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What we found in it.

This is a representative adjuster estimate — the type of document ClaimSplain analyzes. Names and identifiers have been changed. The findings are based on actual document language, exactly as ClaimSplain reads them.

Sample: residential total-loss adjuster estimate — 4 issues found

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Educational sample only. This analysis is based on a representative document and does not constitute a coverage determination, claim valuation, or legal advice. Upload your own document for a ClaimSplain analysis of your specific claim.

ClaimSplain found 4 issues in this estimate

Scope GapFinding 01

Wrong Geographic Pricing Applied

Pricing was applied from a zip code outside the loss location — out-of-area rates can understate costs by 12–22%.

Cited to document

"Location: [Out-of-state zip applied]" — Estimate header, p.1

Stale RatesFinding 02

Pricing Database Over 18 Months Old

The RSMeans database is dated Q1 2024; for an August 2025 loss, every unit cost may reflect an older cost environment.

Cited to document

"RSMeans — last updated Q1 2024" — Estimate footer, p.1

DepreciationFinding 03

Depreciation Applied to Non-Depreciable Items

The $68,244 depreciation includes debris removal, labor, and code upgrades — categories typically non-depreciable under HO-3.

Cited to document

"DEPRECIATION APPLIED: $68,244.00" — Summary page

DeadlineFinding 04

Replacement Cost Holdback Window Not Stated

ACV ($215,856) is paid with depreciation held back, but no deadline to claim it is stated — missing it forfeits the holdback.

Action required

Request written confirmation of your holdback claim deadline from your carrier.

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