Organized insurance documentation binders for a large loss claim, ready for adjuster review

Insurance Large Loss Claims

Complex Multi-Carrier Claims That Actually Close

Large loss claims involve more carriers, more adjusters, more scrutiny, and more money than standard property claims. Scope disputes, supplements, forensic accountants, and SIUs all enter the workflow. We bring the administrative depth to navigate the full claim lifecycle without letting the project stall.

  • Multi-Carrier
  • Xactimate ESX
  • Supplements
  • Appraisal Support

What you need to know

Large loss events frequently involve multiple separate policies. Property, contents, business interruption, flood, and wind coverage may each sit with a different carrier — each with its own adjuster, format, and approval workflow. We maintain separate documentation streams for every policy and coordinate joint inspections when needed.

Scope submission is the first deliverable that shapes the entire claim. We submit Xactimate ESX files in the format the adjuster's system consumes directly — no manual re-entry, no missed line items, no format disputes. The faster the carrier sees a clean scope, the faster the claim moves.

Supplements are normal in large loss work. Hidden damage discovered during selective demolition becomes a formal supplement with photos, test data, and scope justification. We submit within 5 business days of discovery and follow up until written disposition is received before resuming work in the affected area.

Dispute resolution follows a defined escalation path: re-walk with adjuster → appraisal → umpire → mediation. We support every stage with documentation ready for third-party review. The chain of custody and audit trail built during mitigation become the evidence package for any disputed scope item.

Business interruption claims require meticulous timeline documentation. Forensic accountants engaged by the carrier or insured will request our daily field reports, schedules, and delay documentation to substantiate lost income calculations. We provide carrier-ready BI documentation as a standard deliverable.

On claims exceeding $500,000, Special Investigations Units (SIUs) may review the documentation package for fraud-prevention purposes. Our packages are built to SIU standards from day one — hash-verified photos, GPS-stamped moisture data, and time-locked daily reports — so no claim is delayed because the documentation cannot withstand scrutiny.

From the Field

What this work actually looks like

Carrier-ready documentation binders for a large loss insurance claim

Carrier-ready documentation package

Every photo, moisture log, and daily report organized by date and zone. Adjusters receive a complete package, not a pile of files.

PM command center coordinating multi-carrier communication on a large loss claim

PM command center coordinating multi-carrier communication

Single PM coordinates property, BI, flood, and wind carriers in parallel — no dropped handoffs across policy lines.

Project manager walking adjuster through scope on-site

PM walking adjuster through scope on-site

Joint walkthroughs catch disputed items in person, not in writing. The shared tablet captures notes in real time.

Professional Process

How this work is done right

Each step ensures quality, compliance, and minimal disruption at scale.

Scope of Work Submission

Within 72 hours of stabilization, we submit a complete Xactimate ESX scope, photo documentation package, and moisture log to the carrier. One structured package, no back-and-forth on basics.

Adjuster Walkthrough

Joint site walk with the adjuster (and engineer when structural). Disputed items walked in person with photo evidence. Notes captured on a shared tablet to eliminate post-visit surprises.

Supplement Submission

Hidden damage triggers a formal supplement within 5 business days. Photos, test data, and scope justification submitted in the carrier's format. We follow up until written disposition is received.

Final Settlement & Close-Out

Final invoicing matches approved scope exactly. Lien waivers, warranty documentation, and the full documentation package delivered with the final invoice for rapid settlement.

Cost Guidance

What to expect on pricing

Large loss restoration costs vary significantly by damage extent, facility type, and number of structures. These ranges reflect typical projects in our service areas.

Standard large loss claim

$250K – $1M

1 – 3% of claim value in coordination effort, 60 – 120 day cycle from scope submission to final settlement.

Complex multi-carrier

$1M – $5M

2 – 4% coordination effort, 90 – 180 day cycle. Forensic accountant likely engaged by the BI carrier.

Catastrophe-scale

$5M+

Program-level engagement, 6 – 18 month cycle. Attorney and SIU involvement common at this tier.

Regional considerations

Florida

Florida hurricane claims separate wind coverage (homeowner / commercial property) from flood coverage (NFIP or excess flood). Coordinated scope across both policies is essential — the same water damage may require dual documentation streams. Florida statutes also impose a 1-year claim filing deadline on hurricane claims.

North Carolina

Inland flooding from hurricane remnants triggers complex ALE (Additional Living Expense) disputes when properties become uninhabitable. We document ALE coordination as a standard deliverable to prevent delays in temporary housing reimbursement.

South Carolina

Coastal SC properties layer wind, hail, and flood coverage in ways that create cross-policy disputes. Joint adjuster walkthroughs become especially important when multiple carriers have stakes in the same claim event.

Need large loss restoration?

Discuss your situation with our large loss team. We assess scope, coordinate with insurance, and deploy the resources your project demands.