INSURASALES

Florida Property Insurance Controversy: Altered Adjusters' Reports in Focus

The ongoing legal proceedings involving Florida's property insurance sector have spotlighted issues of altered adjusters’ reports, following a lawsuit filed by homeowners Jeffrey and Virginia Rapkin. This case has revived focus on the allegations against Heritage Property & Casualty Insurance Co. regarding report modifications post-Hurricane Ian.

The Rapkins, who previously appeared on CBS News’ “60 Minutes,” have requested a court order to compel the Florida Department of Financial Services (DFS) to disclose records related to its investigation into claims that Heritage altered adjuster estimates. Filed in Leon County Circuit Court, their petition challenges the refusal by DFS to release these documents, which are pertinent to their ongoing litigation.

Adjusters’ Allegations and Public Discourse

Central to the controversy is an incident detailed during their television feature, where independent adjuster Jordan Lee accused Heritage of significantly reducing his damage assessment while maintaining his name on the revised reports sent to homeowners. This alteration portrayed a substantial reduction in damage estimates, creating potential misperceptions of the adjusting authenticity. This issue was publicly addressed by Lee, along with other adjusters, at a Florida legislative committee meeting in 2022, urging further investigation by the DFS.

Insurer's Response and Adjuster Discrepancies

While Heritage acknowledged receiving complaints, the company partially denied wrongdoing but confirmed discrepancies, noting that some revised reports had omitted desk adjusters' names. The insurer cited that adjustments were made in both directions across various claims, with a substantial number revised upward as well.

In their pursuit of transparency, the Rapkins have filed a public records request to access DFS investigation documents. These records, the plaintiffs argue, should be transparent under Florida’s open-records laws, reinforcing their significance to the resolution of contractual disputes with Heritage.

Expanding Scope of Investigations and Legal Complexities

Additional involvement by adjusters such as Ben Mandell could expand the scope of the investigation. Mandell has filed to intervene, highlighting how the outcome could impact similar requests regarding investigations into other insurers, including Florida Peninsula and Edison Insurance. These companies maintain that DFS records contain protected trade secrets, aligning with existing statutes and court rulings against disclosure.

The DFS report to adjusters recently indicated a lack of legislative support for fraud prosecutions related to altered reports, contributing to the complexity of the issues at hand. Meanwhile, legal maneuvering continues, with Heritage counter-suing adjuster Jordan Lee for defamation following his public allegations.

As these legal matters proceed, the implications for industry operations remain profound, emphasizing the critical nature of regulatory compliance and transparency in insurance practices amid natural disaster claims.