Roofers and Insurance Claims: Your Complete Guide from a Contractor Who's Been There
I have been a licensed roofing contractor for over 18 years. Our team has completed more than 2,500 roofing projects across Texas. We hold certifications from leading manufacturers like GAF and Owens Corning. This experience gives me a unique perspective on the insurance claim process. I have seen what works and what causes problems for homeowners. This article shares that hard-earned knowledge with you.
This guide exists to solve a specific problem. That problem is the confusion and stress homeowners feel after storm damage. You have a damaged roof and need to file an insurance claim. You also need to hire a trustworthy roofer. The process can feel overwhelming. This article answers your most pressing questions. It provides a clear, step-by-step roadmap based on real customer experiences. My goal is to make you feel informed and confident.
The information here comes from direct field experience. It is based on hundreds of insurance claim projects we have managed. I have also studied manufacturer installation specifications and local building codes. I reference sources like the International Residential Code (IRC) and the Texas Department of Insurance. My recommendations follow proven methods that protect your home and your wallet. Let's begin this journey together.
Understanding Your Roof Insurance Policy: The Foundation
Your homeowner's insurance policy is a contract. It defines what is covered and what is not. Most policies cover sudden, accidental damage from events like hail or windstorms. They typically do not cover damage from wear and tear or lack of maintenance. It is crucial to understand your specific policy details before you need to file a claim.
Key Coverage Types: ACV vs. RCV
There are two main types of settlement methods. The first is Actual Cash Value (ACV). ACV pays you the current value of your roof, minus depreciation. Depreciation is the reduction in value due to age. An ACV policy often results in a lower payout. You may need to pay more out-of-pocket to get a full roof replacement.
The second type is Replacement Cost Value (RCV). An RCV policy is more comprehensive. It pays to replace your roof with materials of similar kind and quality. The insurance company typically pays the actual cost to replace it. They often issue an initial check for the ACV amount. They then issue a second check for the recoverable depreciation after the work is complete. Knowing which type you have is the first critical step.
Common Policy Exclusions and Limitations
Insurance policies have exclusions. A common exclusion is for cosmetic damage. Some policies may not pay for damage that only affects the appearance of certain roofing materials. Another limitation is your deductible. This is the amount you pay out-of-pocket before insurance coverage kicks in. Deductibles can be a flat dollar amount or a percentage of your home's insured value. Review your policy's declarations page to understand these details.
The Step-by-Step Insurance Claim Process with Your Roofer
Following a clear process reduces stress and improves outcomes. A good roofing contractor can guide you through each phase. They act as your advocate and expert advisor. Do not feel you have to navigate this complex system alone.
Step 1: Initial Damage Assessment and Safety
Your first priority after a storm is safety. Do not go on your roof if it is wet, steep, or you feel unsafe. Look for signs of damage from the ground. Use binoculars if you have them. Look for missing shingles, dented metal, or granule loss in your gutters. Take clear photographs and videos of any visible damage from multiple angles. This creates a visual record of the initial condition. Contact a reputable, local roofing company for a professional inspection.
Step 2: Contacting Your Insurance Company
Notify your insurance company promptly to start a claim. Most companies have a 24-hour claims hotline. Provide your policy number and a basic description of the damage. They will assign you a claim number and an adjuster. The adjuster is the insurance company's representative who will assess the damage. It is often beneficial to have your roofing contractor present during the adjuster's inspection. The contractor can point out damage the adjuster might miss.
Step 3: The Adjuster's Inspection and Scope of Loss
The insurance adjuster will inspect your property. They will write a report called a "scope of loss" or "estimate." This document lists the damaged items and the insurance company's proposed cost to repair them. It is not a final, binding document. You and your contractor should review it carefully. Compare it to your contractor's detailed estimate. Look for missing items or underestimated quantities.
Step 4: Negotiating the Claim for Full and Fair Coverage
If the insurance estimate is too low, you can negotiate. This is where an experienced roofer is invaluable. Your contractor can provide documentation to support the need for additional items. This includes manufacturer requirements, local building codes, and detailed measurements. For example, building codes may require a full roof deck replacement if a certain percentage is damaged. Your contractor can cite the specific International Residential Code (IRC) sections. Professional negotiation often leads to a more accurate and complete settlement.
How to Choose the Right Roofer for an Insurance Job
Not all roofing contractors are equal, especially for insurance work. The wrong choice can lead to poor workmanship, denied claims, and legal headaches. Use these criteria to find a qualified partner.
Essential Credentials and Red Flags
Always verify a contractor's license and insurance. In Texas, check their license status with the Texas Department of Licensing and Regulation (TDLR). They should carry general liability insurance and workers' compensation. Ask for certificates of insurance. Be wary of door-to-door storm chasers who pressure you to sign a contract immediately. Avoid contractors who ask you to pay your entire deductible upfront or who offer to "waive" it. This is often insurance fraud.
The Importance of Manufacturer Certifications
Manufacturer certifications signal advanced training. Companies like GAF and Owens Corning certify contractors who meet strict standards. Certified installers often offer enhanced warranties on materials and labor. For example, a GAF Master Elite® contractor can offer the Golden Pledge warranty, one of the strongest in the industry. This certification protects your investment long after the insurance claim is closed.
Questions to Ask During the Consultation
- Are you licensed and insured in this state/county?
- Can you provide references from recent insurance claim jobs?
- What manufacturer certifications do you hold?
- Will you handle all communications with my insurance adjuster?
- Do you provide a detailed, line-item estimate I can compare to the insurance scope?
- What is your process for protecting my property during the project?
- Who will be my point of contact throughout the job?
Material Selection and Code Compliance for Insurance Replacements
Your insurance settlement should pay for "like kind and quality" materials. You may also have options to upgrade. Understanding materials and codes ensures a durable, code-compliant roof.
Matching vs. Upgrading Your Roofing Materials
If your existing shingles are discontinued, the insurance company must pay for a comparable product. You can often apply any cost difference to upgrade to a better material. For example, you might upgrade from a 3-tab shingle to an architectural shingle. Architectural shingles are thicker, more durable, and offer better wind resistance. Discuss the pros, cons, and cost differences with your contractor. Consider long-term value, not just the upfront insurance payout.
Critical Code Items Often Missed by Adjusters
Building codes have evolved. Your old roof may not meet current standards. The insurance company should pay to bring damaged components up to code. Common code-upgrade items include:
- Ice and Water Shield: A self-adhering membrane required in valleys and along eaves in many climates.
- Drip Edge: Metal flashing along the roof edges that directs water into the gutters.
- Ventilation: Proper intake and exhaust ventilation is required by code (IRC Chapter 8) to prevent moisture damage and extend shingle life.
- Underlayment: Modern synthetic underlayment offers better protection than traditional felt paper.
Your contractor's estimate should include these code-required items.
Real Project Case Studies: Lessons from the Field
Real-world examples illustrate how this process works. Names and specific addresses are changed for privacy.
Case Study 1: The Hail Damage Negotiation
A Kingwood homeowner had significant hail damage. The insurance adjuster's initial estimate was for a repair of only a few damaged slopes. Our inspection revealed widespread functional hail hits across the entire roof. The granular loss compromised the shingles' ability to protect against UV rays. We documented this with close-up photos and provided technical data from the National Roofing Contractors Association (NRCA) on hail damage recognition. We requested a re-inspection with the adjuster. After presenting the evidence, the insurance company approved a full roof replacement. The lesson: A thorough, documented inspection by a professional is crucial.
Case Study 2: The Wind Storm and Code Upgrades
High winds tore shingles from a 20-year-old home. The insurance scope covered shingle replacement but not the underlying deck. During tear-off, we discovered that 40% of the roof deck (plywood) was rotten from previous, undetected leaks. The IRC building code requires deck replacement when damage exceeds 25% in a given area. We immediately paused work, photographed the damage, and contacted the adjuster. We submitted the code reference. The adjuster approved an additional $4,200 for deck replacement. The lesson: Hidden damage is common, and knowing the code protects you.
Frequently Asked Questions from Homeowners
Should I get multiple estimates before filing a claim?
Yes, but with a specific approach. Get a professional inspection from one or two reputable, local roofers first. They can tell you if you have legitimate damage warranting a claim. Filing multiple claims for small issues can raise your premiums. Use the roofer's inspection report to inform your decision to file.
Can my insurance company cancel my policy if I file a claim?
They generally cannot cancel a policy mid-term for filing one claim. However, after a claim is settled, they may choose not to renew your policy when it expires. This is more common with multiple claims in a short period. It is a business decision by the insurer.
What if the insurance estimate is less than my contractor's bid?
This is very common. The insurance estimate is often a baseline. Your contractor's bid should be more detailed and include all necessary materials and labor. Your contractor should work with you to submit a supplement to the insurance company. They provide documentation (photos, measurements, manufacturer instructions) to justify the higher cost. Do not automatically hire the cheapest contractor who matches the low insurance estimate.
Do I have to use the contractor my insurance company recommends?
No. You have the right to choose your own contractor. Insurance company "preferred vendors" may have agreements that prioritize the insurer's cost savings. Your choice should be based on the contractor's reputation, quality, and your comfort level with them.
What happens if I find more damage during the roof replacement?
This is called "supplemental damage." The process should stop immediately. Your contractor must document the new damage with photos and videos. They then contact the insurance adjuster to request a supplemental payment. This is a normal part of the process for complex repairs.
How long does the entire insurance claim process take?
From filing to completed installation, it typically takes 4 to 8 weeks. The timeline depends on the insurance company's responsiveness, weather, and material availability. Major storms causing widespread damage can create longer delays due to high demand for adjusters and contractors.
Will a new roof increase my home insurance premium?
It might, but a new roof can also make you eligible for discounts. A new, impact-resistant roof may qualify for a premium reduction. Discuss potential discounts with your insurance agent after the installation is complete.
Practical Tips and Final Checklist for Homeowners
Here is a consolidated action plan based on everything we've discussed.
- Be Proactive: Review your insurance policy now, before storm season. Know your coverage and deductible.
- Document Everything: Take before-and-after photos of your roof and property. Keep a file of all claim-related correspondence.
- Choose a Partner, Not Just a Vendor: Select a licensed, insured, certified, and local roofing contractor with insurance claim experience.
- Understand the Scope: Do not sign an insurance "scope of loss" as a final contract. It is an estimate to be reviewed with your contractor.
- Get Everything in Writing: Your contract with the roofer should be detailed. It should include start/end dates, payment schedule, materials used (brand, style, color), warranty information, and cleanup procedures.
- Do Not Pay in Full Upfront: A reasonable payment schedule ties payments to project milestones. Final payment should be made only after you are satisfied with the completed work.
Conclusion: Your Path to a Successful Outcome
Dealing with roof damage and insurance is challenging. You are not just repairing a roof. You are protecting your largest investment—your home. Knowledge is your most powerful tool. Understanding the process, your policy, and how to choose the right professional transforms a stressful event into a manageable project.
Remember, a quality roof replacement is an opportunity. It enhances your home's curb appeal, increases its value, and provides peace of mind for decades. Use this guide as your reference. Do not rush decisions under pressure. Ask questions until you feel comfortable. A trustworthy roofing contractor will welcome your questions and guide you with transparency.
Your next step is simple. If you suspect storm damage, contact a reputable local roofer for a professional inspection. Start the conversation. Arm yourself with facts. You can navigate the insurance claim process successfully and secure a roof that will protect your family for years to come.