Claims & Insurance
Third-Party Administrator
A company hired to run claim handling for a carrier or an employer, such as a warranty program or a managed repair network. The person reviewing your supplement may work for the administrator, not the carrier on the policy, and their guidelines can differ. Ask who actually has authority to approve the added work.
More claims & insurance terms
- Surety Bond
A guarantee from a bonding company that pays if a contractor fails to finish the job or fails to pay what they owe. It is not the same as insurance and does not cover the contractor's own mistakes. What it protects, and who can claim on it, depends on the state and the contract.
- Temporary Repairs
Work done right after a loss to stop more damage, such as tarps, board-up, or a dry-in, before the permanent repair is approved. Policies generally require the owner to prevent further damage, and reasonable emergency costs are usually reimbursable. Photograph and receipt the work, since carriers often pay it separately.
- Total Loss Determination
A decision that repairing the property no longer makes sense, so the claim is settled as a total loss rather than a repair. The threshold differs by policy and by state, so do not assume a fixed percentage. After the declaration, the settlement usually follows the policy limit and coverage form, not the repair estimate.
- Umbrella Policy
An umbrella policy is extra liability coverage that sits above your general liability and auto limits and pays after those limits are used up. Contractors should know an umbrella usually covers liability claims, not damage to the work itself, and carriers may require proof of it before they sign a contract.
- Umpire
An umpire is the neutral third party chosen when you and the insurer each pick an appraiser and those two cannot agree. The umpire decides the disputed amount with them, and because the choice is usually made by the two appraisers or a court, agree on who picks and who pays before you start.
- Underpayment
An underpayment is a claim payment that covers less than the scope of work you can document, whether from missed line items, wrong quantities or a pricing difference. The fix is evidence: photos, measurements and code or manufacturer requirements tied to specific line items, then a written request for the difference.
Common questions
What does "Third-Party Administrator" mean in Xactimate estimating?
A company hired to run claim handling for a carrier or an employer, such as a warranty program or a managed repair network. The person reviewing your supplement may work for the administrator, not the carrier on the policy, and their guidelines can differ. Ask who actually has authority to approve the added work.
Where does "Third-Party Administrator" 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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