Should You Return A Partial Payout From A Home Insurance Claim? | Bankrate (2024)

Once your home insurance claim is approved, the payout and repair processes begin. Your insurance provider may decide to pay you directly or the contractor responsible for your repairs. If your insurer pays you directly, you may receive a partial payout and have to submit more documentation to receive the rest. Other times, you could receive more than what the repair costs are. Knowing how a home insurance payout can affect premiums and what happens if you don’t use the full payment can help you decide what to do if you are ever in this situation.

Key takeaways

  • Your home insurance claim payout may be either a full or a partial payout, depending on the nature of the damage and your carrier's policies.
  • Filing a property insurance claim may increase your annual premium, but returning an unused partial claims payout won't help return your homeowners insurance premium to its original rate.
  • If you receive an overpayment from your insurance company, it’s likely best to contact them to determine the best course of action.
  • Using a claims payout for things other than the approved repairs may be seen as insurance fraud by your carrier.

What is a partial insurance payout?

If your insurer decides to pay you directly, you could either receive the entire payout, or you may receive a partial payout. In a partial insurance payout, you’ll receive a portion of the total claims payout amount up front. Once you submit more documentation about your home repair process, you will then receive the rest. Alternatively, if you receive the entire payout upfront, you may end up with extra funds if the repairs end up costing less than estimated. In rare cases, you may even have extra money left over after just a partial claims payout. The cost of repairs may vary greatly based on current economic conditions, like the cost of labor and materials, so estimates may not always line up with the actual cost of repairs.

Does returning a payout decrease your home insurance premium?

Filing a property insurance claim may increase your annual premium once it’s time to renew your policy. However, returning a claims payout or a partial payout won’t help return your homeowners insurance premium to its original rate. Your premium is based on both the frequency of claims and the amount to which they are paid. Even if you return some of the money, the claim is still part of your insurance history. Claims that result in larger payouts may cause your home insurance premium to increase more than a smaller claim, but even if you return some money to lower your claim payout, it’s not likely that you’ll return enough to offset a premium increase.

Additionally, receiving overpayment for a claim is rare. You generally receive payment in stages, with the final check issued after the insurance company receives a certificate of completion to confirm both the final cost and the actual repairs. You may need to provide invoices and photographs to show that the work is completed. In some cases, your contractor may request a “direction to pay,” which asks that they be paid by the insurance company rather than the homeowner. In this situation, you may need to confirm the work was done properly before your home insurance company pays the contractor the final installment.

How does a home insurance payout work?

There are several steps that take place during the home insurance claim payout and repair process.

  1. First, a field adjuster will come to your home, take photos of the damage and provide a comprehensive report to your insurer.
  2. Then, your insurance company will determine whether the loss is covered, and if it is, provide an estimate of the repair costs needed based on your policy’s coverage limits. At that point, you might receive an initial payment from the insurance company to start repair work on your home.
  3. Once the work is completed, you’ll submit the Certificate of Completion (COC), which verifies the funds were used to complete the required repairs. Once the repairs are completed, your insurer will initiate the release of the remaining balance.
  4. If you submit a claim for personal property, you’ll have to account for whether you have an actual cash value (ACV) policy or replacement cost coverage. Your initial claim check for personal property damage will be for ACV. For replacement cost coverage, once you’ve purchased new items to replace the damaged or destroyed items damaged in a covered peril, you can submit proof of purchase and receive a second payment for the remaining amount, covering your items at replacement cost value.

Also, remember that your deductible is subtracted from the claim amount you receive from your insurance company. Typically, you pay the deductible to the contractor completing the work, while the insurance company pays the rest. While a higher deductible typically saves you money on your annual premium, it does mean you’ll pay more out of pocket following a claim.

If you fail to complete the repairs outlined by your insurance company, you may be denied future claims or your coverage may be canceled. That’s because insurance companies have a legal obligation to provide compensation to restore the building to its condition before the loss and unrepaired damage increases risk of further expense and potentially liability concerns.

Are there deadlines to use your payout?

Insurance payout deadlines depend on your home insurance policy. This is most relevant for policies that include replacement costs. You’ll initially be paid out based on the actual cash value. You won’t receive the final payment encompassing full replacement cost until you submit your Certificate of Completion showing that you updated those items accordingly. You may have several months to do this, but you’ll need to check with your insurer to ensure you follow their requirements.

What happens if you don’t use the full homeowners settlement check?

There may be some circ*mstances in which you have leftover money in a claim payout, although this is rare. The adjuster’s estimate takes into account current market rates for labor and materials. However, those actual numbers can change, and you may experience marginal savings in the repair process. In this situation, you likely want to check with your insurance carrier about what to do.

If you have a mortgage on your home, your claims checks may be payable to both you and your mortgage lender. This can make excess funds a little trickier to handle, as you’ll need your mortgage lender’s permission to cash the check and send back any overage. If your claim payouts are paid by direct deposits, you may be able to write a check to your insurance company or wire excess payments back directly. Still, you should talk to your insurance company about excess funds to understand the correct course of action.

Frequently asked questions

    • If you use insurance money for other things than paying for repairs caused by a covered claim, it could be considered insurance fraud. If you have excess funds after claim repairs have been completed or received an overpayment from your insurance company, it’s best to contact them to determine the best course of action. Failing to act and using the insurance money for other things could cause your policy to be canceled and the insurer could report the incident.

    • Although leftover funds from a claims payout is rare, it’s not unheard of. In this situation, it’s recommended to let your insurance provider know and ask for direction on what to do with the extra funds.

    • To take advantage of your homeowners insurance claim, you’ll want to read your policy again and review your coverage, policy limits, and endorsem*nts and exclusions. Document everything related to the claim, which you can use to dispute a claim or settlement, if needed. Having a detailed home inventory can also help ensure you get what you deserve out of your home insurance claim.

    • You can deposit a check made out to you and your mortgage company, but the lender will have to endorse it first. If you get a check with both yours and the lender’s name, you should contact your mortgage company’s loss department. They will provide instructions on how to get the check endorsed, which could include requiring a copy of the filed claim, estimate and invoice from the contractor. The lender may keep the funds in escrow rather than allowing you to deposit the check into your own account. The process can vary, so the first step should be contacting the lender to learn more.

Should You Return A Partial Payout From A Home Insurance Claim? | Bankrate (2024)

FAQs

How do I ask for more money from my home insurance claim? ›

Document Everything Thoroughly & Honestly

Next, document the damages as thoroughly as possible. Take pictures and videos of the damage, and keep detailed records of any repairs or replacement costs. This will help you back up your claim and support your argument for a higher settlement.

What are the disadvantages of filing a homeowners insurance claim? ›

Pros and cons of filing a homeowners insurance claim
ProsCons
Reimbursem*nt for repairs Reimbursem*nt for personal items Cash for additional living expenses Help with medical and legal costsPotential premium increases Challenges with future coverage Required deductible Time-consuming process
Jan 18, 2024

How do I argue with my home insurance adjuster? ›

How to dispute a denied homeowners insurance claim
  1. Review your claim and coverage. ...
  2. File an appeal. ...
  3. Get another professional opinion. ...
  4. File a complaint with your state's insurance department. ...
  5. Hire an attorney.
Apr 24, 2024

Is it worth claiming on my home insurance? ›

It would be prudent — and worth it — to file a homeowners claim with your insurance company to get it fixed. If it's an expensive repair or replacement to fix your home, and it was caused by a covered loss, it makes more sense to get your insurer involved to help pay for it.

What not to say to a home insurance adjuster? ›

Admitting fault: Using apologetic language is enough for the insurance adjuster to assume you're admitting fault and use that against you. Even if you feel you're at fault, wait for the official investigation to prove what actually happened. Don't say things like “I'm sorry” or “it was my fault.”

How to negotiate insurance claim settlement? ›

8 Insurance Settlement Negotiation Tips
  1. Understand the Insurance Company. ...
  2. Initiate the Claim as Soon as Possible. ...
  3. Never Admit Fault for the Accident. ...
  4. Stick to the Facts, Never Speculate. ...
  5. Know the Rough Value of Your Claim. ...
  6. Be Patient, Do Not Accept the First Offer. ...
  7. Get Everything in Writing.

What are two types of damage not typically covered by a person's homeowners insurance policy? ›

Homeowners insurance doesn't cover floods, earthquakes, typical wear and tear, and damage due to insufficient maintenance. You can usually add flood and earthquake coverage to your policy for an additional fee, but wear and tear and damage from a lack of maintenance are considered preventable.

Is it better to not file an insurance claim? ›

It's crucial to file a claim for major property damage and bodily injuries. A claim might not be worth it for one-car accidents when nobody is hurt. A bad driving record could increase your auto insurance premiums for three years.

Can homeowners insurance drop you because of a claim? ›

Frequent claims: Can an insurance company drop you after a claim? In some cases, yes. Filing home insurance claims often could cause your home insurance premium to increase and if you've filed multiple claims within the past few years, it's possible that your home insurance company might cancel your policy altogether.

Why is State Farm denying so many claims? ›

If there is a lack of evidence, or the evidence does not seem credible, State Farm may deny your insurance claim. For instance, if you claim automobile damages but do not have photographic proof, or estimates for the repair from a reputable repair company, State Farm may be suspicious of the claim and deny it.

How do you answer an insurance adjuster question? ›

Don't give more details than the basics. Avoid giving a narrative of the car accident. You may even decline a yes-or-no question if it pertains to how the collision occurred. Also, avoid telling the adjuster about your injuries.

What happens if you disagree with insurance adjuster? ›

Dispute the Decision and File a Complaint

Many policies allow you to request arbitration through the insurance company. You'll present evidence to an independent adjuster, who then makes a binding settlement determination. You can also file a complaint with your state department of insurance.

Is it better to pay a higher deductible for home insurance? ›

While choosing a higher deductible can mean lower monthly premiums, it also means you have a higher out-of-pocket responsibility, so it's important to choose a deductible you can afford.

Should I send pictures to a claims adjuster? ›

Is it bad to send photos of car accidents to your insurance company? No, it's a good idea to take and send photos of a car accident to your insurance company. It's an essential part of filing your claim and provides hard evidence of what occurred during the incident.

Why would home insurance deny a claim? ›

Claims are often denied due to insufficient information. Ask your claims adjuster what's missing from your claim and how you can help. Additional photos, receipts or a home inventory may be all that's required to get your claim reevaluated.

How to get more money out of an insurance claim? ›

Let's dive into the thick of it!
  1. Never Accept the First Offer.
  2. Never Sign Anything Before Consulting.
  3. Hire a Professional to Review and Give You Advice.
  4. Look Out for These Four Specifically.
  5. Show Proof if You Want to Argue the Estimate.
  6. Ensure the Insurance Company is Aware of Matching Elements That Also Need to be Replaced.
Jun 6, 2023

Do house insurance premiums increase after a claim? ›

Why do insurance premiums go up after filing a claim? Homeowners insurance rates often increase after a claim because it leads your insurance company to believe that you are more likely to file another claim in the future. This is especially true for claims related to water damage, dog bites and theft.

Can I cash out on home insurance claim? ›

They will probably not pay you for the full value of your home if you choose to cash out. Most will settle your claim by paying you actual cash value — replacement cost minus depreciation. Nationwide Private Client is one of the few insurance companies that provides a replacement cash out option.

How to speed up an insurance claim? ›

Here are a few proven tactics for speeding up the process.
  1. Know Your Policy. When you understand your policy, it gives you the confidence to demand your rights. ...
  2. Know Your Legal Rights. ...
  3. Document Your Claim From Day One. ...
  4. Have a System for Keeping Track of Everything. ...
  5. Submit Your “Proof of Loss” ...
  6. Get The Help You Need.

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