NEWS: SEN. SCHIFF, REP. CHU LEAD CALIFORNIA DELEGATION MEMBERS IN CALLING ON MAJOR INSURANCE COMPANIES TO ENSURE LOS ANGELES FIRE VICTIMS RECEIVE FAIR COMPENSATION
The following information was released by
This follows multiple concerning reports from constituentsabout ongoing challengesthey'refacing with insurers,includingarduousitemization requirementsanddelayed claim processingandpayouts that fall far belowhome values, raising concerns about potential violations of
"In addition to the financial and emotional trauma of losing their homes, survivors of the Eaton and Palisades fires are facing mountains of paperwork and unanswered calls to their insurers. We have received outreach from constituents who shared that they havebeen requiredto itemize their material losses and provide receipts corresponding to every item, which can also include requirements of photographic evidence of prior ownership an impossible task even for those who have not lost everything,"wrote the lawmakers.
"Rather than creating more hoops to jump through, insurers must practice transparency and work quickly to ensure wildfire victims are paid what they are owed. On behalf of
The lawmakers areseekingadditionalinformation on how insurersaredeterminingitemizationrequirements,thenumber ofadjusters assigned to claims, how overall payouts aredetermined,andwhat stepsthey'retaking to ensure adherence to
This letter isalsosignedby RepresentativeBrad Sherman(D-Calif.-32), Speaker
Full text of the letter is availablehereand below:
Dear Mr. Farney,
One year ago, the Eaton and Palisades fires resulted in a terrible loss of life, destroyed thousands ofstructuresand displaced more than 100,000 residents in one of the most devastating natural disasters in
One year after the fires, 70 percent of survivorsremaindisplaced and Angelenos are still facing significant roadblocks that are preventing them from rebuilding their lives. In addition to the financial and emotional trauma of losing their homes, survivors of the Eaton and Palisades fires are facing mountains of paperwork and unanswered calls to their insurers. We have received outreach from constituents who shared that they havebeen requiredto itemize their material losses and provide receipts corresponding to every item, which can also include requirements of photographic evidence of prior ownership an impossible task even for those who have not lost everything. These arduous requirements raise concerns aboutpossible violationsof the
Survivors have also reported being assigned multiple adjusters, which has caused administrative delays, breakdowns in communication, and downward adjustments of their insurance payouts. Theseadditionalhurdles complicate and slow down an already frustrating process for survivors who paid premiums for years with the reasonable expectation that if disaster struck, they could count on their insurer to pay their claims.
In addition to being in violation of state law, insurance claim delays and payment denials have forceda majority ofthe
Rather than creating more hoops to jump through, insurers must practice transparency and work quickly to ensure wildfire victims are paid what they are owed. On behalf of
Accordingly, we ask that youprovidewritten answers to the following questions no later than
How does your companydeterminewhether a policyholder will need to provide a full itemized receipt of their losses?
What level of detail is expected for such itemizations?
What is the rationale for this level of detail?
Is there an appeal or otherwise relevant process they can pursue if they do not have access to a receipt?
Have itemization requirements increased since the outbreak of the
How does your companydeterminehow many adjusters are assigned to a claim?
What is the rationale for assigning multiple adjusters to a singular claim?
What type of information tracking and sharing occurs between adjusters when they are brought onto a claim and for the duration?
How do youdeterminethe overall payout amount for a property that has not experienced a total loss?
What recourse do policyholders have when they are presented with estimates far below their home value?
Do you use artificial intelligence in the claims review and settlement process? If so, how? Is there a crosscheck conducted by a claims adjuster?
What steps are you taking to ensure adherence to
Thank you in advance for your attention to this matter. We look forward to reviewing your responses.
cc:
Commissioner
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