all be impacting the claimed amount. Adjusters should base decisions – and settlements – on manufacturer equipment availability and true market costs.

HVAC SEER Rating or Refrigerant Compatibility

The DOE updated its required SEER rating standards, which may make equipment from prior to 2023 a mismatch to components made with today’s requirements.

A policyholder’s wants take backstage to what the policy covers. Some insureds may prefer to replace their damaged system with a more efficient one. But this typically doesn’t align with a policy and the goal of only making Like Kind and Quality changes that return a policyholder to pre-loss condition.

However, replacements or more major repairs may be recommended if new equipment could lead to an efficiency rating mismatch. Split systems consist of indoor equipment, including the air handler or furnace, and the outdoor equipment, including the condensing unit. Each are designed with efficiency ratings that work together. If a condensing unit is paired with an air handler that isn’t compatible, it may not operate at all.

Another area of concern is if components don’t use the same type of refrigerant. It is inaccurate that the 2020 R-22 production phaseout means systems that use it must be replaced instead of repaired. However, if a policyholder’s original system runs on R-22 and new equipment, such as a new condensing unit, uses R-410A refrigerant, additional components and processes would be needed to flush out the old refrigerant and use R-410A going forward.

Adjusters should ensure policyholders are advised to obtain the necessary equipment that is a match in efficiency and refrigerant to what they already have so as to not cause further problems to their HVAC system.

HVACi Experts Provide Accurate Resolutions

As you can see, whether a repair or replacement is the most applicable solution to return your policyholder’s equipment to pre-loss condition is specific to the individual claim. It requires a thorough evaluation to consider all the factors.

Take the guesswork out of the equation by submitting an assignment to the experts at HVACi, who provide comprehensive solutions for claims involving HVAC and Refrigeration equipment. Our team delivers detailed, actionable reports that convey cause of loss, scope of damage, and recommended repair or replacement options based on thorough equipment evaluations. Plus, we provide component recommendations that match what the insured already has along with availability and market pricing.

Adjusters should make decisions based on all the necessary information. Don’t let your policyholder’s claim turn into a tragedy by making an inaccurate claims settlement.

Case Study: When Replacements Aren’t the Solution