Capstone Claims: Frequently Asked Questions

Welcome to our FAQ page! Below you'll find answers to some of the most common questions regarding the claims process, our services, and insurance policies. If you have a question that isn't covered here, please feel free to contact us directly.

 General Questions

  • A public adjuster is a licensed insurance professional who represents policyholders in the process of filing and negotiating insurance claims. Their primary role is to advocate on behalf of the policyholder (not the insurance company) to ensure they receive a fair and accurate settlement for their claim.

  • The role of the adjuster is to investigate the claim, determine the cause of loss, assess the damage, and calculate the amount of compensation based on the policy terms. Adjusters also negotiate with the insurer to settle the claim.

  • The primary difference between a public adjuster and an insurance company adjuster lies in whom they represent and their roles in the claims process. A public adjuster works exclusively for the policyholder, advocating on their behalf to ensure they receive a fair and full settlement for their claim. In contrast, an insurance company adjuster works for the insurance company, assessing the damage and determining the payout, but primarily focuses on protecting the company’s financial interests. While public adjusters are motivated to maximize claims and may use advanced tools to identify all damages, insurance adjusters often have a limited scope and may overlook hidden issues. Public adjusters are compensated as a percentage of the final settlement, incentivizing them to recover the largest amount possible, whereas insurance adjusters are salaried employees whose compensation is not directly tied to the payout. Ultimately, public adjusters offer a more thorough approach and act as advocates in navigating the complexities of insurance claims.

  • Loss adjusters begin by reviewing the details of your claim, inspecting the damage, and gathering evidence. They then use this information to negotiate with your insurance company, ensuring the payout is fair and in line with your policy.

Claims Process

  • To file a claim, you can contact us directly by phone or submit a claim through our website. Our team will guide you step by step through the entire process, from documentation to settlement negotiations.

  • The duration of the claims process depends on the complexity of the claim. Simple claims might take a few weeks, while more complex cases could take a few months. Our goal is to resolve claims as quickly and efficiently as possible.

  • Your primary role is to provide accurate information and documentation, such as photos, receipts, and records of the damage. We'll handle the rest, including communication with your insurer and negotiation on your behalf.

  • At Capstone Claims, we handle negotiations for you. However, if you're dealing directly with an insurance adjuster, make sure to have all documentation ready, be firm yet polite, and understand the value of your claim based on your policy coverage.

 Services and Fees

  • Our fees are typically a percentage of the total settlement amount approved by the insurance company. This means we only get paid when you do. Our fee structure will be clearly discussed before we begin working on your claim.

  • Our fee structure is percentage-based, meaning we take a percentage of the final payout from your insurance settlement. This ensures we’re motivated to get you the best possible outcome. We will discuss our rates upfront, so there are no surprises.

  • With years of experience, our focus is on maximizing your settlement and ensuring you receive fair compensation. We operate with transparency, integrity, and a deep commitment to representing policyholders' best interests.

 Insurance and Licensing

  • Yes, public adjusters in Utah are required to be licensed by the state. Capstone Claims ensures all of our adjusters are fully licensed and compliant with state regulations.

  • We handle a wide range of claims, including property damage, fire and flood damage, theft, and business interruption claims. We specialize in both residential and commercial claims.

  • Your insurance policy will outline all covered losses and exclusions. If you're unsure, we can review your policy and explain your coverage, helping you understand what is and isn’t covered in your claim.

Negotiation and Settlement

  • Insurance company adjusters might offer lower settlements as part of their negotiation tactics to minimize payouts. This is why having a loss adjuster like Capstone Claims on your side is crucial to ensure you get the compensation you're entitled to.

  • If your claim is denied, we can help you review the reasons for the denial and potentially file an appeal. We work to make sure your claim is handled fairly and appropriately.

Contact Us

Hours
Monday–Friday
9 AM – 5 PM

Closed
Satuday & Sunday

Phone
801-876-1770

Email
claims@capstoneclaims.com

Mailing Address:
1392 W. Turf Farm Way #391 Payson, UT 84651