
Last checked against the Florida Statutes and official sources on October 24, 2026. This is general information, not legal advice.
Insurance appraisal is a policy-based process for resolving disagreements about the amount or scope of a property loss. A typical panel consists of your appraiser, the insurer's appraiser, and an umpire for unresolved differences; the policy controls whether appraisal is available, how it starts, and which requirements apply.
What does insurance claim appraisal decide?
Appraisal addresses valuation rather than rewriting insurance coverage. DFS describes it as a way to resolve disputes about value or scope and cautions that insurers are not required to offer it in every policy (DFS Alternative Dispute Resolution Options, appraisal section).
The coverage boundary requires care. In Johnson v. Nationwide Mutual Insurance Co., 828 So. 2d 1021 (Fla. 2002), the Florida Supreme Court distinguished a complete denial that any covered loss occurred, a judicial coverage question, from an admitted covered loss with a disputed amount. In the latter situation, appraisers can address causation as part of determining the covered damage amount. Saying appraisers can never consider cause is too broad.
For example, distinguish "the insurer accepts wind damage but disputes how much roof work it caused" from "the insurer denies that any covered event caused this loss." Identify the actual disagreement before making a demand. See disputing an insurance estimate for organizing the scope and price issues.
How do you invoke the homeowners insurance appraisal process?
Get the policy effective on the loss date, including endorsements, rather than using a sample found online. Locate the appraisal clause, duties after loss, loss-settlement clause, and any dispute-resolution amendments. DFS directs consumers to their policy for the requirements governing invocation and participation.
- Define the disagreement. Compare the insurer's estimate with your own itemized estimate. Identify disputed quantities, repair methods, omitted work, or prices.
- Check prerequisites. Review whether required inspection access, records, proof-of-loss submissions, or other post-loss duties remain outstanding. Ask the insurer to identify any specific unmet requirement.
- Use the required notice method. If the clause requires a written demand, identify the policy, claim, property, loss date, and disputed amount or scope. Keep delivery evidence.
- Confirm the procedure. Request written confirmation of the applicable clause, appraiser-selection deadline, qualifications, and whether the insurer agrees appraisal is available.
- Calendar each next step. Track appraiser identification, document exchange, inspections, umpire selection, and any separate legal deadlines.
These are preparation steps, not a universal statutory demand form. A historical State Farm policy reproduced in a Florida appellate filing required a written demand, compliance with duties after loss, appraiser identification within 20 days after receipt, and a 15-day period for the appraisers to agree on an umpire before judicial selection could be requested. Those are examples of contract terms, not statewide deadlines (2020 appellate filing reproducing the clause).
Who are the appraisers and umpire?
Each side identifies an appraiser. If the appraisers cannot agree on the amount, an umpire may be needed; DFS explains that the umpire reviews the damage and appraisers' reports (DFS insurance-professionals guide). Check the exact qualifications in your clause, including any competence, impartiality, independence, or disinterest requirement.
Citizens' published appraisal-services draft contract illustrates a process in which the appraisers try to agree on an umpire, inspect the damage, and submit unresolved differences to that umpire. A decision agreed to by any two sets the loss amount. Its vendor instructions are an illustration, not a substitute for your policy or a source of deadlines for every homeowner (Citizens appraisal-services document, sections 3.1.7-3.1.12).
Before hiring an appraiser, ask for the proposed fee agreement, relevant experience, availability, and disclosure of relationships that could affect the policy's qualifications. Ask how inspections, estimates, supporting reports, and communications will be handled. Do not assume that a contractor's ability to estimate repairs automatically satisfies every appraisal clause.
How much does appraisal cost?
DFS describes the usual allocation as each side paying its own appraiser and sharing umpire and other appraisal expenses equally. Obtain a written budget and check your contract for the allocation that applies. Ask whether the quote includes site visits, estimate preparation, meetings, travel, and any additional professional reports.
Compare the disputed amount with the likely expense before committing. If the only disagreement is one small estimate line, ask whether additional documentation could resolve it directly. If the dispute concerns substantial omitted work, ask what evidence the appraiser needs to assess that scope. Neither comparison predicts a higher award.
How is appraisal different from DFS mediation?
DFS residential property mediation uses a neutral mediator to help the parties negotiate; the mediator does not impose a valuation award. The insurer ordinarily bears the mediation cost, with an exception for a policyholder who misses the conference and seeks rescheduling. Mediation is nonbinding. If the parties reach a written settlement, the policyholder has three business days to rescind unless the policyholder has cashed or deposited a settlement check or draft for the disputed matters. An unrescinded settlement binds the parties and releases the specific claims presented at the conference (section 627.7015, Florida Statutes).
It is offered before appraisal or litigation, with a separate provision for court-referred disputes. An eligible dispute must involve at least $500 unless the parties agree to mediate a smaller amount; statutory exclusions include reasonable suspicion of fraud, certain intentional material misrepresentations resulting in denial of the entire payment request, agreed facts establishing no coverage, and losses not complying with section 627.70132. Review eligibility before choosing a process. The Florida insurance mediation guide addresses that route.
Failed mediation does not always eliminate appraisal. Under section 627.7015(7), the appraisal precondition to a breach-of-contract action does not apply when the insurer failed to give the required mediation-rights notice, or when insurer-requested mediation ends with either party rejecting the results. Do not treat every unsuccessful mediation as satisfying this exception.
Does appraisal replace a lawsuit or guarantee payment?
An amount determination does not resolve every legal coverage dispute. Citizens' example requires itemization by cause, coverage, and disputed item so payment can be considered under policy terms; the document also separates costs subject to payment conditions. Ask for a written breakdown explaining how the award translates into payment.
Keep the coverage decision, appraisal demand, estimates, final award, and payment explanation together. If legal action remains under consideration, review the appraisal obligation and any statutory exception before filing; do not assume an appraisal request preserves all deadlines. Where section 627.70152 applies, an insurer responding to a presuit notice about conduct other than a coverage denial must offer settlement or require appraisal or another alternative dispute process. Subsection (4)(b) provides conditional limitations tolling during that process and permits suit if it remains unfinished 90 days after the 10-business-day notice period expires. That is a statutory presuit procedure, not a deadline triggered by every appraisal demand. For the separate coverage question, see suing a homeowners insurer in Florida.
Sources
- DFS: Alternative Dispute Resolution Options
- DFS: insurance professionals and appraisal costs
- Florida Supreme Court: Johnson opinion
- Citizens: illustrative appraisal-services draft contract
- Historical State Farm clause reproduced in an appellate filing
- Section 627.7015: residential mediation and appraisal exceptions
- Section 627.70152: presuit notice and dispute resolution
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