Final Settlement: $39,192.72
Initial Incident
Claim denials are some of the toughest battles to fight. Once an insurance company stamps “denied” on a claim, their goal is to stand by it—regardless of the facts.
One of our clients experienced this firsthand after discovering a slab leak in their home. They took all the right steps, including:
- Hiring a leak detection company to locate the source
- Bringing in a water mitigation company to dry out the property
- Promptly filing a claim with their insurance carrier
Despite doing everything required under their policy, the insurance company assigned a new and inexperienced adjuster who denied the claim outright.
The Insurance Company’s Response
The carrier initially refused to provide coverage. But with Coast 2 Coast Adjuster involved, that changed fast. We took over the claim and:
- Requested a reinspection to have a second look at the damage
- Challenged the adjuster’s denial with facts, policy language, and documentation
That pressure resulted in the claim being pulled out of denial—and a payment of $6,330.42 was issued.
But that was just the beginning.
How We Helped
The initial check wasn’t even close to what was needed to make the home whole again. So we kept fighting:
- We wrote a comprehensive, fair estimate that reflected the true scope of damage
- We invoked the appraisal clause in the policy, removing the file from the control of the same adjuster who had previously denied it
- We presented our case clearly and professionally through the appraisal process
The Final Result
The final outcome? A total settlement of $39,192.72.
That’s a 519.12% increase over the insurance company’s original payment—and a full reversal of their initial denial.
Conclusion
From outright denial to nearly $40,000 recovered, this case proves why having a qualified public adjuster on your side can make all the difference. Insurance companies may dig in their heels, but we know how to break through.
Initial Offer: Denied → $6,330.42
Final Settlement: $39,192.72
Total Increase: $32,862.30
Percentage Increase: 519.12%
The difference between “no” and “paid in full” often comes down to who’s fighting for you.




