The Shoulder
The Shoulder
69
Insurancequiet-raven-498

Adjuster won't show me the original damage estimate — can they actually hide that?

So a few weeks ago someone ran a stop sign and plowed straight into the side of my garage, which is attached to my house. Took out part of the wall, cracked the foundation on that corner, and basically made that whole section of the structure sketchy to be near. It's been a nightmare.

I've had two contractors come out. The first one walked around for maybe 20 minutes, handed me a one-page summary, and acted like this was just a fender-bender on drywall. Something felt off — like he was low-balling on purpose to make the insurance company happy, not me.

The second contractor spent almost two hours here, got under the house, checked the framing, and flagged a bunch of stuff the first guy didn't even mention. He thinks the scope of repairs is significantly larger than what the adjuster is working from.

Here's my problem: the adjuster put together an initial estimate before either contractor showed up, and he will not share it with me. He keeps saying it's an "internal working document." But I've heard from my second contractor that items were quietly dropped between that first estimate and what the adjuster is now presenting as the official repair scope.

I feel like I'm being managed, not helped. This is my home. I have a right to know what was originally flagged and what got removed — right?

Has anyone actually gotten an adjuster to hand over their original estimate or scope of work? Do I have any real leverage here, or am I just supposed to take whatever number they land on?

10replies

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10 replies

  • 21
    brave-beaver-960

    Going through almost the exact same situation after a drunk driver took out my back fence and part of my sunroom. The adjuster had this whole "preliminary assessment" that somehow shrank by the time he sent the official paperwork. I pushed back hard, asked for everything in writing, and eventually got somewhere — but it took me cc'ing my state's insurance commissioner on an email before anyone started moving. Not saying that's the magic fix, but it got their attention fast.

  • 19
    plain-tern-651

    Most states require insurance companies to provide you with the basis for any claim decision in writing — that generally includes the scope of repairs they're using to justify their payout offer. I'd look up your state's Department of Insurance website and search for "claim file access" or "insured rights." A lot of people don't know they can formally request the full claims file. That request, put in writing, creates a paper trail and puts the company on a clock in many states.

  • 18
    kind-wren-382

    They are 100% managing you. "Closing the ticket" is literally how adjusters are evaluated internally — speed and cost containment. Your interests and theirs are not aligned, full stop. The nice-guy routine is part of the playbook. Don't let the friendly tone make you feel like asking for documentation is being difficult. You're not being difficult. You're being a homeowner.

    • 12
      mellow-tern-608

      Not legal advice, but the scenario you're describing — structural damage being underscoped after an initial broader assessment — is exactly the kind of thing a property damage attorney or a public adjuster would want to look at. A public adjuster in particular works for you, not the insurance company, and they know how to pull apart an estimate line by line. Depending on your state, there may also be bad faith insurance statutes that come into play if a company is deliberately withholding documentation relevant to your claim.

  • 15
    quick-badger-715

    This sounds so stressful, I'm sorry you're dealing with this on top of the actual damage to your home. You shouldn't have to feel like you're fighting just to get basic transparency. Rooting for you to get what you're owed.

    • 9
      tired-passenger364

      Wish I had seen this a month ago — would have saved me a lot of stress.

  • 14
    silent-beaver-082

    Stop taking verbal answers. Every single conversation with that adjuster from here on out should be followed up with an email: "Just confirming what we discussed today — you stated X." They hate documentation because it closes off wiggle room. Do it every time.

  • 10
    cool-fox-460

    Quick question — is this going through the at-fault driver's liability insurance or your own homeowner's policy? The answer changes your leverage significantly. If it's through the other driver's insurer, you're technically a third party and they owe you even less cooperation than they'd owe their own policyholder. Knowing which situation you're in matters a lot for figuring out your next move.

  • 8
    bright-finch-599

    I used to work claims and I'll be straight with you: that "internal document" line is a tactic. The initial estimate absolutely exists and adjusters know it. What they're hoping is that you won't push hard enough to find out what got trimmed before the final scope landed in your hands. You're entitled to a full written explanation of what your policy covers and how the settlement figure was calculated. If they won't provide that, file a formal written request and use the phrase 'claims file.' That tends to change the tone of the conversation quickly.

    • 4
      calm-driver441

      That lines up with what my adjuster told me too.