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by nathanb 3913 days ago
When one of my upstairs toilets started leaking in my house in the US, it finally got so bad that I noticed a stain on the garage ceiling. The insurance inspector said that insurance would not cover a "slow leak". I was very nice and polite and pointed out how soaked the subfloor was and that there was no way to know when the leak started (which was true). She wrote her recommendation that it be covered, which the company apparently accepted since they wrote me a check.

Definitely not $50k (more like $2.5k), but it's still disturbing that the line between insurance covering it and not covering it was so thin.

I wonder if a more thorough inspection would have caught it. Surely houses built around that time are routinely inspected for asbestos, lead-based paint, etc before purchase anyway. (Actually, going back and reading the comments, he actually addresses this point: http://www.jefftk.com/p/mercury-spill#fb-752340840802_752343.... Perhaps he could have made it a condition of purchase, that the seller pay for a mercury vapor inspection? Perhaps it's not such a common problem that such a requirement would be reasonable. Hindsight, etc.)

2 comments

Yap. An insurance inspector if they are nice enough, will let you know between the lines how you need to phrase your claim. Forgot what the trick word was when we had a leak at our house, but it was similar phrasing -- "So let me remind you, if it is <this>, we'll cover it. If it is <that> we won't. So... which one is it". -- "Oh ok, definetely <this> then ...". /smile
It's kind of scary that something of this magnitude would depend on the kindness of the claims inspector. The one I dealt with was professional yet friendly and helpful (and climbed my wooden stepladder while wearing heels without a second thought). If she had been having a bad day, or just generally of grumpy disposition, or whatever, things could easily have gone the other way.
No matter how much our institutions, laws, and social customs try to hide it, when we interact with each other we absolutely depend on mutual trust and cooperation. It's easy to take it for granted because in the vast majority of our interactions we are nice to each other, or the stakes are too low to be mean. The power we hold over each other is always there, though, in every interaction.
It's not just the kindness of whichever inspector comes to your door. I imagine a majority of it is the company- it's goals, culture, etc. There are insurance companies that will try to deny you a claim that obviously should be covered, and there are others that will cover your claim even though you made a poor decision choosing coverage levels that were too low.
It allows for a great deal of discrimination, both explicit where the inspector deliberately chooses to not help and implicit where the inspector isn't even aware they are discriminating.
Reminds of Mr. Incredible's day job as an insurance salesman who helped the nice old lady by telling her how to work the insurance system.
I've had (I think) a somewhat similar experience. My water line into my house broke outside and had to be replaced. When I called my insurance company, the adjuster made it clear that the costs "to find the exact source of the leak" would be covered but pipe replacement would not be. So I obviously still had to cover part of the job but was able to get the bill itemized in a way that insurance still paid a reasonable portion.
For serious claims, it's better to hire a public adjuster.
Thanks for the advice. I was not aware this was an option.