Melbourne, Florida · Serving clients statewide

Monday to Friday, 8:00 AM to 4:00 PM  ·  Free consultation

Michael P. Sapourn, JD, CIC, CRM
Insurer & Agent Disputes

Insurance Coverage Disputes and Claims Adjusting

The short answer

A coverage dispute starts when you and your insurance company disagree about whether a loss is covered or how much it is worth. Michael Sapourn, a former Florida Public Adjuster and 23-year agency principal, helps policyholders present claims properly and pushes back when the insurer will not make a good faith offer.

When a claim turns into a dispute

After a loss, the first job is to notify your insurer promptly and file an accurate, well-documented claim. Hiring a reputable public adjuster is often a good idea at this stage. But even a well-prepared claim can stall when the insurer reads the policy differently, disputes the cause of the loss, or values the damage far below the real cost of repair.

If the insurance company still has not made a good faith offer to settle, call Mr. Sapourn.

How claims are supposed to be handled

Insurance companies and their agents follow strict guidelines when claims are reported:

  • Agents are generally required to report a claim promptly and accurately once they are on notice of a possible loss.
  • Some agents have limited claims handling authority, defined in their agency agreement.
  • Companies expect agents to report the facts as they know them and let the adjuster decide how coverage applies.
  • Agents are sometimes paid contingency bonuses based on how profitable their book of business is. That incentive must never influence how they service or advise a client.

Knowing these rules from the inside helps Mr. Sapourn spot where a claim went off track, whether the problem lies with the insurer, the adjuster or the agent.

Experience on both sides of the claim

Mr. Sapourn ran a large insurance agency for 23 years and later adjusted substantial homeowners and commercial property claims as a licensed Florida Public Adjuster. As an attorney, he brings that experience to policyholders whose claims have been denied, delayed or undervalued, across Melbourne, Brevard County, Orlando and the rest of Florida.

Frequently asked questions

What does an insurance coverage dispute attorney do?

A coverage dispute attorney reviews the policy, the claim and the insurer's position, then negotiates or litigates to resolve disagreements about whether a loss is covered and how much should be paid.

Should I hire a public adjuster or a lawyer?

A reputable public adjuster can help document and present a claim. If the insurer still will not make a good faith offer, or has denied the claim, it is time to talk to an attorney. Mr. Sapourn can also help you choose an ethical, experienced public adjuster.

How are coverage disputes resolved?

Many are resolved by reviewing the policy language and the evidence, then negotiating. Others go through appraisal, mediation or litigation, depending on the policy and the dispute.

Free consultation

Have Mike look at your situation

Share a few details and he will follow up with you personally. Attorneys looking for an expert witness can use the same form.

Sending this form does not create an attorney-client relationship. Please do not send confidential information until we confirm we can help.

Talk to a lawyer who knows how insurers think.

Tell Mike what happened with your claim or your agent. The first consultation is free, and you will speak with him directly.