Water Damage Restoration: What to do if your adjustor disagrees with your contractor?

This article is about the confusion an uncertified water damage insurance adjustor can create. I received the request for water removal from a customer who lives in a condo on the second level. Her neighbor above had something leak, we don’t know what it is, whether it was a busted pipe or leaky toilet. All we know is that the water leaked from the third level of the condo, down into the second unit of my customer’s house, through her floor, and through the ceiling down to the first unit.

Unfortunately, my customer was assigned an adjustor who was not IICRC certified and had no related industry certifications. I go onsite to conduct my initial investigation with the customer.  From first glance, the water damage did not appear to be so extensive.  However, after checking the moisture content levels of the ceiling, to discover they were completely saturated.  Additionally, carpet and pad were saturated.  The bathroom didn’t appear to be as bad as it was, however, the customer was able to take video of the water loss occurring.  If I had not seen the video, I may not have discovered the additional water damage.

There was water pouring down the ceiling, through her overhead fan, through the lighting fixture, right down onto her bed and onto the floor.  Water was splattering and caused water damage to her wooden nightstands and dressers.  Water was falling through the air duct in the bathroom, directly over her vanity.  I told the customer that according to the ICRC S500, we will remove the drywall and we will also take up the carpet and the pad because I saw how much water fell from the ceiling.

There was a question as to whether there could be water trapped under the tile of her bathroom floor.  Ordinarily I would think she would be safe from having this happen, because tile has one of the highest water resistance levels of different building materials.  When I saw the video, I realized there was a good chance water could have become trapped under the tile in the bathroom for two reasons. One:  just how much water fell and the accompanying pressure causing water damage.  Two: there were breaks in the seals around the toilet and the tub, so water may have got trapped under the tile from one of those breaks in the seal.

Residential Water Damage Restoration is 60% Personal and 40% Business

Knowing that the customer works from home, I asked what would be a good time for us to start?  We decided that doing the water damage over the weekend would be better for her because she’s not working. I agreed and figured that this would be something her adjuster could definitely understand, we could definitely justify beginning on the weekend. However, this adjuster was perhaps one of the worst adjusters that my customer could have been assigned.

The adjustor claims to have had 10 years of experience.  When I got on the phone with her, to explain the water damage from having been onsite, but this adjustor had the audacity to believe they knew what needed to happen better than me even, though I’m an ICRC certified master water damage restoration professional.  I had also been on site to conduct psychrometric analysis and this adjuster saw some pictures.  She wanted the customer to believe that I didn’t know what I was talking about and that she did.  I asked the adjuster what if any IICRC certifications do you have?  Their respond was: “you know what,I’m not getting into a conversation about certifications”.  That was the red flag to me know this adjuster had no IICRC water damage restoration certifications, because if she did, she would one agree with me and she would say that she had certifications.

Cat 3 Water Damage Restoration

Our biggest discrepancy was how we should categorize this project.  I said we should categorize this project as a CAT3 water damage restoration, and she adamantly objected.  They believed the water damage should be done as a Cat 2 water loss.  Even if we assume that upstairs was perfectly clean, in order to error on the side of caution, I didn’t think that it would be wise to assume that everything upstairs on the third level was completely in order.  In order for me to agree with the adjuster, that would mean I have to assume everything upstairs was in pristine clean condition, but:

• We don’t know if this person upstairs had pets,

• We don’t know what the condition of the floor or the carpet was,

• We don’t know what the overall condition of the unit upstairs was.

I didn’t think it was wise or in the customer’s best interest to classify this water damage as a Cat 2, besides the ICRC S500 water damage standard states that even if the water came from a clean source, when the water hit the ground, the category increases because it is presumed that the water is not carrying additional contaminates.  This is standard practice for all water damage restoration professionals, we never do a project as a Category 1 water damage. All water damage is either a Cat 2 or a CAT 3 water damage, because even if the water started off clean, when the water touches the floor it becomes Cat 2.

Here’s another red flag that let me know that this this adjuster really didn’t have the experience they claimed.  When water falls from one level to the next, for example, through a ceiling or through a floor, down to the next to the room underneath, the water automatically changes categories. Therefore even if the water came from a clean source, when the water when hit the floor of the third level unit, it became CAT2 water, when that water fell through the floor and through the ceiling of my customer’s house, that water became CAT3 water damage.

Water Damage Restoration: Professional 2^nd Opinion

The water damage mitigation adjuster didn’t agree, but I knew I was right.  After the conversation I was so appalled, and I wanted to report her.  I wanted to speak with her supervisor. I just felt like it was very irresponsible to even have an adjuster in this position who obviously didn’t have the right training and did not know what she was talking about.  I advised the customer to get a second opinion.  Flood Metrix would pay to get a second opinion as long as the company is IICRC certified and are direct to customer water damage contractors.  If they agree with the adjuster, then you hired them but if they agree with Flood Metrix we will pay the fee, to have them write up their remediation protocol and then this way we have will have two different opinions from two different IICRC certified water damage restoration companies each recommending the same course of action.  Then it would be difficult for the adjuster to justify ignoring the recommendations of certified of two separate certified IICRC certified water damage restoration companies as for the proper course of action for this loss.

During a water damage restoration, customers are already stressed out.  Insurance companies know that most water damage policyholders are not reading their insurance policies and the last thing a customer wants to do is be stressed out by their insurance company when it’s time for them to use it.  Some insurance companies use this against their customers.  They don’t care about their policyholders, they don’t even care about the IICRC standard.  They just want to have something done and pressure the policyholder into doing something or what they say should happen, even though they’re not the ones who are professionally qualified to make the call.  It’s an egregious act and misuse of authority.  This adjuster put their policy holder in even more duress until she didn’t know what to do.

Water Damage Restoration IICRC S500

There’s another detail in the IICRC S500 water damage standard which states: the longer a project sits, the longer and more likely it is to become a Cat 3 water loss.  Previously, after 72 hours, a water damage automatically became Cat 3, but the new standard reads that it’s not automatically Cat 3 if the water damage professional on site doesn’t recognize any signs of mold growth.  He could then treat the loss as a Cat 2 water damage. Basically, by the time the homeowner would be able to get a second opinion the 72-hour water damage time frame would have lapsed.

This adjuster from All State was the worst adjuster this customer could have been assigned.  It was clear they had no water damage restoration experience.  As an adjuster, she was very unprofessional and took everything personally, which was not good for the client.  When clients understands that the adjuster is saying one thing and the contractor is saying another, they ultimately feel like they are forced to go with their adjuster, when that’s not true.  It’s not the case and customers just don’t understand what their rights are, especially when they have a water damage, because they just want to get the water damage taken care of.  They just don’t have the attention to put towards really finding out what the insurance company is obligated to do, because they’re in so much fear of the water damage not being covered.  

My recommendation to all homeowners before you have a water damage, or during the water damage is to read your policy.  Read your homeowners’ insurance policy and understand what is covered and what is not covered for a water damage.  When is mold covered, when is it not covered, so that you can know your rights.  Homeowners should know what the full scope of their benefits are to prevent being taken advantage of by an adjuster who’s just all about the money.  There is no way this adjuster could convince me that she wanted to advocate for this customer or that she was really on the customer side. Everything that she did was for the insurance company.  No recommendation she made was really to benefit the customer, it was really to shortchange the customer take advantage of her position.  Dealing with this adjustor and the inconvenience they caused prompted me to write this blog, because homeowners need to know what to do during the water damage, especially when you have an adjuster who is just not cooperative.