| Q. |
Can I receive
the cash instead of replacing damaged items? |
| A. |
Not generally.
Most policies require that the item actually be repaired or replaced
in order to receive the replacement cost settlement. In most cases,
the adjuster will provide an advance based on the depreciated value
of the items then pay the difference upon presentation of evidence
that the items were replaced.
|
| Q. |
Can
I use the contractor I prefer for repairs? |
| A. |
When your business
is damaged, the adjuster often inspects the damage and provides
a check for his or her estimate of the repairs. If your preferred
contractor is unwilling to do the work for the amount allowed by
the adjuster, have your contractor contact the adjuster. Often,
the differences can be resolved resulting in the insurance company
agreeing to your contractor's price. If your contractor is unwilling
to work with the adjuster, beware--this may be a sign of overcharging.
If you proceed with the work without the adjuster's approval, you
could end up paying the difference out of your pocket.
|
| Q. |
Can
I order emergency repairs/cleanup without the adjusters approval? |
| A. |
Yes. You have
a responsibility to protect the covered property from further damage
so you can and should order emergency cleanup or repairs. This includes
boarding up broken windows, covering openings in the roof, and cleaning
up water damage. Of course, the cause of the damage has to be covered
by the insurance for it to be paid. |
| Q. |
If
an employee is injured, can they go to any doctor or clinic? |
| A. |
This question
arises because of the existence of disreputable doctors and clinics
who systematically over-prescribe treatments when they know they are
being paid for by workers compensation. Fortunately, such clinics
are a small minority and most states do not allow you to dictate where
an employee can receive treatment. What you can do is to suggest a
doctor or clinic that you know to be preferred by your insurance company
or otherwise reputable. But you should not put undue pressure on the
employee to use a preferred health care provider for a workers compensation
injury. Be sure to report the claim promptly to your insurance company. |