Claim Process Guide

    Why Is My Contractor's Estimate So Much Higher Than the Insurance Adjuster's?

    Contractor bids are often 25–50% higher than the insurance company's estimate because insurers price claims with software (usually Xactimate) using rates that lag real Long Island labor and material costs, omit hidden damage, and skip code-upgrade requirements. The gap is negotiable — a public adjuster writes a line-item scope at real local prices and negotiates the difference. Call 516-410-0164 for a free claim review.

    Why the Two Numbers Are So Far Apart

    Insurance adjusters build estimates in Xactimate, the industry pricing software. Xactimate is only as accurate as its inputs — and carriers routinely use pricing that reflects discounted, high-volume contractor rates rather than what a Long Island contractor actually charges a homeowner. After a storm, when labor rates surge, the gap gets worse.

    The second problem is scope. A company adjuster may spend 30–45 minutes at your property. They price what they can see. Water behind walls, smoke in the HVAC system, damaged subfloor under intact tile — none of it makes the estimate unless someone documents it.

    Pricing databases that lag real Long Island labor rates
    Hidden damage never inspected or scoped
    Code-upgrade (ordinance or law) costs omitted
    Overhead and profit lines stripped out
    Matching materials refused — 'patch only'

    Do You Have to Accept the Insurance Company's Number?

    No. The insurer's estimate is their opening position, not a verdict. You're entitled to your own independent estimate, and you're not required to use the insurer's preferred contractors. A real contractor's detailed bid is evidence — but on its own it rarely moves the carrier, because adjusters are trained to dismiss contractor bids as 'retail.'

    What moves the number is a line-item scope in the insurer's own format, priced at real local rates, with every omission documented. That's what a public adjuster produces. We speak Xactimate — and we write scopes that survive the carrier's review process.

    How the Gap Actually Gets Closed

    First, the public adjuster re-inspects and documents the full scope, including hidden damage. Then we write a line-item estimate at Long Island pricing and sit down with the company adjuster line by line. Most claims settle in that negotiation — on average, settlements we handle come in 574% higher than the insurer's first offer.

    If the carrier won't move, your policy's appraisal clause lets each side hire an independent appraiser, with an umpire deciding disputed items. It's binding on the amount of loss, faster than litigation, and doesn't require an attorney.

    Key Takeaways

    • Insurance estimates routinely run 25–50% below real contractor bids
    • Xactimate pricing often lags actual Long Island labor and material rates
    • Insurer scopes commonly omit hidden damage and code upgrades
    • You are not required to use the insurer's estimate or their contractors
    • The appraisal clause can resolve price disputes without a lawsuit

    Licensed in New York

    Kevin Godfrey, License #PA-1156995 · 22+ years experience · Fees 6–12% (NY cap 12.5%)

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    Common problems, your rights, and how a public adjuster can help.

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