How to read direct physical loss and occurrence in a Molino policy in Gonzalez

Insurance terms can be easy to misread when you see them out of context. Find the policy and endorsements in force for the reported event. Look for the wording the insurer cited and read the entire sentence, the surrounding provisions and any defined terms. Pay attention to which coverage section is being discussed. A definition can serve a different purpose in a property coverage section than it does in another part of a policy.

Write the facts without policy labels first

Describe what changed at the property, when you observed it and what evidence supports the timeline. If a tenant saw ceiling water on Monday and a repair professional found damage behind the wall on Friday, those are two observation dates. They do not, by themselves, establish how many events occurred or how a deductible applies. Keep photos and reports beside the timeline.

Ask for an explanation tied to your file

If the carrier refers to direct physical loss, occurrence or resulting damage, ask where the term appears and how it relates to the specific property or expense. Record which facts remain disputed and request the carrier’s explanation in writing. A qualified attorney can interpret disputed policy wording in light of applicable law.

Official resource

Florida Department of Financial Services hurricane recovery resources: https://myfloridacfo.com/division/ica/storm

Ask PAJOE about your claim

For a free initial claim review, call PAJOE Public Adjusters at (850) 842-6424.

Florida Public Adjusting Firm License # W894577
Joseph Whitefall | Florida Public Adjuster
Individual License # E166230

Our public adjusting fee is contingent on a recovery. Before you retain PAJOE, we explain the agreed percentage and the payments to which it applies. Fee terms are set out in our signed agreement. Any outside expenses require separate written authorization consistent with applicable Florida law.

PAJOE provides public adjusting services and does not provide legal advice. Coverage and recovery depend on the policy, the facts of the loss, and supporting evidence. No particular decision, payment, additional recovery, or resolution timeframe is guaranteed.