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Large-Loss Certified Appraisal and Umpire: Umpire

When two appraisers can't agree on the amount of a roof loss, the umpire decides the differences. Roof disputes often turn on technical questions: is it hail or wear, can it be repaired, is the product still made. An umpire who has installed those roofs for decades can settle those questions on the evidence.

IAUA Certified Appraiser and Umpire. Blake is an IAUA Certified Appraiser and Umpire.

How we work as umpire

  • We're selected by the two appraisers (or as the policy and law provide), not by one side
  • Before accepting, we check for and disclose any prior connection to the property, the policyholder, the carrier or the appraisers
  • We review both appraisers' estimates, photos and reports, and inspect the roof
  • We decide only the items in dispute, and write a clear itemized award

How appraisal usually works, in plain terms

  1. It comes from the policy. Many commercial property policies include an appraisal clause that lets either side demand appraisal when they disagree on the amount of a loss.
  2. Each side hires its own appraiser. The two appraisers each estimate the loss. If they agree, that's the award.
  3. An umpire breaks a deadlock. The two appraisers pick a third person as umpire, who decides the items they can't agree on. Who pays for what is set by the policy.
  4. It decides "how much," not "whether." Appraisal generally sets the amount of loss. Coverage and legal questions are for the carrier, attorneys and the courts.
  5. Rules vary by state. States differ on deadlines, umpire selection, how awards are challenged and what payment of an award means. Check your policy and your state's rules.

One state example, Texas: the Texas Department of Insurance describes appraisal as a way for either side to resolve a dispute over the amount of loss, with the umpire deciding differences between the appraisers.[1][2] The Texas Supreme Court has held that appraisers may allocate damage between a covered event and causes like pre-existing wear when setting the amount of loss.[3]

What we don't do

We don't negotiate or settle insurance claims for anyone, and we don't give coverage or legal opinions. Our role is the roof: condition, damage, scope and cost.

Not legal advice. This page is general information about how roof appraisal usually works. Appraisal rules, deadlines and umpire procedures vary by state and by policy, and your policy's wording controls. For questions about your rights, coverage or deadlines, talk to an attorney licensed in your state.

Sources

  1. Texas Department of Insurance, "What if my insurance isn't paying enough?"
  2. Texas Department of Insurance, Consumer Bill of Rights for Homeowners, Dwelling, and Renters Insurance (item 10, Appraisal)
  3. State Farm Lloyds v. Johnson, 290 S.W.3d 886 (Tex. 2009)

Who we work for: Blake consults for insurance carriers and for building owners, and takes appraisal and umpire assignments for carriers and policyholders on large commercial, institutional and multi-building losses, available nationwide. In Texas and Oklahoma, Blake takes consulting projects of any size, including residential appraisal and umpire work. See Texas and Oklahoma.

Ask about a consulting engagement or call (817) 733-9228. Tell us the property type, roof size and what decision you need to make, and we'll tell you what kind of report fits.

Frequently asked questions

Who chooses the umpire?

Usually the two appraisers choose the umpire together. Check the policy's appraisal clause for how it handles a deadlock over the umpire.

Is the umpire's decision binding?

Under most appraisal clauses, an award agreed by the umpire and one appraiser sets the amount of loss. How binding it is, and how it can be challenged, depends on the policy and state law; ask an attorney.