After a hurricane, tropical storm, or severe weather event damages your roof in Pinellas County, you file an insurance claim expecting your policy to cover the repairs. But the insurance company sends their adjuster, who either denies the claim entirely, classifies the damage as cosmetic, or offers a settlement that would not cover half the actual repair cost. Sound familiar?
This scenario plays out thousands of times every year across Florida. And it is where public adjusters enter the picture. A public adjuster (PA) is a licensed insurance professional who works exclusively for you, the policyholder, not for the insurance company. They inspect your damage, prepare professional estimates, interpret your policy, and negotiate directly with the insurer to get you a fair settlement.
But are they worth the 10 to 20 percent fee? This guide covers everything you need to make that decision for your Pinellas County roof claim.
What Exactly Does a Public Adjuster Do?
The title "adjuster" is used for three very different roles in the insurance claims process, and understanding the distinction is critical:
Three Types of Insurance Adjusters
| Adjuster Type | Works For | Paid By | Goal |
|---|---|---|---|
| Company/Staff Adjuster | Insurance company | Insurance company (salary) | Evaluate and limit the insurer's payout |
| Independent Adjuster | Insurance company (contracted) | Insurance company (per claim) | Same as staff adjuster, outsourced |
| Public Adjuster | YOU (the policyholder) | YOU (% of settlement) | Maximize your legitimate claim recovery |
When the insurance company sends an adjuster to inspect your roof, that person is employed by or contracted by the insurer. Their professional obligation is to the company that pays them. They may be perfectly competent and ethical, but their financial incentive does not align with maximizing your settlement.
A public adjuster flips that equation. They are licensed by the State of Florida, must pass certification exams, carry their own errors and omissions insurance, and are legally obligated to act in your best interest. Their fee is a percentage of your settlement, so they only make money when you do, and they make more when your settlement is larger.
The PA's Scope of Work
A competent public adjuster handles your claim from start to finish:
- Initial damage inspection: The PA conducts a thorough inspection of your roof and related damage, often more detailed than the insurance company's adjuster performed. They look for damage the company adjuster may have missed or undervalued.
- Policy review: The PA reads your insurance policy in detail, identifying all coverage that applies to your situation. Many homeowners do not fully understand what their policy covers, and insurance company adjusters do not volunteer information about coverage you did not specifically ask about.
- Damage estimate: Using Xactimate (the same software insurance companies use internally), the PA prepares a detailed, line-item estimate of all damage and repair costs. This creates a professional document that speaks the insurer's language.
- Claim filing and documentation: The PA prepares and submits all claim documentation, including the proof of loss statement, damage inventory, supporting photos, and supplemental information.
- Negotiation: The PA negotiates directly with the insurance company adjuster, presenting evidence, countering objections, and pushing for a fair settlement. They know the tactics insurers use and how to respond effectively.
- Supplemental claims: If additional damage is discovered during repairs, the PA files supplemental claims to cover the additional costs.
- Settlement review: The PA reviews the final settlement offer to ensure all covered damage is included and properly valued before you accept.
How Much Does a Public Adjuster Cost?
Public adjusters in Florida charge a percentage of the insurance claim settlement, paid on a contingency basis. This means:
- You pay nothing upfront
- There is no fee if the PA does not recover money for you
- The fee is calculated as a percentage of the total settlement amount
Fee Structure
| Claim Type | Typical Fee Range | Florida Legal Maximum |
|---|---|---|
| Standard property claim | 10-20% | 20% of settlement |
| State of emergency declared claim | 10% | 10% of settlement |
| Supplemental/reopened claim | 10-20% | 20% of additional recovery |
Real-World Fee Examples
| Scenario | Settlement Amount | PA Fee (15%) | You Receive |
|---|---|---|---|
| Denied claim reopened | $25,000 | $3,750 | $21,250 |
| Underpaid claim increased | $40,000 | $6,000 | $34,000 |
| Major hurricane damage | $75,000 | $11,250 | $63,750 |
| Full roof replacement claim | $120,000 | $18,000 | $102,000 |
Understanding the Fee Calculation
There are nuances to how PA fees are calculated that you should understand before signing a contract:
- Gross vs. net settlement: Most PA contracts calculate the fee on the gross settlement amount before your deductible is subtracted. If your claim settles for $40,000 with a $5,000 deductible, the PA fee is typically calculated on $40,000 (not the $35,000 net you receive).
- Pre-existing payments: If the insurer already paid you something before you hired the PA, the fee may only apply to the additional recovery the PA secures, not the amount already received. This varies by contract, so read carefully.
- Sliding scale: Some PAs offer lower percentage rates for larger claims. A $200,000 claim might be negotiated at 10 to 12 percent instead of the standard 15 to 20 percent.
- Cap on fees: Florida law provides the maximum allowable fee. You can always negotiate a lower rate.
When to Hire a Public Adjuster
Not every roof claim needs a public adjuster. For straightforward claims where the insurer is responsive and the settlement offer is fair, a PA adds cost without proportional benefit. But for many Pinellas County roof claims, a PA makes a significant financial difference.
Situations Where a PA Is Most Valuable
1. Your Claim Was Denied
When your roof insurance claim is denied, a public adjuster can review the denial, identify weaknesses in the insurer's position, gather supporting evidence, and resubmit the claim professionally. Many denied claims are reversed when a PA gets involved because:
- The PA identifies covered damage the company adjuster missed
- The PA reframes the damage under different policy provisions
- The PA provides documentation that counters the denial reason
- The insurer takes the claim more seriously when a licensed professional is involved
2. Your Claim Was Significantly Underpaid
If your roofing contractor estimates $35,000 in damage and the insurer offers $12,000, the gap suggests the company adjuster either missed damage or undervalued what they found. A PA creates a competing estimate using the same Xactimate software and line-item format the insurer uses, making a direct comparison that is hard for the insurer to dismiss.
3. Complex or Large-Scale Damage
Roof damage that extends to interior water damage, structural components, insulation, HVAC equipment, and personal property creates a complex claim with many moving parts. A PA ensures every component is documented and claimed. In Pinellas County, hurricane damage often affects the entire property, not just the roof.
4. You Lack Time or Expertise
Managing an insurance claim is practically a full-time job. Between phone calls, documentation, inspections, negotiations, and correspondence, a complex claim can consume dozens of hours. Business owners, medical professionals, and anyone with demanding schedules often find the PA's fee worthwhile for the time savings alone.
5. The Insurer Is Delaying
Some insurers use delay tactics hoping you will accept a lower settlement out of frustration or financial pressure. A PA applies professional pressure, understands the statutory timelines the insurer must meet, and can escalate appropriately when those deadlines are violated.
When a PA May Not Be Worth It
- Small claims under $5,000: A 15 to 20 percent fee on a $5,000 claim is $750 to $1,000, which significantly reduces your net recovery. Unless the claim is denied and you would otherwise receive nothing, the PA cost may not be justified.
- Insurer is already offering a fair amount: If your contractor agrees the insurer's estimate is reasonable, paying a PA 15 percent to negotiate marginally more is not cost-effective.
- Clear policy exclusion applies: If the damage genuinely falls under a clear, unambiguous policy exclusion, a PA cannot create coverage that does not exist. They can look for alternative coverage angles, but if the exclusion is solid, the outcome may not change.
Pros and Cons of Hiring a Public Adjuster
| Pros | Cons |
|---|---|
| Recover 30-50% more on average | Fee of 10-20% reduces your net settlement |
| Expert policy interpretation | Not all PAs are equally competent |
| Professional damage documentation | Process may take longer with PA involved |
| Levels the playing field with insurer | Some insurers become adversarial when PA is hired |
| Saves you significant time and stress | You give up some control over the process |
| No upfront cost (contingency fee) | Fee calculated on gross, not net of deductible |
| Can reopen or supplement denied claims | Cannot override legitimate policy exclusions |
| Handles all communication with insurer | Not needed for straightforward, fairly paid claims |
Public Adjuster vs. Contractor vs. Attorney: Who Do You Need?
Pinellas County homeowners with roof damage often wonder whether they need a public adjuster, a roofing contractor, or an attorney. Each serves a different purpose, and understanding the differences helps you assemble the right team for your situation.
| Factor | Public Adjuster | Roofing Contractor | Insurance Attorney |
|---|---|---|---|
| Primary role | Manage and negotiate the insurance claim | Inspect and repair the roof | Litigate if claim resolution fails |
| Licensing | FL Public Adjuster license (DFS) | FL Certified/Registered Roofing Contractor | FL Bar Association member |
| Cost | 10-20% of settlement (contingency) | Free estimate, paid for repair work | 25-40% of recovery (contingency) or hourly |
| When to use | Denied/underpaid claim, complex damage | Every roof claim (for damage assessment) | Bad faith, litigation needed, large disputes |
| Can negotiate with insurer? | Yes (their primary function) | Limited (can provide estimates) | Yes (through legal channels) |
| Can file lawsuit? | No | No | Yes |
| Damage expertise | Good (insurance perspective) | Excellent (construction perspective) | Limited (relies on experts) |
| Policy expertise | Excellent | Limited | Excellent (legal interpretation) |
| Timeline impact | Weeks to months | Inspection: days | Months to years |
The Ideal Approach for Most Pinellas County Roof Claims
- Start with a roofing contractor: Get an independent inspection and estimate. This establishes the true scope and cost of damage. Every claim benefits from a contractor's assessment.
- Hire a PA if the claim is denied or underpaid: If the insurer's offer does not match your contractor's estimate, or if the claim is denied, bring in a PA to negotiate.
- Consult an attorney if negotiation fails: If the PA cannot resolve the claim through negotiation, appraisal, or DFS complaint, an attorney can pursue litigation, including bad faith claims.
Important note: Some roofing contractors offer to "handle your insurance claim" as part of their service. Be cautious. In Florida, only licensed public adjusters can negotiate insurance claims on your behalf for a fee. A contractor can provide estimates and attend inspections, but they cannot legally adjust your claim unless they also hold a PA license. Using an unlicensed person to negotiate your claim can create problems.
Florida Licensing Requirements for Public Adjusters
Florida takes public adjuster licensing seriously. Understanding the requirements helps you verify that your PA is legitimate and qualified:
Licensing Requirements
- Examination: Must pass the Florida Public Adjuster licensing exam administered by the Department of Financial Services
- Education: Must complete a 40-hour pre-licensing course from a DFS-approved provider
- Background check: Must pass a criminal background check
- Financial responsibility: Must not have a history of financial irresponsibility or fraud
- Bond: Must post a $50,000 surety bond with the DFS
- Errors and omissions insurance: Most reputable PAs carry E&O insurance, though it is not always legally required
- Continuing education: Must complete 24 hours of continuing education every 2 years to maintain the license
How to Verify a PA's License
Before hiring any public adjuster in Pinellas County, verify their license:
- Visit the Florida DFS license search page at myfloridacfo.com/Division/Agents/Licensure
- Search by the PA's name or license number
- Verify the license is active and in good standing
- Check for any disciplinary actions, complaints, or sanctions
- Confirm the license type is specifically "Public Adjuster" (not just an insurance agent or company adjuster)
How to Find a Reputable Public Adjuster in Pinellas County
Not all public adjusters provide the same level of service. Finding a reputable, experienced PA for your roof claim requires some research:
Where to Look
- FAPIA (Florida Association of Public Insurance Adjusters): The state professional association maintains a directory of member PAs. Membership indicates a commitment to professional standards.
- NAPIA (National Association of Public Insurance Adjusters): The national organization provides an additional layer of professional credibility.
- Referrals from your roofing contractor: Reputable roofing contractors in Pinellas County work alongside PAs regularly and can recommend ones with track records of professionalism and results.
- Attorney referrals: Property insurance attorneys know which PAs do quality work because they see the results of PA negotiations in their cases.
- Online reviews: Google, Yelp, and BBB reviews from local clients provide insight into a PA's communication style, timeliness, and results.
Questions to Ask Before Hiring
- How long have you been a licensed public adjuster in Florida?
- How many roof claims have you handled in Pinellas County specifically?
- What is your success rate on denied claims?
- What is your average claim increase compared to the initial insurer offer?
- What is your fee structure, and is it negotiable for larger claims?
- Do you carry errors and omissions insurance?
- Can you provide references from recent Pinellas County clients?
- How will you communicate with me throughout the process?
- What is your realistic timeline for resolving my claim?
- Will you personally handle my claim or delegate it to a less experienced associate?
Red Flags: Public Adjusters to Avoid
The public adjuster industry, like any profession, has bad actors. Watch for these warning signs:
Major Red Flags
- Door-to-door solicitation after storms: Legitimate PAs do not go door-to-door in neighborhoods after hurricanes soliciting business. This is a hallmark of storm chasers who may be unlicensed, inexperienced, or operating fraudulent schemes.
- Pressure to sign immediately: A reputable PA gives you time to research them and make an informed decision. Anyone pressuring you to sign a contract on the spot, especially during the stress following a storm, is a red flag.
- Guaranteeing specific dollar amounts: No legitimate PA can guarantee a specific settlement amount before inspecting your damage and reviewing your policy. Claims depend on too many variables for guarantees.
- No written contract: Florida law requires a written contract between the PA and the policyholder. If a PA is willing to work without a formal written agreement, walk away.
- Requesting upfront payment: PAs work on contingency. Any request for upfront fees, retainers, or deposits before recovering money for you is a major red flag.
- Unable or unwilling to provide license number: If a PA hesitates to give you their license number for verification, they may not be properly licensed.
- Advising you to inflate or fabricate damage: A PA who suggests exaggerating damage or filing fraudulent claims is committing insurance fraud, which is a felony in Florida. Run away.
- Also operating as a roofing contractor: While dual licensing exists, a PA who also wants to repair your roof has a conflict of interest. They might inflate the claim to increase both their PA fee and their construction profit.
Yellow Flags (Proceed with Caution)
- Newly licensed: Everyone starts somewhere, but a PA with less than 2 years of experience may lack the negotiation skills and insurer relationships that produce better results.
- No local presence: PAs who travel from other parts of the state may not be familiar with Pinellas County building codes, local contractor pricing, and regional insurer behavior.
- Unwilling to provide references: Experienced PAs should have satisfied clients who are willing to vouch for their work.
- Poor communication in initial contact: If a PA is hard to reach or slow to respond before you hire them, expect worse service after you sign the contract.
Average Claim Increase with a Public Adjuster
The financial impact of hiring a public adjuster is well-documented through industry studies and state regulatory data:
What the Data Shows
- OPPAGA study (Florida): The Office of Program Policy Analysis and Government Accountability found that claims with public adjuster involvement resulted in significantly higher payouts than claims without PAs.
- Industry average: Claims handled by public adjusters typically settle for 30 to 50 percent more than claims handled by policyholders alone.
- Denied claim reversals: Experienced PAs successfully reopen and settle a meaningful percentage of previously denied claims, turning $0 recoveries into thousands or tens of thousands of dollars.
Claim Recovery Examples for Pinellas County Roof Claims
| Claim Scenario | Without PA | With PA | PA Fee (15%) | Net Gain with PA |
|---|---|---|---|---|
| Denied shingle roof claim | $0 | $22,000 | $3,300 | +$18,700 |
| Underpaid tile roof claim | $8,000 offered | $28,000 settled | $4,200 | +$15,800 |
| Hurricane damage (roof + interior) | $15,000 offered | $55,000 settled | $8,250 | +$31,750 |
| Commercial flat roof claim | $25,000 offered | $85,000 settled | $12,750 | +$47,250 |
The math is clear: Even after paying the PA's fee, policyholders with public adjuster representation typically receive significantly more money than those who negotiate alone. The only scenario where a PA does not add value is when the insurer's initial offer is already fair and complete, which, unfortunately, is not always common in Florida's contested insurance environment.
The PA Process: What to Expect Step by Step
Understanding the timeline and process helps set expectations when working with a public adjuster on your Pinellas County roof claim:
Week 1: Initial Consultation and Inspection
- Free initial phone consultation to discuss your claim situation
- PA reviews your policy and denial letter (if applicable)
- On-site inspection of your roof and any interior damage
- PA takes detailed photographs and measurements
- Discussion of your options and whether PA involvement is warranted
- If you proceed, sign the written PA contract (read it thoroughly first)
Weeks 2 to 3: Documentation and Estimate Preparation
- PA prepares a comprehensive Xactimate estimate of all damage
- PA compiles supporting documentation (weather reports, contractor assessments, photos)
- PA drafts a demand letter or claim submission to the insurer
- All documentation is submitted to the insurance company
Weeks 3 to 8: Negotiation
- Insurance company reviews the PA's submission
- Insurer may send a new adjuster or engineer to re-inspect (PA will be present)
- Back-and-forth negotiation on scope of damage and repair costs
- PA counters any insurer objections with evidence and policy language
- This phase can take longer for complex claims or unresponsive insurers
Weeks 8 to 12 (or longer): Resolution
- Settlement agreement reached and documented
- PA reviews final settlement for completeness
- Payment issued (PA fee is typically deducted from the settlement check)
- If negotiation fails, PA advises on next steps (appraisal, mediation, or attorney referral)
Important Florida Laws Affecting Public Adjusters
Several Florida statutes directly affect how public adjusters operate and protect your interests as a policyholder:
- Florida Statute 626.854: Defines public adjuster licensing requirements, fee caps, contract requirements, and prohibited practices.
- Florida Statute 626.8651: Requires written contracts between PAs and policyholders, specifying compensation, services, and cancellation terms.
- Fee caps: 20% maximum for standard claims, 10% maximum for claims from declared emergencies.
- Cancellation rights: You can cancel the PA contract within a specified period (typically 10 business days from signing or 5 business days from signing under emergency declarations) without penalty.
- Prohibited practices: PAs cannot provide kickbacks to contractors, solicit within 48 hours of a catastrophe, or engage in any practice that creates a conflict of interest.
Working with Your PA and Your Roofer Together
Your public adjuster and your roofing contractor serve complementary roles. Here is how to coordinate them for the best outcome:
- Contractor inspects first: Get your contractor's damage assessment before or simultaneously with hiring a PA. The contractor's expert eye identifies all physical damage.
- PA handles the claim: The PA uses the contractor's findings (along with their own inspection) to build the insurance claim. The PA speaks the insurer's language; the contractor speaks the construction language.
- Joint inspections: When the insurer sends a re-inspector, having both your PA and contractor present provides maximum coverage of both insurance and construction expertise.
- Do not let your contractor be your PA: As mentioned, only licensed PAs can negotiate claims for a fee. Contractors who are not also licensed PAs should not be negotiating your claim.
- Keep roles separate: The contractor repairs the roof. The PA maximizes the insurance payment for that repair. Keeping these roles separate ensures no conflicts of interest.
Frequently Asked Questions
What does a public adjuster do for a roof claim?
A public adjuster represents you, the policyholder, in an insurance claim. They inspect your roof damage, prepare detailed estimates using Xactimate, review your policy for all applicable coverage, negotiate directly with the insurance company, file supplemental claims if additional damage is found, and manage the entire process from start to finish. Unlike the insurance company's adjuster, a PA works exclusively in your interest.
How much does a public adjuster cost in Florida?
Public adjusters charge 10 to 20 percent of the claim settlement on a contingency basis, with no upfront cost. Florida law caps fees at 20 percent for standard claims and 10 percent for emergency-declared claims. The fee is paid from the settlement proceeds. For a $30,000 claim at 15 percent, the PA fee is $4,500 and you receive $25,500.
Is a public adjuster worth it for a roof claim in Florida?
For claims over $10,000 that are denied or significantly underpaid, yes. PAs recover 30 to 50 percent more on average, and even after their fee, policyholders typically receive significantly more than they would have without representation. For small claims under $5,000, the fee may consume too much of the recovery. For claims where the insurer is already paying fairly, a PA adds cost without proportional benefit.
When should I hire a public adjuster for my roof claim?
Hire a PA when your claim is denied, when the insurer's offer is significantly lower than your contractor's estimate, when damage is complex or involves multiple areas of your property, when the claim exceeds $10,000, or when the insurer is delaying or being unresponsive. Do not wait too long after the denial to seek help, because Florida insurance claims have time-sensitive elements.
What is the difference between a public adjuster and the insurance company adjuster?
The insurance company adjuster works for and is paid by the insurance company, with the goal of evaluating and limiting the insurer's payout. A public adjuster works for and is paid by you, with the goal of maximizing your legitimate claim recovery. They have different licenses, different legal obligations, and their financial incentives point in opposite directions.
How do I find a reputable public adjuster in Pinellas County?
Verify their license through the Florida DFS website. Check for complaints. Ask for local references. Look for FAPIA or NAPIA membership. Get referrals from your roofing contractor or attorney. Avoid door-to-door solicitors after storms, anyone pressuring you to sign immediately, and anyone guaranteeing specific dollar amounts before inspecting your property.
Make an Informed Decision
A public adjuster can be a powerful ally when your Pinellas County roof claim is denied or underpaid. They bring expertise, professional documentation, and negotiation skills that level the playing field between you and the insurance company. For significant claims, the math almost always works in your favor, even after the PA's fee.
But do your homework before hiring. Verify the license, check references, read the contract carefully, and make sure the fee structure is transparent. A reputable PA will welcome your due diligence because they know their track record speaks for itself. The right public adjuster does not just recover more money. They recover the money your policy was designed to provide all along.