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Claims & Insurance

Occurrence

The event that causes a loss, such as a hail storm or a burst pipe, and the unit most policies use to apply limits and deductibles. One storm can be one occurrence for many homes, and how occurrences are counted decides whether a loss is paid or capped.

More claims & insurance terms

  • Named storm deductible

    A separate deductible, often higher, that applies when damage comes from a storm the policy defines as a named storm, such as a tropical storm or hurricane. It is often a percentage of the dwelling limit instead of a flat amount, so the policyholder's share is far larger. Exactly what triggers it is set by state rules and the policy wording.

  • Notice of claim

    The insured's report to the carrier that a loss happened, which starts the clock on the policy's duties for both sides. Prompt notice is a policy condition, and late notice can be raised as a reason to deny, though how strictly that is enforced varies by state and carrier.

  • Other structures

    Coverage for detached buildings on the property, like a garage or a shed.

  • Peer review (insurance)

    A second look at a claim file or estimate by someone other than the adjuster who wrote it, often a reviewer, engineer, or consultant hired by the carrier. It can confirm the scope or cut it, and the contractor's best answer is documentation: photos, measurements, codes, and a written justification for each disputed line.

  • Percentage deductible

    A deductible set as a percentage of the dwelling's insured value rather than a flat dollar amount, common on wind and hail policies in some states. It is calculated from the Coverage A limit, so a higher insured value means a bigger out-of-pocket share.

  • Personal property

    Coverage for the contents of the home, as opposed to the building itself.

Common questions

What does "Occurrence" mean in Xactimate estimating?

The event that causes a loss, such as a hail storm or a burst pipe, and the unit most policies use to apply limits and deductibles. One storm can be one occurrence for many homes, and how occurrences are counted decides whether a loss is paid or capped.

Where does "Occurrence" show up in a claim?

The term matters on estimates and scopes across the insurance restoration workflow. Browse the glossary for related terms.

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