Introduction
Home insurance isn’t the same beast it was a few years ago. Higher deductibles, more exclusions, and cash-out settlements are becoming the norm, and that’s pushing more risk and decision-making onto homeowners—and onto you. The good news? If you understand what’s changing and adjust your workflow, you can protect your margins and shorten the time from call to signed approval. This guide breaks down the current shifts, what they mean in the field, and practical moves you can implement this week to stay profitable.
Table of Contents
Key Takeaways
- In many wind and hail markets, deductibles are percentage-based (commonly 1–2 percent of dwelling coverage), pushing more small losses to out-of-pocket decisions.
- Cash-out settlements mean the homeowner is the payer; clear, signable proposals win faster than insurer-style estimates.
- Carriers often want 10–30 labeled photos and basic readings; capture evidence on day one to prevent scope disputes.
- After major storm clusters, adjuster timelines commonly stretch 7–14 days—fill that waiting time with decision-ready proposals.
- Contractors often report saving 2–3 hours per week by dictating site details into proposals instead of typing, speeding approvals.
The Current State
The Problem
Many contractors report a clear shift: higher deductibles, tighter exclusions, and slower adjuster response times. In general, percentage-based deductibles (often 1–2 percent of Coverage A in wind/hail regions) push more repairs below the deductible. That turns “insurance jobs” into homeowner-funded decisions. And after severe weather clusters, adjuster response commonly stretches to 7–14 days—leaving homeowners anxious and your schedule in limbo.
What To Do
- Qualify the situation in 5 minutes: deductible amount, cause of loss, any exclusions the homeowner already heard, and whether a cash-out has been offered.
- Present homeowner-ready scopes, not carrier-style line codes. Plain language, photos referenced, clear inclusions and assumptions.
- Offer time anchors: “Mitigation should start within 24–72 hours to prevent secondary damage.” That timing protects the client and your position.
- Give a signable path: proposal, e-sign, then invoice conversion once approved.
Example From The Field
A roofer gets 12 calls after a wind event. Ten are below deductible due to a 1 percent wind/hail deductible. He pivots to homeowner-paid repairs the same week: brief site check, dictates findings, sends a same-day, signable proposal. Three approvals land within 48 hours because homeowners can’t wait two weeks for an adjuster just to be told it’s under deductible.
Cash-Out Settlements Are Rising
The Problem
Contractors often report more “cash-out” settlements where the carrier pays the homeowner directly and steps out. That shifts scope control to the homeowner—and they’re comparing your proposal against the check in hand.
What To Do
- Make the path to “yes” easy: a single, branded PDF that the homeowner understands and can sign digitally.
- Show risk-aware clarity: list assumptions (“No structural damage behind wall; hidden conditions priced if found”).
- Offer a couple of practical choices (for example, base repair plus an optional upgrade finish), but keep it tight—2–3 clean options avoid analysis paralysis.
- Put start windows, access needs, and cleanup commitments in writing. Homeowners decide faster when they see how you’ll run the work, not just the price.
Example From The Field
A water leak repair is cashed-out to the homeowner. Two contractors send carrier-style line items with shorthand nobody outside claims understands. You send a plain-English, signable proposal with a 3–5 day start window and a one-page scope. The homeowner signs the same day because they can see what’s included, what’s excluded, and what happens next.
Exclusions And Maintenance Denials
The Problem
It’s common for carriers to push denials toward “wear and tear” or “maintenance.” That leaves you stuck in the middle unless you’ve documented what’s sudden/accidental versus long-term deterioration. Without evidence, your change orders get challenged.
What To Do
- Capture day-one evidence: leak path photos, moisture meter readings, and close-ups showing fresh versus aged damage.
- Note maintenance items separately. Keep your repair scope focused on the sudden loss, with a separate, optional maintenance line.
- Set moisture targets before close-up. Many pros aim for framing at roughly 12–16 percent MC before drywall reinstallation (climate-dependent).
- Put “hidden conditions may require additional work” in assumptions—then you’re covered if you open a wall and find rot.
Example From The Field
Bathroom ceiling stain. You document an active drip at the trap arm (fresh staining, wet reading), and also note old caulk failure around the tub (maintenance). Proposal covers the sudden leak repair and offers an optional recaulking/maintenance package. If the homeowner declines the maintenance, your scope—and liability—stay clean.
Documentation Load Is On You
The Problem
Adjusters commonly ask for 10–30 labeled photos, basic moisture readings, and simple diagrams. If you can’t supply this quickly, approvals drag and scopes get questioned.
What To Do
- Standardize your capture: exterior, source, affected areas, materials removed, dry standard before close-up.
- Label photos meaningfully (room + view). Keep it simple: “Kitchen NE wall – base cab removal, wet reading.”
- Record quick measurements and readings. Even a few notes like “Living room drywall 18–22 percent MC day one; fans set; target less than 16 percent before close-up” helps.
- Turn field notes into a proposal the same day. Contractors often find same-day proposals cut back-and-forth by half.
Example From The Field
Small supply line leak. You dictate the scope on-site, reference 15 photos, and note initial readings. The proposal lands in the homeowner’s inbox before you drive off. When the adjuster emails two days later, the homeowner forwards your document—approval follows without a second visit.
Payment Timing And Cash Flow
The Problem
With cash-out or under-deductible work, you’re billing the homeowner directly. If your paperwork is vague or slow, you end up waiting while they “think about it,” and your schedule sits half-full.
What To Do
- Use e-signable proposals to lock scope fast. Homeowners move quicker when they can approve from their phone.
- Include clear payment triggers (for example, “Due on acceptance” for small repairs or “Due on completion” for same-day work). Keep it simple and lawful for your region.
- Convert accepted proposals to invoices immediately so the homeowner can pay without re-entering details.
- Track payment status so you don’t chase blindly.
Example From The Field
Soffit and fascia wind damage under deductible. You send a signable proposal with a 2-day start window. The client signs the same evening; you convert to invoice on acceptance and schedule materials the next morning. No retyping, no delays.
| Feature | Current State | Improvement |
|---|
| Payer | Carrier-driven or unclear | Homeowner cash-out/under deductible—decide fast |
| Approval | Adjuster pace, 7–14 days in busy periods | Same-day homeowner e-sign |
| Scope | Carrier shorthand | Plain-English, assumptions stated |
| Paperwork | Photos scattered, loose notes | Labeled photos, quick readings, proposal sent same day |
| Cash Flow | Wait for adjuster | Convert acceptance to invoice immediately |
Frequently Asked Questions
How do I price when the claim amount is uncertain?
Price the work you can stand behind, not the check. Present a clear base scope that solves the problem and add a small set of optional upgrades. Include assumptions and a note that insurer determinations do not change the agreed scope without a signed variation. This keeps your pricing independent of the claim outcome.
What documentation should I collect on day one?
Capture cause and extent: 10–30 labeled photos (source, path, affected finishes), quick measurements, moisture readings, and any immediate safety steps taken. Note a target moisture range before close-up (many pros aim around 12–16 percent MC for interior framing, climate-dependent). Send a proposal that references this evidence the same day.
How do I handle scope changes after an adjuster review?
Keep a clean paper trail. If the adjuster adds or removes items, issue a short, written addendum for approval before proceeding. Separate sudden-loss repairs from maintenance items. Avoid “verbal yes”—get a digital signature to protect scheduling and cash flow.
What’s the best way to speed homeowner decisions?
Make it read-in-one-minute and sign-in-one-click: plain scope, price, start window, and what access you need. Contractors often find that e-signable proposals with a clear next step cut decision time dramatically, especially on under-deductible repairs.
When should mitigation start on water losses?
In general, within 24–72 hours to prevent secondary damage. Document initial readings, set equipment, and define the dry standard you’re targeting before close-up. That timing and documentation reduce disputes later.
Conclusion
Insurance is shifting risk and admin onto homeowners—and onto you. If you present clear, signable scopes with day-one evidence and simple payment triggers, you’ll win decisions faster and keep margins intact. Tools matter here: with Donizo, you can speak your site notes into a professional proposal, send a branded PDF with client portal access, get a legal e-signature, and convert the accepted proposal to an invoice in one click. That’s how you turn uncertainty into scheduled work—without losing evenings to paperwork.