Take A Stand and Join APA
While we may not be contractors ourselves, we know the challenges contractors face in this industry today. New legislation, laws and regulations are...
There is no magic phrase that turns a difficult property claim into an approval. There is no single estimate, photo, line item, or third-party professional that can guarantee an outcome. For restoration contractors, the better strategy is much less exciting: build a strong file from the beginning.
That was one of the recurring themes during a recent episode of The Balance Breakdown featuring Aaron Poland, owner of Indianapolis-based Spartan Claims. After handling thousands of claims from both the carrier and policyholder sides of the industry, Poland has seen what happens when contractors provide strong documentation—and what happens when they don't.
As claims become more complicated, contractors who establish repeatable documentation processes can put themselves, their customers, and any third-party professionals they eventually involve in a much better position. It's also why documentation is built into how Balance works from the beginning of the supplement process.
One of the biggest mistakes contractors can make is assuming every claim should follow the same path. Poland pointed out that numerous insurance companies write policies in Indiana alone, each with different processes and approaches to handling claims. That makes the expectation of one universal strategy unrealistic.
“There's no such thing as a magic bullet. There's no such thing as a magic process,” he said.
That matters when a contractor encounters resistance. It's tempting to hear about a strategy that worked on another project and assume it will produce the same result on the next one. But different policies, carriers, property conditions, documentation, and claim circumstances can require very different approaches.
The contractor's job isn't to find a shortcut. It's to create a solid record of what's actually happening on the property.
For Poland, one of the clearest differences between strong and weak files comes down to documentation. He regularly receives claims from contractors who expect a third party to resolve a dispute but provide very little usable information. Sometimes that means incomplete paperwork. Other times, it's a handful of photos that don't adequately show the condition being disputed.
His advice to contractors is straightforward: “Get your stuff together.”
A strong file should tell the story of the property before someone has to ask for additional information. That means documenting the affected areas thoroughly, retaining carrier correspondence and estimates, understanding what was approved or denied, and clearly identifying the issue that remains unresolved.
The principle is simple: good information in, good information out. It's a lesson Balance has seen repeatedly when reviewing successful supplements—the quality of the initial damage assessment and photo documentation can have a major impact on the strength of the file.
Digital photography has eliminated one of the old limitations of claim documentation. Contractors aren't paying to develop film, and storage isn't restricted to a handful of pictures.
As Poland put it, “Photos, digital photos don't cost anything.”
But more photos don't automatically mean better documentation. One distant picture from the sidewalk probably isn't enough. On the other extreme, dozens of nearly identical close-ups of one hail impact don't necessarily establish what's happening across the rest of the roof.
Effective documentation needs context. A strong photo set should help someone who wasn't at the inspection understand what was observed, where it was located, and how it relates to the overall property.
Technology can make that process significantly easier when it's incorporated into the company's workflow rather than treated as an afterthought. We've previously covered several ways contractors can use technology to improve their roofing business, including better photo documentation and field processes.
Think of documentation as telling the story of the loss—not simply proving that you found one damaged component.
Before deciding what should happen next with a difficult claim, contractors need to understand what has already happened. Who is the carrier? What did they approve? What did they deny? What reason did they provide? What documentation has already been submitted?
Those questions sound basic, but Poland described receiving files where even fundamental information is missing.
Without that information, it's difficult to identify the actual disagreement. A contractor may believe the issue is damage when the carrier's position involves something entirely different.
The opening segment of the episode illustrates that point well: everyone initially focuses on a confusing discussion about sheathing thickness before realizing the carrier's response is really asking for documentation showing what sheathing was removed and replaced.
The loudest part of the disagreement isn't always the most important. Read the correspondence carefully, identify what's actually missing, and respond to that issue.
Contractors naturally become invested in their projects. You've inspected the property, spoken with the homeowner, developed your scope, and spent time working through the claim. That investment can make objectivity difficult.
Poland's advice? “Don't fall in love with those claims.”
A contractor may look at a file and think it's an obvious approval. But if the documentation doesn't support that conclusion—or another professional reviews it differently—repeating the same argument more aggressively isn't necessarily going to change the outcome.
Instead, evaluate what evidence actually exists. If the file needs additional documentation, get it. If it needs another professional's expertise, involve the appropriate resource. And if the evidence doesn't support the position you originally expected, recognize that too.
Good claim management requires persistence, but it also requires objectivity.
Contractors don't have to handle every difficult situation themselves. Supplementing companies, public adjusters, appraisers, attorneys, engineers, manufacturers, and other industry professionals all serve different functions. The appropriate resource depends on the situation.
Poland's recommendation is to build a network rather than expecting one company or professional to solve every problem.
This is where understanding the different stages of what Balance has previously called the claims quagmire becomes valuable. Estimating, supplementing, appraisal, public adjusting, and legal involvement aren't interchangeable. Each serves a different purpose.
When a contractor reaches the limit of what they can accomplish within their role, the answer isn't necessarily to keep pushing the same strategy. Sometimes the right move is helping the policyholder connect with an appropriate resource.
Balance also maintains a network of industry partners across areas including public adjusting, material identification, measurement, technology, and training.
But bringing someone else into the process doesn't eliminate the importance of everything that happened beforehand. As Poland explained when discussing what contractors should do before a file reaches his firm, the responsibility is to create a good file first.
The better the documentation, the more effectively the next person can evaluate what happened.
Another interesting point from the conversation involved claims contractors have essentially given up on. Poland recalled visiting contractors who had boxes filled with files they considered dead—claims that had stalled, been underpaid, or simply stopped progressing.
Some of those files may truly have nowhere else to go. Others may simply have reached the limit of what that particular contractor knew how to do.
That's an important distinction. When a file stalls, the question shouldn't automatically be, “How do I push this harder?” Sometimes the better question is, “Is there another qualified resource who should evaluate this?”
Knowing when to hand something off is part of running a mature restoration business.
Roofing and restoration have become increasingly specialized. Sales teams need to sell. Production teams need to build. Supplementing professionals need to develop accurate estimates and documentation. Public adjusters have their role. Attorneys, engineers, appraisers, and other specialists have theirs.
Trying to become every one of those things internally can create unnecessary complexity. Building relationships with qualified professionals gives contractors somewhere to turn when a project moves outside their normal workflow.
The goal isn't to hand every difficult claim to somebody else. It's to know your options before you need them.
Poland's final advice moved beyond claims and into business ownership. Roofing can create tremendous growth very quickly, particularly following a major storm. But one strong year doesn't guarantee the next year will look the same.
“Don't get too big for your britches,” Poland warned.
Contractors who experience sudden growth can easily assume the new revenue level is permanent. They add overhead, expand rapidly, and sometimes step away from the daily operation of the business.
Poland has seen successful contractors take the opposite approach. The owners stay involved, keep building relationships, and maintain discipline even after the company starts making serious money.
That lesson connects directly back to documentation and claims management. Scalable businesses don't depend on heroic efforts or shortcuts. They depend on repeatable processes. Establishing documented processes and SOPs for inspections, estimating, claims, supplementing, and handoffs can help prevent growth from creating operational chaos.
The best time to prepare a difficult claim isn't after it becomes difficult. It's during the first inspection.
Document the property thoroughly. Keep the paperwork organized. Understand the carrier's position. Maintain clear records of communication. Build relationships with professionals who can step in when the situation requires expertise beyond your team's role.
You may not know exactly where every claim will go, but you can make sure the next person who opens the file has something useful to work with.
There may not be a magic process for getting every claim resolved. There is a reliable process for being prepared.
When your team is busy selling, inspecting, and building, keeping every estimate, photo, line item, and supplement organized can become a major operational burden.
That's where Balance Claims fits in.
Balance provides estimating and supplementing services for restoration contractors, helping teams build detailed supplement packages, organize supporting documentation, communicate with carriers, and keep claims moving.
Instead of asking your sales team to become supplement experts, give them a process for collecting the right information—and give Balance the documentation needed to take it from there.
Build a better file from the start. Let Balance help you take it further.
While we may not be contractors ourselves, we know the challenges contractors face in this industry today. New legislation, laws and regulations are...
If you are in roofing or insurance restoration, having a high-level understanding of the claim process is more important than ever.
2019 is shaping up to be another year of sweeping regulations and laws impacting the roofing industry. The most recent being HB2102 & 2013 and HB7065...