AppraisalOntario.com Insurance Claim Disputes - Low Auto Insurance Claim Proof of Loss Offers. Auto Home Business Insurance Disputes - Accident / Total Loss / Fire / Water Damage Insurance Claim
Appraisal Ontario CPPA

appraisal ontario CPPA

 

 
 

Insurance Claim Disputes - Low Auto Insurance Claim Proof of Loss Offers -

You can Appoint Appraisal Ontario as your Appraiser -The Insurance Appraisal Process - Proof of Loss

 

 

 

 

 

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The 'Appraisal Feature' of most Ontario polices provides a mechanism to resolve ALL disputed matters with a quick, cost-effective solution.

 

Section 11 of most insurance policies


Appraisal


11.  In the event of disagreement as to the value of the property insured, the property saved or the amount of the loss, those questions shall be determined by appraisal as provided under the Insurance Act before there can be any recovery under this contract whether the right to recover on the contract is disputed or not, and independently of all other questions. There shall be no right to an appraisal until a specific demand therefore is made in writing and until after proof of loss has been delivered.

 

Section 128(2) and (3) of the Ontario Insurance Act


(1) This section applies to a contract containing a condition, statutory or otherwise, providing for an appraisal to determine specified matters in the event of a disagreement between the insured and the insurer.

(2) The insured and the insurer shall each appoint an appraiser, and the two appraisers so appointed shall appoint an umpire.

(3)  The appraisers shall determine the matters in disagreement and, if they fail to agree, they shall submit their differences to the umpire, and the finding in writing of any two determines the matters.

 

 

Choosing an Umpire

 

If both Appraisers cannot reach an agreement or settlement after all their reasonable efforts to resolve issues in dispute, they both need to agree on a choice of an Umpire. In general, each side (Appraiser) proposes a short list of prospective Umpires and eventually they agree on one. If the two Appraisers fail to agree on an Umpire, then the matter is referred to a motion court judge, who hears evidence from each party and makes a decision on appointing an Umpire.


Costs

 

Once the 'Appraisal Feature' is triggered, the policyholder (our client) and insurer (insurance company) are required to pay 100 per cent of their own Appraisers' costs. Also each party is required to pay 50 per cent of the total Umpire's costs. We at AppraisalOntario will communicate the costs in detail verbally and also with a written proposal before starting any 'Appraisal Feature'.

 

How the 'Appraisal Feature' works - Top 7 points to know before starting this Process
 
The Appraisal process under Section 128 of the Ontario Insurance Act starts with a request from either side to start the process. Only a simple letter outlining the concerns from the Client will start this process. It will include the Appraisal Report conducted by Appraisal Ontario and a demand statement to have the other side's Appraiser identified within 7 days of receiving the letter.


1. A insurance proof of loss form must be filed or provided to the insurance company before the appraisal process can be triggered. .

 

2. Once both Appraisers have been appointed - moving forward they have FULL AUTHORITY of their respective clients to agree on the finial amount of loss, in accordance with the terms of the Insurance Act.

 

3. Most cases the first meeting of both Appraisers are done over a phone conference to review their point of view and to identify all issues and reason for the dispute held without prejudice.

 

4. There is usually a few phone conferences between the 2 Appraisers trying to resolve these issues of the dispute. This method is used to provide full disclosure and an understanding of their evidence and reasons for the dispute.

 

5. Both Appraiser has the FULL AUTHORITY to bind their clients to a settlement. There is a degree of negotiating between the 2 Appraisers at this time to help minimize unnecessary additional costs to their clients if not reasonably required to do so.

 

6. Only when both Appraisers cannot come to full agreement, or many times cannot agree to a few issues, then the next step is involving an Umpire to settle these issues.

 

7. It is important to note that it only takes 2 of the 3 parties involved in the Umpire process to sign a final order. Either Appraiser with the Umpire or hopefully all 3 will sign the finial order.

 


 

appraisal ontario CPPA