ROOF INSURANCE CLAIMS

The claim is won or lost in the first 48 hours

How to file a Florida roof claim properly — deadlines, deductibles, what adjusters look for, and the code items carriers leave out of the scope.

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Before you file

Start here: is this actually a claim?

Three questions answered honestly, before you pick up the phone to your carrier. Filing badly is worse than not filing.

1. Was there a discrete event, on a date?

Property insurance covers sudden accidental damage — a named storm, a hail event, a fallen tree. It does not cover age or wear. If your roof is 22 years old and finally gave out during a rainy week, that is not a claim, and any contractor telling you otherwise is proposing you commit fraud with your name on it.

2. Does the damage plausibly exceed your deductible?

This is the question almost nobody asks first. Most Florida policies carry a separate hurricane or windstorm deductible set as a percentage of dwelling coverage — commonly 2% or 5%. On a $500,000 dwelling, 2% is $10,000 before the carrier pays anything. Filing below that puts a claim on your record and gains you nothing.

3. Are you inside the filing window?

Florida Statute 627.70132 gives you one year from the date of loss for an initial or reopened claim and 18 months for a supplemental. Both clocks run from the storm date, not from the day you noticed the stain. This catches people constantly, because wind damage frequently does not leak for six or eight months.

If all three are yes, file. If any is no, call us anyway.

A free inspection costs you nothing and gives you the information to decide. Plenty of our inspections end with us telling someone not to file, and that advice is worth more than the job.

Get a free, documented damage assessment → or call 772-589-2400.

Know your policy

Read your declarations page first

Two lines on it decide how much money you actually get. Most homeowners have never looked.

Replacement Cost Value (RCV)

Pays what it costs to replace the roof today. Usually paid in two parts: actual cash value up front, then the withheld depreciation released once the work is completed and invoiced. This is the good one.

Actual Cash Value (ACV)

Pays replacement cost minus depreciation for age, and you never get the rest. On a 17-year-old roof that can be most of the value. Many Florida carriers have moved older roofs onto ACV.

Roof surfacing payment schedule

A newer Florida provision letting insurers pay a fixed percentage based on roof age — sometimes as little as 25% on an older roof. If this is on your policy it is the single most important line in it.

Your hurricane deductible

Separate from and much larger than your all-other-perils deductible. Expressed as a percentage of Coverage A. Find the number before you file, not after.

Ordinance and law coverage

Pays for code-required upgrades triggered by the repair. In Indian River County that is secondary water barrier, metal cap nails and deck re-nailing — real money. If you have it, it belongs in the claim.

Matching provisions

If your shingle or tile is discontinued and a partial repair would leave a visibly mismatched roof, that can support a larger scope. Document the discontinuation in writing at the time.

The process

Filing, step by step

The order is worth money. Do it in this sequence.

Step 1 — Mitigate, and photograph before you do

Stop active water immediately; your policy requires it and failing to can reduce what the carrier pays for everything that followed. But photograph the damage before the tarp goes on, because once it is covered nobody can assess what was underneath. Tarping costs are normally recoverable. Call 772-589-2400.

Step 2 — Document exhaustively

Interior and exterior, wide and close, date-stamped. Ceiling stains, wet insulation, damaged contents, debris, soffit, fascia, gutters, screens, fencing. Collateral damage corroborates wind severity and adjusters weight it heavily. Take far more than feels necessary.

Step 3 — Get an independent roof assessment

Before the adjuster if possible. Knowing what is actually wrong puts you in a much stronger position than hearing it first from someone whose employer writes the cheque. Ours is free and produces a written scope and photo set in the format carriers expect.

Step 4 — Give notice in writing

State the date of loss explicitly. Record your claim number, the adjuster’s name and every call. Keep it factual: what happened, on what date, what damage resulted. Do not speculate about cause or guess at cost.

Step 5 — Be on the roof with the adjuster

This is the highest-leverage hour of the entire process. An adjuster walking the perimeter alone finds less than an adjuster standing next to a roofer pointing at creased tabs and broken seal strips.

Step 6 — Read the scope before accepting

Carrier scopes routinely omit code-required items. On the Treasure Coast that means secondary water barrier, metal cap nails (mandatory at our 150–160 mph design wind speeds), deck re-nailing and current fastening schedules. Those are legitimate and they belong in the scope.

Step 7 — Supplement what tear-off reveals

Rotted decking and damage invisible from the surface is a normal supplemental claim. We photograph it the day we find it and submit immediately. You have 18 months from the date of loss.

Step 8 — Release the depreciation

On an RCV policy the withheld depreciation is paid once work is complete and invoiced. Plenty of homeowners never claim it. Send the final invoice and completion photographs and ask for it.

The assessment

What adjusters are trained to look for

Six things. Knowing them is how legitimate damage stops being written off as wear.

Creased tabs

A shingle that lifted and laid back down carries a crease across its width — a fracture in the mat that will open. The most commonly missed item on a self-reported claim.

Broken seal strips

The adhesive bond holding each shingle down. Once wind breaks it, the tab flutters and leaves in the next storm. Completely invisible from the ground.

A directional pattern

Real wind damage runs consistent with the storm direction. Random damage scattered across every elevation reads as wear, and they know the difference.

Slipped or cracked tile

Tile shifts under uplift. It will not leak immediately, because tile is a rain screen — but the underlayment doing the actual waterproofing is now UV-exposed.

Collateral damage

Soffit, fascia, gutters, screens, fence, neighbouring property. It corroborates wind severity and most homeowners never photograph any of it.

Pre-existing wear

Granule loss, curling, exposed mat, prior patchwork. This argues against you. Pretending it is not there costs you credibility on the items that are genuine.

Pushback

If the claim is denied or underpaid

Denial is not the end of the process. It is a position, and positions can be tested.

Get the denial in writing, with the reason

Florida carriers must state the basis. “Wear and tear,” “pre-existing,” “below deductible” and “outside the filing window” are very different problems with very different answers.

Request the adjuster’s full report and photographs

You are entitled to the file. Frequently the photographs are taken from the ground or from a ladder at one elevation, which explains why creasing and broken seal strips were never found.

Ask for reinspection with your roofer present

Often the cheapest and fastest fix. A second inspection with someone on the roof who can point at the specific damage resolves a meaningful share of underpayments without anyone escalating.

Consider a licensed public adjuster

They represent you rather than the carrier and typically work on a percentage. For complex or disputed claims this is a legitimate route. We are roofing contractors and we do not do this — and we will not pretend otherwise.

Florida’s DFS mediation programme

The Department of Financial Services runs a free mediation programme for residential property claims. It is non-binding, low-cost and frequently overlooked.

What we will not do

Take an assignment of benefits, negotiate on your behalf, or promise an outcome we do not control. A contractor who wants your AOB before they have been on your roof is telling you what the relationship is about.

Protect yourself

The scams that follow every named storm

Every one of these is real and they arrive within 72 hours of the wind stopping.

“We’ll cover your deductible”

Insurance fraud, and a felony in Florida. The homeowner is exposed, not the crew that leaves town. Anyone offering this has told you everything you need to know.

Signature on the driveway

No legitimate contractor needs you to sign today. Read anything before signing, and be certain you are not signing an assignment of benefits handing over control of your claim.

Out-of-state storm chasers

They arrive in convoys, often before power is restored, and are gone before the warranty means anything. Verify a Florida CCC or CGC number at myfloridalicense.com.

Manufactured damage

Some crews create damage to support a claim. If a roof passes inspection and mysteriously fails after a “free inspection,” that is what happened, and your name is on the claim.

Stock photos as your damage

If someone shows you generic hail photos rather than pictures of your own roof, end the conversation.

Full payment up front

A reasonable deposit is normal. Paying in full before material arrives is not. See hurricane roofing scams for the full breakdown.

Roof insurance claim FAQs

How long do I have to file a roof insurance claim in Florida?

One year from the date of loss for an initial or reopened claim, and 18 months for a supplemental, under Florida Statute 627.70132. Both clocks run from the storm date rather than from the date you discovered the damage - which matters, because wind damage often does not leak for months.

What is a hurricane deductible and how is it different?

It is a separate deductible that applies to named-storm damage, set as a percentage of your dwelling coverage rather than a flat dollar amount - commonly 2% or 5%. On a $500,000 dwelling, 2% is $10,000 before the carrier pays anything. Your all-other-perils deductible is usually far smaller and does not apply to hurricanes.

Will my insurance cover a roof that is just old?

No. Property insurance covers sudden accidental damage, not age or wear. Anyone telling you an old worn-out roof is a storm claim is proposing insurance fraud, and the claim is in your name, not theirs.

What is the difference between RCV and ACV on a roof?

Replacement Cost Value pays what the roof costs to replace today, usually in two parts with depreciation released after completion. Actual Cash Value pays replacement cost minus depreciation for age, and you never receive the remainder. Many Florida carriers have moved older roofs onto ACV or a roof surfacing payment schedule. Your declarations page states which you have.

Should I get a roof inspection before calling my insurer?

Ideally yes. Knowing what is actually wrong - and whether it plausibly exceeds your deductible - lets you make an informed decision instead of filing blind. Our inspection is free and produces dated photographs and a written scope you can use.

Will you meet my insurance adjuster?

Yes, and it is the highest-leverage hour of the process. An adjuster walking the perimeter alone finds less than one standing on the roof next to a roofer pointing at creased tabs and broken seal strips.

What do adjusters actually look for?

Creased tabs, broken seal strips, a damage pattern consistent with storm direction, slipped or cracked tile, and collateral damage to soffit, fascia, gutters and screens. They also look for pre-existing wear, which argues against the claim.

My claim was underpaid. What are my options?

Request the adjuster report and photographs, ask for a reinspection with your roofer present, and check whether code-required items were omitted from the scope. Florida’s Department of Financial Services also runs a free non-binding mediation programme for residential property claims. For complex disputes, a licensed public adjuster is a legitimate option.

What code items are commonly missing from carrier scopes?

On the Treasure Coast: secondary water barrier, metal cap nails for underlayment attachment (mandatory at our 150 to 160 mph design wind speeds), deck re-nailing and current fastening schedules. These are legitimate code-required costs, and ordinance and law coverage exists to pay for them.

Do you take an assignment of benefits?

No. We document the roof, provide a code-compliant scope, meet your adjuster and do the work. We do not take control of your claim, and we would be cautious about any contractor who asks for an AOB before they have been on your roof.

Nearby

We also work near Vero Beach

Same crews, same trucks — these are the communities immediately around Vero Beach that we cover from the Sebastian shop.

Not sure if you’re in our area? Ask us →

Let's take a look at your roof. Free.

No pressure, no obligation, and an honest answer even when that answer is "you don't need a new roof yet."

  • Free, itemized estimate in writing
  • Most inspections scheduled within 24 hours
  • We handle permits and insurance paperwork
  • Licensed CCC1337211 and fully insured
9577 Gator Drive, Unit #5, Sebastian, FL 32958
info@leewardroofing.com

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