Know Your Rights

Insurance Claims Glossary

An informed customer makes the best decisions. Here are the key terms you'll encounter during the insurance claims process — explained in plain English.

Understanding your policy and the claims process puts you in a stronger position. We believe transparency is the foundation of a good working relationship — so we've put together this glossary to help you navigate the language of insurance claims with confidence.

Valuation

ACV — Actual Cash Value

Valuation

The value of your damaged property at the time of the loss, after accounting for depreciation. ACV = Replacement Cost minus Depreciation. Because older materials are worth less than new ones, ACV settlements are typically lower than RCV settlements. Many policies issue an initial ACV payment and hold back the depreciation until repairs are completed.

Example: Your 12-year-old roof costs $20,000 to replace. After depreciation, the ACV might be $12,000 — that's what the insurer pays initially.

RCV — Replacement Cost Value

Valuation

The amount it costs to repair or replace your damaged property with new materials of like kind and quality — with no deduction for depreciation. RCV policies pay more than ACV policies. You typically receive an ACV payment first, then the withheld depreciation (recoverable depreciation) is released once repairs are completed and documented.

Example: Same $20,000 roof. With RCV coverage, you ultimately receive the full $20,000 (minus your deductible) once the work is done.

Recoverable Depreciation

Valuation

The difference between the ACV payment and the full RCV amount that your insurer withholds until repairs are completed. Once you finish the work and submit documentation, your insurer releases this additional amount. Not all policies include recoverable depreciation — check your policy or ask us.

Example: Insurer pays $12,000 ACV upfront. After repairs are completed, they release the remaining $8,000 in recoverable depreciation.

Depreciation

Valuation

The reduction in value of property over time due to age, wear, and obsolescence. Insurance companies apply depreciation to calculate ACV. Depreciation rates vary by material type and age. A 20-year-old roof will have significantly more depreciation applied than a 5-year-old roof.

Example: A roof with a 25-year lifespan that is 10 years old has depreciated 40% of its value.

Policy Basics

Deductible

Policy Basics

The amount you are responsible for paying out of pocket before your insurance coverage applies. Some policies have a separate wind and hail deductible — often a percentage of your home's insured value (e.g., 1% or 2%) rather than a flat dollar amount. Always know your deductible before filing a claim.

Example: Claim is $15,000. Your deductible is $1,500. Your insurer pays $13,500. You pay $1,500.

Subrogation

Policy Basics

The process by which your insurance company, after paying your claim, pursues the party responsible for the damage to recover what they paid. You are generally required to cooperate with your insurer's subrogation efforts and must not do anything to impair their right to recover.

Example: A neighbor's tree falls on your roof. Your insurer pays your claim, then pursues the neighbor's insurer for reimbursement.

Assignment of Benefits (AOB)

Policy Basics

A legal agreement that transfers your insurance claim rights to a third party — such as a contractor — allowing them to deal directly with your insurer and receive payment. Be cautious with AOB agreements: once signed, you give up control of your claim. We never ask you to sign an AOB — we work for you, not around you.

Example: A contractor asks you to sign an AOB so they can bill your insurer directly. This removes you from the process and can complicate your claim.

Claims Process

Proof of Loss

Claims Process

A formal, sworn statement submitted to your insurance company documenting the details of your claim — including the date of loss, cause of damage, and the dollar amount claimed. Most policies require this within a specific timeframe. An incomplete or inaccurate proof of loss can jeopardize your claim. We prepare and submit this on your behalf.

Example: After a hail storm, we prepare a detailed proof of loss documenting every damaged component and its replacement cost.

Like Kind and Quality (LKQ)

Claims Process

The standard used to determine what replacement materials should be used. Materials should be reasonably similar in type, quality, and function to what was damaged — not necessarily identical. Insurers sometimes try to substitute lower-quality materials. We advocate for materials that truly match what you had, including premium brands like IKO shingles and Royal siding.

Example: If you had architectural shingles, LKQ means you get architectural shingles — not 3-tab shingles.

Mitigation

Claims Process

Steps taken immediately after a loss to prevent further damage — such as emergency board-up, roof tarping, water extraction, or drying. Most policies require prompt mitigation. If your claim is approved, mitigation costs are typically covered. If not approved, you are responsible for those costs. We obtain your full written authorization before any mitigation work begins.

Example: After a storm tears off part of your roof, we tarp it immediately to prevent interior water damage while your claim is processed.

Scope of Loss

Claims Process

A detailed written document that identifies and quantifies all damage to your property. The scope of loss forms the basis of your claim — it lists every damaged item, the repair or replacement method, and the associated cost. A thorough scope of loss is critical to a fair settlement. We prepare this document using industry-standard estimating software.

Example: A complete scope of loss for a hail claim might include roof replacement, gutter replacement, siding repair, and window screen replacement — all itemized.

Dispute Resolution

Appraisal

Dispute Resolution

A formal dispute resolution process available under most property insurance policies when you and your insurer disagree on the value of a loss. Each party selects an independent appraiser; the two appraisers then select an umpire. The decision of any two of the three is binding. Appraisal is a powerful tool for resolving underpayment disputes.

Example: Your insurer offers $8,000 for your roof. You believe it's worth $18,000. The appraisal process brings in independent experts to determine the correct amount.

Want these terms explained in the context of your specific claim? Visit our FAQ or call us directly.

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