Tower Hill Exchange: the denial record

REYNOSO'S November 22, 2022, estimate and came out to $50,328.36 RCV, less Recoverable Depreciation for $36,866.96 totaling $25,000.00 ACV under Coverage B - Other Structures had been issued.

The Insured's PA has submitted to Tower Hill an estimate in the amount of $260,908.16 (RCV), $249,508.28 (ACV) under Coverage A, and $9,843.97 (RCV), $9,414.09 under Coverage B, that reflects the true scope and amount of the Insured's damage.

Specifically, the Insureds, with assistance from their public adjuster, submitted an estimate for $158,782.47, which was a fair and reasonable assessment for the repair/replacement of damages. [name redacted] Consulting Group has an outstanding balance in the amount of $2,860.00 for their mold testi

Therefore, demand is hereby made as follows: Estimate $155,783.35 Less Prior Payments $0.00 Less Deductible $10,760.00 TOTAL $145,023.35 The concept of insurance is that the insurer will investigate and grant timely and prompt indemnity or security against a contingent loss.

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 $152,000.00 and other supporting documentation and/or information.

Stellar inspected the property and prepared an estimate totaling $113,397.75.

Upon discovering the sustained damage, the Insured retained Tarp & Restoration Geeks Corp. to performed tarping services in the sum of $6,120, mitigation services in the sum of $11,753.37; mold remediation services in the sum of $9,820.10 and re-tarping services in the sum of $1,040 (to allow Tower

INSURER inspected the property and accepted coverage for the claim; however, they estimated the loss to total just $14,493.68.

Therefore, TOWER HILL should tender $87,944.70 RCV (less any prior payments, depreciation, excess policy limits, and/or deductible) in insurance benefits at this time.

After assessing the damage and the true scope of repairs, the public adjuster prepared an estimate identifying $77,539.28 in covered damage to the dwelling.

Specifically, the Insureds, with assistance from their public adjuster, submitted an estimate for $65,042.00, which was a fair and reasonable assessment for the repair/replacement of damages.

After assessing the damage and the true scope of repairs, the public adjuster produced an estimate identifying $50,400.47 in covered damage to the dwelling.

Insured reported the loss thereafter to TOWER HILL INSURANCE EXCHANGE ("Insurer").

However, when the Insurer conducted its inspection of the insured property, the Insurer's adjuster failed to conduct a thorough and adequate investigation, or the adjuster intentionally ignored the damage observed and failed to make truthful and unbiased reports of the facts after investigating.

FIRM timely notified TOWER HILL of the damage sustained to the property and contemporaneously provided an estimate of the damage in the amount of $25,840.54.

Whereas, the carrier furnished a wrongful estimate and, having withheld the deductible, offered a deficient payment in the amount of $4,802.62 only, leaving a remainder in the amount of $20,382.70 to be paid in order to cure the breach, less any applicable policy deductible.

Subsequently, in an estimate dated September 4, 2024, the Insurer's field adjuster estimated it would only require $7,442.90 to return the property to its pre-loss condition.

TOWER HILL INSURANCE can cure the violations contained herein by issuing a payment for all contractual damages owed, per estimates of $56,189.[address redacted]us interest, costs, and attorney's fees.

To date, Insurer has failed to make appropriate payment and has delayed the appropriate settlement of the claim.

TOWER HILL INSURANCE EXCHANGE COMPANY received timely notice of the claim but failed to perform a thorough and prompt investigation so the subject property could be restored to its pre-loss condition.

TOWER HILL INSURANCE can cure the violations contained herein by issuing a payment for all contractual damages owed, per estimates of $29,398.[address redacted]us interest, costs, and attorney's fees.

However, after conducting an investigation on the subject claim, Insurer has failed to honor Insureds' claim and, instead, denied said claim in full.

TOWER HILL INSURANCE can cure the violations contained herein by issuing a payment for all contractual damages owed, per estimates of $56,783.[address redacted]us interest, costs, and attorney's fees.

Despite having extensive knowledge of the foregoing information, Insurer has failed to adjust the claim in a manner favorable to the Insured, despite having the opportunity to inspect the damaged property and there being sufficient evidence of damage.

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.

TOWER HILL INSURANCE HAS BEEN GIVEN COMPLETE ACCESS TO THE INSURED PROPERTY, HAS NOTICE OF THE CONDITION OF THE PROPERTY THROUGH THEIR OWN INSPECTION AND PHOTOGRAPHS.

TOWER HILL INSURANCE can cure the violations contained herein by issuing a payment for all contractual damages owed, per estimates of $63,603.[address redacted]us interest, costs, and attorney's fees.

Although it is clear that the damages are covered, the carrier has not attempted in good faith to settle the insured's claim when, under all the circumstances, it could and should have done so, had it acted fairly and honestly toward its insured and with due regard for their interests.

Despite these larger roofs having fewer than 10 damaged shingles, Tower Hill approved full replacements upon initial inspections.

Tower Hill Insurance Exchange Company ("Tower Hill") has acted in bad faith.

Tower Hill issued untimely correspondence dated January 30, 2025, merely indicating that "the estimated damages for your Property claim are less than your deductible.

Tower Hill Insurance Exchange Company (referred to here as "Tower Hill") held an active insurance policy for the property, Policy no. [redacted], on the date of the loss.