Virginia Insurance AppraiserIndependent claim appraisal · VA (844) 537-1427

Reference

Insurance Claim & Policy Terms Glossary

42 terms you’ll see in policies, estimates and appraisal awards, defined in plain English. Type to filter.

42 terms

Actual cash value (ACV)
Replacement cost minus depreciation. Many policies pay ACV first and the rest after repairs.
Additional living expense (ALE)
Coverage for the extra cost of living elsewhere while a home is being repaired after a covered loss.
Amount of loss
The dollar value of a covered loss. It’s the only question an appraisal panel decides.
Appraisal award
The written decision signed by two of the three panel members that sets the amount of loss.
Appraisal clause
The policy condition that lets either party demand appraisal when they disagree on the amount of loss.
Appraiser
The person each side names to value the loss during appraisal. Usually required to be competent and disinterested.
Bureau of Insurance
The division of Virginia’s State Corporation Commission that regulates insurers, agents and public adjusters.
Coinsurance
A commercial policy clause that reduces payment if a building was insured for less than a set percentage of its value.
Collateral damage
Damage to soft metals, screens or other items that helps confirm a storm’s date and severity.
Coverage A
Dwelling coverage on a homeowners policy: the house and attached structures.
Coverage B
Other structures coverage, such as detached garages, sheds and fences.
Coverage C
Personal property coverage for contents.
Debris removal
Coverage for removing debris after a covered loss. Tree removal often has separate, lower limits.
Declarations page
The summary page of a policy listing the insured, limits, deductibles and endorsements.
Deductible
The share of a covered loss the policyholder pays before the insurer pays.
Depreciation
The reduction in value from age, wear and obsolescence used to calculate actual cash value.
Derecho
A long-lived, widespread windstorm from a line of thunderstorms, such as the June 2012 storm across Virginia.
Disinterested
Having no financial stake in a claim’s outcome. Many appraisal clauses require it of each appraiser.
Endorsement
A form that adds to, removes or changes the terms of the base policy.
Estimate review
An independent, line-by-line check of an insurer’s estimate against the damage and local pricing.
FAIR Plan
A state insurance pool for owners who can’t find coverage elsewhere. Virginia’s is the VPIA.
Functional damage
Damage that affects how a material performs, such as water-shedding or service life, as opposed to cosmetic damage.
Hurricane deductible
A separate deductible, often a percentage of Coverage A, that applies to losses from a hurricane or named storm.
Like kind and quality
The standard for replacement materials: comparable in type and quality, not necessarily identical.
Line item
A single priced entry in an estimate, such as a quantity of shingles or a room of drywall.
Matching
Whether new materials can reasonably match undamaged materials, a common dispute after partial damage.
Mitigation
Steps to prevent further damage after a loss, such as tarping or water extraction. Usually required and reimbursable.
Named storm
A tropical storm or hurricane named by the National Hurricane Center. Often the trigger for a separate deductible.
Ordinance or law coverage
Coverage for added costs of meeting building codes or local rules during repair, usually with its own limit.
Overhead and profit (O&P)
A general contractor’s markup for coordinating multiple trades, often 10% and 10%.
Proof of loss
A sworn statement of the amount claimed. Many policies require it within a set time after the insurer requests it.
Public adjuster
A professional licensed by the Bureau of Insurance to handle and negotiate a claim for the policyholder for a fee.
Recoverable depreciation
Depreciation held back from the first payment and paid once repairs are completed.
Replacement cost value (RCV)
The cost to repair or replace damaged property with like kind and quality, without deducting depreciation.
Scope of loss
The list of damaged items and the work needed to repair them.
Square
A roofing unit equal to 100 square feet of roof surface.
Steep charge
Extra labor added to an estimate for roofs too steep to walk safely, often 7/12 pitch and up.
Suit limitation
The policy deadline for filing a lawsuit against the insurer, commonly two years in Virginia.
Supplement
A request for additional payment for items missing from or underpriced in the original estimate.
Umpire
The neutral third member of an appraisal panel who decides items the two appraisers can’t settle.
VPIA
The Virginia Property Insurance Association, Virginia’s FAIR Plan.
Xactimate
Estimating software widely used by insurers and contractors to price repairs by region.
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