
From Denial to $35,000: How a Carrier's Own Suppressed Report Backfired
When a Lighthouse Point, FL homeowner's shower pan liner failed, water spread beneath the flooring and mold followed. It should have been a straightforward claim: sudden water intrusion with resulting mold, covered under a standard homeowners policy.
Instead, the carrier denied it as long-term seepage, even though their own retained vendor had inspected the property and found a short-term event. A second report, prepared afterward, simply left that finding out. The denial was built on the report that helped the carrier, not the one its own inspector actually wrote.
Our team built the case around that contradiction, backed it with a sworn proof of loss and independent mold documentation, and escalated formally through Florida's statutory Civil Remedy Notice process. Facing exposure well beyond their opening position, the carrier came to the table. After a short, direct negotiation, the claim settled for $35,000, full and final.
This is what happens when a carrier's own paperwork doesn't hold up.
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