Claims Settlement LLC

Claim Submission form

Insured

First Name

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Last Name

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Cell Phone

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Email Address

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Zipcode

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Street Address

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City

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State

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Insurer Name

Please choose your insurance company.

Policy #

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Type Of Loss

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Date Of Loss

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Claim #

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Desk Adjuster First Name

Desk Adjuster Last Name

Desk Adjuster Email

Amount of Carrier Estimate

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Contractor Name

Contractor Company

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Contractor Email

Upload documents here
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Loss Address

Same as personal address

Zipcode

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Street Address

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City

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State

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Invoice

Invoice First Name

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Invoice Last Name

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Inovice Email

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Invoicer Phone

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View Terms and Conditions

Agree to terms and conditions

You must agree before submitting.

By checking that you agree to the terms you are entering into an agreement with Claims Settlement LLC to represent you as your appraiser to settle a property claims dispute through the appraisal process listed in your insurance policy.

1. PAYMENT FOR SERVICES. The Recipient will pay compensation to Claims Settlement LLC. All payments will be billed by and paid directly to Claims Settlement LLC. Payments under this Agreement will be made as follows: A $1,500.00 flat fee for residential wind and hail appraisals due upon agreeing to these terms. All other residential appraisals are billed at $150 per hour with a 10-hour minimum. All commercial appraisals are billed at $200 per hour with a 10-hour minimum. The minimum amount is due upon agreeing to these terms and the remaining amounts are due at the closing of the appraisal. Closing being the receipt of a two-party signed award. Any additional expenses such as expert fees or material analysis will be invoiced as incurred plus an administrative fee equal to 10% of the expense.

Should an umpire be needed to settle a dispute the named insured and the carrier will each be responsible for the cost of the umpire split equally between the parties as explained in the policy.

2. TERM/TERMINATION. This Agreement may be terminated by either party upon 7 days' written notice to the other party. All unbilled hours and expenses will be billed, and the unpaid amount will be due at the time of termination. This agreement ends at the completion of the appraisal process. Completion being defined as a two-party signed award.

3. PROFESSIONAL CAPACITY. Claims Settlement LLC and their independent appraisers are professionals who use their own professional and business methods to perform services. Claims Settlement LLC and their appraisers have not and will not receive training from the Recipient regarding how to perform the Services.

4. PERSONAL SERVICES NOT REQUIRED. Claims Settlement LLC is not required to render the Services personally and uses independent, sub-contracted appraisers to perform the Services on behalf of the Recipient without the Recipient's knowledge or consent. It is the responsibility of Claims Settlement LLC to pay all their employees and subcontractors.

5. NO SET WORK HOURS. Claims Settlement LLC and their independent appraisers have no set hours of work. There is no requirement that Claims Settlement LLC and their independent appraisers work full-time or exclusively on one appraisal at a time. All appraisals will be completed with the focus being on the quality of the work not the speed at which it is completed. All appraisals will be completed in accordance with any time requirements that are enforced in the state in which the appraisal is being performed. All hourly invoiced appraisals will be invoiced with a breakdown of time spent on the tasks required to complete the appraisal process.

6. CONFIDENTIALITY. Claims Settlement LLC and their independent appraisers may have had access to proprietary, private and/or otherwise confidential information ("Confidential Information") of the Recipient. Confidential Information shall mean all non-public information which constitutes, relates or refers to the operation of the business of the Recipient, including without limitation, all financial, investment, operational, personnel, sales, marketing, managerial and statistical information of the Recipient, and any and all trade secrets, customer lists, or pricing information of the Recipient. The nature of the information and the manner of disclosure are such that a reasonable person would understand it to be confidential. Claims Settlement LLC and their independent appraisers will not at any time or in any manner, either directly or indirectly, use for the personal benefit of Claims Settlement LLC or their independent appraisers, or divulge, disclose, or communicate in any manner any Confidential Information. The Contractor will protect such information and treat the Confidential Information as strictly confidential. This provision shall continue to be effective after the termination of this Agreement. Upon termination of this Agreement, Claims Settlement LLC and their independent appraisers will return to the Recipient all Confidential Information, whether physical or electronic, and other items that were used, created, or controlled by Claims Settlement LLC and their independent appraisers during the term of this Agreement. This Agreement is in compliance with the Defend Trade Secrets Act and provides civil or criminal immunity to any individual for the disclosure of trade secrets: (i) made in confidence to a federal, state, or local government official, or to an attorney when the disclosure is to report suspected violations of the law; or (ii) in a complaint or other document filed in a lawsuit if made under seal.

7. ENTIRE AGREEMENT. This Agreement constitutes the entire contract between the parties. All terms and conditions contained in any other writings previously executed by the parties regarding the matters contemplated herein shall be deemed to be merged herein and superseded hereby. No modification of this Agreement shall be deemed effective unless in writing and signed by the parties hereto.

8. APPLICABLE LAW. This Agreement shall be governed by the laws of the State in which the appraisal is taking place.