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State Farm: Satan's insurance agent

10,023 Views | 43 Replies | Last: 4 mo ago by agdaddy04
Txmoe
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AG
I've paid premiums for 35 years and never filed a major claim with SF. But now they are refusing to cover obvious hail damage on my roof. (They are calling it "normal wear and tear.") I'm about to go through mediation with them but I'm wondering what else I can do to fight this.

This is not a rant about my local agent who has been very helpful through all of this. This fight is with the claims department. Appreciate any advice.
TXTransplant
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Interested in hearing how this plays out for you. I'm with them as well (for 20 years) and have never had a claim on my home.

I inquired with my agent about filing a damage claim for my roof for the storms this spring. She told me, if I do and they deny it, it will still count as a claim against me and they can drop my coverage.

The work around is for me to get three estimates. If at least two of them (preferably all three) say that I need a new roof, then there is a higher chance the adjuster will also find that I need a new roof (but not guaranteed).

So, that's now on my to do list. But I don't understand how it's legal for them to drop coverage on people who file claims that are denied.
jagvocate
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AG
All of this assumes someone actually sustained hail damage that is covered under a policy. Addressing the dropping of coverage by an insurer for a claim is not in scope:

They should generally consider getting an independent examination of their roof from an experienced, well-respected area roofer (or two, or three even). They should consider getting the roofer to state on paper exactly why the roof exhibits all the indications of hail damage and not normal wear and tear, and get the roofer's full estimate for repair.

If the insurer continues to deny the claim after having time to consider all of this well developed experienced roofer evidence, consider searching for and hiring an attorney with experience in "bad faith" insurance litigation in Texas. When insurance companies play games with customers and refuse to properly investigate, document, adjust, or pay on a legitimate and covered claim, they can be liable for 3x damages plus having to pay your attorney's costs and fees. It's a serious legal action only used in the most egregious of instances.
Fireman
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Ran into this as well. They often use third party inspectors to look at your roof, and my local agent was able to force a second review with an actual State Farm inspector and not these third party guys, who essentially make money to find reasons not to pay the claim. During the second review (very important to have your roof repair company on hand to look at the roof) together with an actual State Farm (employee) roof inspector, things went much better and they approved completely fixing our roof and gutters - minus our deductible. Good luck!
MRB10
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File a TDI complaint
“There is no red.
There is no blue.
There is the state.
And there is you.”

“As government expands, Liberty contracts” - R. Reagan
Aggiemike96
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AG
Head to the Home Improvement board. There's a roofer or two that regularly post there. They have tons of experience working with insurance and may be able to offer some assistance.
CapCity12thMan
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Jason Duke

jasonduke@infinityroofer.com

Done NUMEROUS roofs for TexAgs users, mine included. Recommend.
Hanrahan
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This is where the whole "go with state farm and get an agent you know" bs falls flat. they can't do a damn thing when it comes to dealing with "corporate" and you are left twisting in the wind like everyone else, but at least your agent calls you to say sorry....
SnowboardAg
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AG
Their marketing department never runs out of money
permabull
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State farm basically denied my hail claim last year by only covering one slope which just happened to be the cost of my deductible. I switched roofing companies and they were able to call an adjuster out and show them more damage and I ended up getting everything covered. I ended up paying extra on top of the claim to get a class 4 roof installed and my rates ended up going down after the claim because hopefully this roof should last for as long as I plan to be in the house.
one safe place
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nm
strbrst777
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Txmoe said:

I've paid premiums for 35 years and never filed a major claim with SF. But now they are refusing to cover obvious hail damage on my roof. (They are calling it "normal wear and tear.") I'm about to go through mediation with them but I'm wondering what else I can do to fight this.,..., OP, are your close neighbors and those in the neighborhood getting new roofs due to hail damage? Hail damage is easy to spot by trained eyes.

This is not a rant about my local agent who has been very helpful through all of this. This fight is with the claims department. Appreciate any advice.
pfo
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AG
Chubb is the only insurance company I would ever have insure my home. I'm an old Ag and Chubb is the only insurance company that I am 100% satisfied with!
Chubb comes through and are the gold standard in the insurance industry.

My experience with other insurers is they are just sucker bets!
Brian Earl Spilner
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AG
Insurance is a racket.
Philip J Fry
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What city are you located?
bigfooticus
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I was denied multiple times on claims with Wellington ((Geico) and Farmers prior to that. I hired a public adjuster and Wellington settled in about a month for half the cost (split with PA). If No win no payment to PA
Jason_Roofer
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Txmoe said:

I've paid premiums for 35 years and never filed a major claim with SF. But now they are refusing to cover obvious hail damage on my roof. (They are calling it "normal wear and tear.") I'm about to go through mediation with them but I'm wondering what else I can do to fight this.

This is not a rant about my local agent who has been very helpful through all of this. This fight is with the claims department. Appreciate any advice.


What a mess. But, this is not atypical. Also, your local agent is a big asset to you so he is not our opponent. You've gotten some good advice so far, so I'll add what I've done.

I just did one with State Farm and it was a huge fight. My typical workflow for these guys is:

Meet customer
inspect and document roof
Meet adjuster and persuade them to pay for the roof
If they deny it…
I send a full report with my photos along with a MASSIVE estimate to them to kick their tail into gear.
We do a re inspection and hope I get an adjuster that knows what he's doing. I document everything again.
If they deny it again, I can burn up as many resources as they want with several tactics to force reinspection over and over again until they either cave or say no.

If they say no, I have a really awesome Ag that is a PA that will go to bat with appraisal. He may or may not take the claim, and that process will cost you a little out of pocket but still cheaper than paying for the roof outright.

My last State Farm dance like this went from them approving a 2,000 dollar repair with two inspections and finally they gave up and ate the roof to the tune of nearly 26 times the original claim. And yes, when they make me and my homeowners fight for an approval, it costs them way more than had they just approved it the first time.

I don't win every single one but I win most of them. Sometimes this is just about wearing them down and being a thorn in their side to force them to do the right thing.

My contact is in my profile if you'd like to discuss or hash this out over the phone or offline. I can pull hail reports and do some legwork before ever setting foot on the roof. I'm happy to help you out if you need anything.

I'm happy to provide as much free info and resources to people here as I can afford.
Infinity Roofing - https://linqapp.com/jason_duke --- JasonDuke@InfinityRoofer.com --- https://infinityrooferjason.blogspot.com/
FDT 1999
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It's interesting to hear these stories. We've had State Farm for years and they have replaced 2 roofs for us because of hail damage. There was no issues at all with them, but I also did it like some others have mentioned. I got a couple roofers to look it over before calling the adjuster to see if they thought it would need replacing. The roofer also volunteered to be onsite when the adjuster showed up to point out the damage.

It couldn't have been easier for us, but I'm sure it all depends on the adjuster they send to your house.
Lake08
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Get multiple bids from area roofers. The most important thing to do is to somehow prove that hail damage did occur based on other properties in your area. Also, can you sue for triple damages? I don't know if you can
Darby
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Txmoe said:

I've paid premiums for 35 years and never filed a major claim with SF. But now they are refusing to cover obvious hail damage on my roof. (They are calling it "normal wear and tear.") I'm about to go through mediation with them but I'm wondering what else I can do to fight this.

This is not a rant about my local agent who has been very helpful through all of this. This fight is with the claims department. Appreciate any advice.
I just went through the same thing

Have 98% of my entire insurance portfolio with State Farm and just went through the ringer with them on a hail claim (residential roof). The worst part is, my own sister in law is my Agent. She took it as high up as she could and was totally PO'd about it. They ultimately denied my claim after multiple inspectors and supervisors got involved. I sh** canned State Farm and went with CHUBB. CHUBB mostly does commercial but will do some higher end homes

From what I learned during the process is that State Farm has taken all the power away from their local decision makers and everything comes down from the top now
TXTransplant
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Follow up post on my situation:

I'd been procrastinating on getting my roof looked at because this all sounds like a massive headache. However my neighbor across the street had her roof replaced this week, so I asked her guy if he'd take a look, so I can knock out one of the three "quotes" they asked for.

I don't think I'm going to use this guy, only because we have friends whose son is in the roofing business. I'm just trying to satisfy my insurance company and stack the odds in my favor to have this claim approved.

Well, the guy looks at my roof and sends me a report. But now I have marks/writing in orange chalk all over my roof. Also, he didn't give me a quote, he just sent me the pictures he took with no text or explanation.

He also proceeded to argue with me about the three quotes that my agent asked for. He keeps telling me I don't need that, and if I would just submit a claim he will "handle it all for me". I'm hesitant to do this because my agent specifically said that, if the claim is denied, they can drop me.

Needless to say, I do not like his approach. However at least I have pictures of my roof showing damage. I am confused as to how I can get anyone else out to do another assessment though, because they are gonna see all the marks this guy left.

Any advice/suggestions on what to do next? File the claim? Get another one or two roofers to look at it and see what they say? Something else?
one safe place
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Once upon a time I had my homeowner's policy with State Farm. Had a pretty substantial hail storm come through and a few weeks later one of my neighbors was getting a new roof. Then another. Then another. I lived on a cul-de-sac at the time so had several property owners adjoining ours.

I called State Farm, they sent someone out, he said no damage. Still more neighbor getting a new roof. I cannot remember if I called or wrote a letter, but explained to them that unless the pattern of hail stones was like a donut, with my house being in the donut hole, there must be some damage. They sent out a second inspector. He said no damage.

So I filed a complaint with the Texas Department of Insurance (think it was called something else back then) and a third inspector came out and a couple of weeks later they cut me a check.
rathAG05
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I just met with a State Farm agent because Farmers dropped my Home Insurance coverage. I've never had a great experience with insurance companies when I have filed claims: USAA or Liberty Mutual. Any other recommendations or is this just common across all carriers?
Tumble Weed
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State Farm used to be good insurance in the 1990s.

Tried to file a claim about 5 years ago. State Farm is trash now. Higher priced than the others and worse service.
AggieMPH2005
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I switched to State Farm from Farmers this year due to cost. May switch back next year if they can be more competitive based on this thread
AggieDruggist89
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Playing devil's advocate,

You buy a house 30 years ago for $200K but now it's worth $600K. It also costs much more to build/repair houses due to inflation/appreciation. This can also apply to automobiles... now autos cost so much more.

Should the insurance premium stay the same? Of course no excuse for poor service.

I post this with a heavy heart that in my area (norther cal), no company is writing new HO policies due to fire and my premium has gone up 2.5X last 3 years. I'm pissed off but thankful I still have insurance.
Diggity
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Property value is meaningless for an insurance company. All they care about is the replacement value of the "bricks and.sticks".

Those have definitely increased at a higher rate recently which is reflected in higher premiums.

The trend of them not wanting to insure a house if the roof is 10 years old is fairly new and very obnoxious.
HouseDivided06
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So I'm not a home/auto/personal lines guy, but I am a commercial insurance broker that specifically does commercial real estate. What I know from conversations I have had is that State Farm got their ass handed to them in 2022 and 2023 with claims. So much so, that they're trying to combat it by buying premium in my realm (multi-family) which is a field I have not seen them quote or be competitive in for 12 years. The supposition is they are trying to recoup costs by undercutting everyone else for 1-3 years and pray there isn't a significant event and denying claims when they are turned in.

From what I understand, they are denying or undervaluing every claim that is turned in. Here is my guess of what they are saying. Policies generally 1) deny pre-existing damage and 2) require a claim be turned in within a year of damage occurring. So my guess is what they are doing is coming out and inspecting roofs and saying the damage is more than a year old and denying coverage based off pre-existing damage. It's a crappy way to do things, but I bet that's how they are getting away with this type of stuff. Sucks for us who don't make a claim after every hail storm, and results in higher premiums and deductibles. Just my $.02.
TXTransplant
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This may be what happens to me. The most recent hail storm was last month but we've had 3 other major weather events going back to May 2023. I'm right at the 1 year mark for a storm last June. BUT - when I called my agent about this last year, I was told I had TWO years to file a claim.
Agilaw
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Many times an insurance denial isn't just based on a particular insurance company, but who did the inspection and who is pushing the claim for the property owner. Late last year I resolved a mid six figure commercial denial and got the whole roof paid. I just resolved a mid six figure claim with State Farm on Friday - got them to pay everything including siding. I have a high six figure claim going right now where I'm fighting a denial based on a cosmetic exclusion provision in the policy. I hired an engineering firm and I think we have a good chance of reversing the denial.

If your roof has damage from a documented storm and the insurance company denies the claim, get professional representation from someone who regularly handles those type of claims. Don't just give up. You paid the premiums, the insurance company should pay for the damages. If necessary, your representative can get the assistance of industry experts to help get denials reversed.
Thisguy1
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I had State Farm for a few years when we bought or house. We switched last year just to get some of the premiums down. We bought an older house with a very old roof that we didn't even know the age of. We actually had insurance agents laugh at us and ghost us at one point. Beal & Winn Insurance group btw if people are looking at them. The guy was an ass.

Had a hail storm roll through so here we go. The guy they sent out was awesome. I made sure I was there just to point out everything. He was a younger guy and I got on the roof and walked everything with him. He told me to point out anything and everything on the exterior on my house that had damage so he could add it to the report so I got the highest estimate possible. He was a college hockey player and I played some college baseball so we talked about that and he was just a really cool dude.

We switched to a good buddy of mine because State Farm jumped up a couple years ago. Farmers the first year then they jumped up. Buddy shopped us and now we're with Safeco.
pfo
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Chubb is the only one I let insure our home. They are first class.
SnowboardAg
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Have safeco now - after going thru the claims process, I'm going to look at Chubb. Not a fan of safecos claim process - it's not about getting my home back to a liveable condition.
topher06
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While I have no doubt all of your clients deserved every penny, this is the attitude that gets insurers pulling out of states and jacks rates up for everyone.
Agilaw
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Confused? What "attitude" are you talking about?
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