Monarch National: the denial record

After application of the hurricane deductible and "depreciation," the Insurer provided payment of only $4,187.49 on the Insured's claim.

To remedy and/or cure this CRN, Insurer must immediately tender payment in the amount of $172,414.40 less any applicable deductible and prior payment to the Insured to complete the repairs for the Insured property.

The Insured and Insured's representative provided the Insurance Company with all claim-related documents including an estimate to repair covered damages in the amount of $161,511.57 and other supporting documentation and/or information.

Mr. [name redacted] inspected the property and prepared an estimate which failed to account for the full scope and price of the damage, particularly to the interior, where only $7,818.51 was allotted for replacement cost of all interior damages.

The Insureds promptly reported the loss to Insurer and complied with all applicable post-loss obligations.

A partial estimate was thus put together with an RCV total of $109,448.16 excluding a large portion of the damage which occurred.

Moreover, CCS determined that at least $91,079.96 worth of repairs would be required to return the property to its pre-loss condition as a result of the windstorm loss.

The adjuster confirmed water damage to the property as claimed; however, the adjuster prepared a purported estimate that failed to account for several necessary repairs.

After assessing the damage and the true scope of repairs, the public adjuster produced an estimate identifying $44,108.16in covered damage to the dwelling.

In order to cureMONARCH NATIONAL INSURANCE COMPANY's continuous acts of bad faith,MONARCH NATIONAL INSURANCE COMPANY must issue payment for the invoicedamount of $ 24,169.08 and which has a current balance of $ 24,169.08; as well as, statutoryinterest.

CRS Adjusters, on behalf of the Insured, forwarded said estimate which fully detailed the Insured's damages and total $24,117.00.

The Insurance Company sent denial correspondence to the Insured, and based its coverage decision on the report prepared by its paid engineer.

THE INSURANCE COMPANY FAILED TO PERFORM A PROPER INVESTIGATION AND EVALUATION OF THE CLAIM AND THEREFORE, IMPROPERLY UNDER ESTIMATE FOR PLAINTIFF'S LOSS AND DAMAGES.

The Carrier performed a cursory inspection of the Insured Property and failed to retain unbiased experts necessary to trigger the cause of the Loss and covered repairs necessary to restore the Insured Property to its pre-loss condition.

And, because Monarch refuses to provide a copy of the engineering report, the Insureds have no way of knowing why the engineer concluded there was no opening created.

Following the Insureds' prompt reporting of the loss, Claim no. [redacted] ("Loss"), Monarch arranged an inspection by Forensic Consultants of North America.

Following the Insureds' prompt reporting of the loss, Claim no. [redacted] ("Loss"), Monarch National arranged an inspection and, subsequently, opened coverage for the roof and deck rails.

The insurer tendered less than $2300 in total for all of the substantially greater losses in all coverages.

During the course of [name redacted] 's investigation of the loss, the Insured made their property available for inspection, provided facts and information about the loss, and complied with [name redacted] 's adjustment of the claim.

The Insurance Company has inspected the property and conducted its investigation of the claim.

The Insurer was provided with an estimate; however, the Insurer still failed to properly evaluate this claim and promptly settle although it has become reasonably clear that it should do so.