Worked insurance claim exercises

Follow the numbers and evidence through three original fictional cases.

These are teaching examples, not customer claims, reported settlements or promises of recovery. Each states its assumptions so you can see where the conclusion comes from.

Reconcile an ACV payment and a potential holdback

Fictional teaching model: a covered replacement-cost estimate is $20,000, depreciation is $4,000, and the deductible is $1,000. Assume no limit restriction, prior payment or other adjustment.

  1. Calculate ACV

    $20,000 − $4,000 = $16,000 before the deductible.

  2. Calculate the initial payment

    $16,000 − $1,000 = $15,000 in this simplified model.

  3. Identify the potential total

    $20,000 − $1,000 = $19,000, if all replacement-cost requirements are met.

  4. Reconcile the difference

    $19,000 − $15,000 = $4,000 potentially recoverable depreciation. It is not an automatic additional payment.

  5. Ask for the missing conditions

    Check repair requirements, documentation, time limits, limits of insurance and any prior payments.

Check your reasoning

If the first payment were already $17,000, should you still request an automatic $4,000?

Read the explanation

No. Reconcile the actual payments and policy calculation first. The original model’s unpaid difference would no longer apply.

Continue with the related guide or tool

Find the reason two ceiling estimates disagree

Fictional exercise: both estimates describe the same 12-by-15-foot ceiling. Estimate A uses 180 square feet at $3.50, plus $120 protection and $80 disposal. Estimate B uses 200 square feet at $3.25, plus $120 protection and $0 disposal. Taxes and all other work are excluded.

  1. Normalize the quantities

    12 × 15 = 180 square feet. Ask what supports the additional 20 square feet in Estimate B.

  2. Compare the totals

    A: $630 + $120 + $80 = $830. B: $650 + $120 = $770. The difference is $60.

  3. Isolate the quantity effect

    At B’s $3.25 rate, 20 additional square feet adds $65.

  4. Isolate the rate effect

    For the common 180 square feet, the $0.25 rate difference adds $45 to A.

  5. Reconcile the $60 difference

    A minus B = $45 rate difference − $65 quantity difference + $80 disposal = $60. Verify whether disposal is already included in either unit price before adding it.

Check your reasoning

Does the larger total establish the correct repair amount?

Read the explanation

No. The exercise explains arithmetic differences; measurements, included operations, evidence and the actual assignment determine the supported scope.

Continue with the related guide or tool

Turn a disputed roof total into a usable appraisal packet

Fictional exercise: one estimate totals $18,000 and another $25,000. The $7,000 difference has three proposed components: $3,000 additional area, $2,500 additional operations and $1,500 price differences. No outcome or coverage determination is assumed.

  1. Build three separate issues

    Create rows for area, operations and price; confirm $3,000 + $2,500 + $1,500 = $7,000.

  2. Attach evidence to the area issue

    Include the measurement method, roof diagram, units and any adjustments.

  3. Explain each operation

    Describe the task, component and supporting record. Remove duplicate operations before comparing totals.

  4. Support the price comparison

    Identify comparable work, dates, location and what each price includes. A high bid alone does not prove the scope.

  5. Separate process questions

    Keep disputed coverage, authority, conflicts, fees and deadlines visible. An appraisal provision does not automatically resolve every type of disagreement.

Check your reasoning

What should the summary request ask the next reviewer to do?

Read the explanation

Address the three defined differences and their evidence. Do not request a guaranteed $7,000 increase simply because that is the gap between estimates.

Continue with the related guide or tool

Apply the method to a new problem

Change one quantity or assumption at a time. Recalculate the result, identify which supporting record would be needed, and explain what the calculation cannot establish. A mathematically correct total can still depend on unsupported scope or an inapplicable policy assumption.

For background, see the sources in our valuation guide and appraisal guide.

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