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Your LA roof claim was denied — now what

A denial is a position, not a fact. Understanding what it is based on is the first step to knowing whether it is worth challenging.

Read the reason given

Denials generally turn on cause — wear and tear versus a covered event — or on documentation. These lead to very different responses. The letter usually says which, even when the language is dense.

Wear and tear is the common line

Policies cover sudden events, not age. When an insurer calls the damage deterioration, the question becomes whether the evidence supports a specific event. Dated photos from before and after the event are the strongest thing you can have.

The contractor's estimate is one input

A contractor's scope reflects what they would build, not what the policy owes. When the adjuster's scope and the contractor's estimate diverge, the useful work is identifying which specific line items differ and why.

Know who does what

Public adjusters negotiate claims for a fee and are licensed to do so. An independent reviewer reads the estimate and scope so you understand your position. Frankly does the second, not the first — we do not negotiate with insurers on your behalf.

Frequently asked

Can a denial be reversed?
Sometimes, particularly where documentation was thin rather than the cause being genuinely excluded. Nobody can promise it, and be cautious of anyone who does.
What documents should I gather?
The policy, the denial letter, the adjuster's scope, every contractor estimate, and all photos with dates. Those five things make it possible to see whether the denial is about evidence or about coverage.

Written by Frankly's consultant, who has spent 10+ years in the roofing industry and now reviews estimates for homeowners only — no roofing work is sold here.

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