Our Denial Review Process
When a claim is denied, we conduct a thorough review of the carrier's denial documentation to understand the basis for their decision. Our response is tailored to the specific circumstances of each case.
Step 1: Site Inspection & Documentation
We perform a comprehensive site inspection to document the loss and assess the cause. This establishes a factual foundation for evaluating the carrier's denial.
Step 2: Denial Evaluation
If our assessment confirms the denial was appropriate and the carrier provided fair justification, we consult directly with the property owner to explain the findings and discuss options.
Step 3: File Preparation (When Warranted)
If we determine the denial lacks proper justification, we prepare a comprehensive file for submission to the carrier, supported by documentation and professional assessments.
Expert Network Consultation
Denial disputes often require credentialed professional assessments to substantiate the claim. We collaborate with our network of specialists to build the strongest possible case:
- Licensed engineers for structural and causation analysis
- Architects for design and code compliance review
- City and municipal professionals for regulatory guidance
Our goal is to pursue the best possible outcome for each claim through thorough documentation, expert consultation, and professional presentation.