Dolphin Claims

Florida Carrier-Specific Claim Help

Citizens Property Insurance Corporation Claim Help

Florida-licensed public adjusters representing policyholders on Citizens property damage insurance claims. Hurricane, water, fire, mold, and roof claims — denied, underpaid, or unresolved.

Citizens Property Insurance claims in Florida

Citizens Property Insurance Corporation is Florida's state-created insurer of last resort, established under FL Statute 627.351(6) in 2002. As of 2026, Citizens insures over 1 million Florida properties — primarily in coastal and high-risk regions where private carriers have withdrawn or non-renewed.

Why Citizens claims often need a public adjuster

Citizens is structurally different from private carriers — it's a public entity bound by Florida statute, not market competition. In practice this means:

  • Strict scope limits driven by legislative funding constraints
  • Aggressive enforcement of policy exclusions (cosmetic damage, wear-and-tear, pre-existing damage, "marring")
  • The 2022 SB 2A reform stripped one-way attorney fees, removing a major leverage point — public adjusters now do work that previously fell to plaintiff attorneys
  • Mandatory inspections within 10 days of loss notice (FL Statute 627.70131(5))
  • Managed-repair programs that direct policyholders to Citizens-vetted contractors

Common Citizens denial / underpayment patterns

  • Roof age denials. Citizens commonly cites roof age (15+ years on asphalt, 25+ on tile) as cause for denial of hurricane wind claims. Florida's Roof Replacement Rule (FL Statute 627.7011(11)) protects roofs less than 25% damaged from full replacement — but the inverse is also enforced strictly.
  • Cosmetic-damage exclusions. Citizens excludes "cosmetic" tile / metal damage from wind. Litigation has repeatedly shown what carriers call "cosmetic" is often functional damage.
  • Wind vs. wear-and-tear disputes. Citizens routinely attributes wind damage to wear-and-tear; a public adjuster's documented timeline (date of loss vs. roof condition pre-event) defeats this.
  • ACV vs. RCV settlements. Citizens issues ACV (actual cash value) as initial payment; RCV (replacement cost value) requires repairs to be completed and documented. Many policyholders never claim the holdback.

Citizens at a glance

Typestate backed
Founded2002
HeadquarteredTallahassee, FL
Florida book1.2M+ (peak), reduced via depopulation programs
Financial ratingNot rated (state-created insurer of last resort)

Common Citizens dispute patterns

  • Aggressive scope reduction on hurricane roof claims
  • Wear-and-tear / pre-existing-damage exclusions on aging roofs
  • Mandatory binding arbitration clauses (post-2022 SB 2A)
  • 10-day inspection deadlines (FL Statute 627.70131(5))
  • Managed-repair program steering on water claims
  • Depopulation transitions mid-claim

Frequently Asked Questions — Citizens Claims

Why was my Citizens claim denied or underpaid?▾

Common reasons: roof age cited as wear-and-tear, cosmetic-damage exclusion applied to functional damage, claimed cause of loss disputed (wind vs. age), ACV-only payment without RCV holdback, or scope limited to repair when full replacement is warranted. A public adjuster reviews the policy + denial letter and pursues supplemental, reopened, or appraisal-process resolution.

Can I hire a public adjuster after Citizens has already paid me?▾

Yes. Florida law allows policyholders to hire a public adjuster at any time during the 18-month supplemental-claim window (FL Statute 627.70132). If Citizens paid less than the actual cost to repair, a supplemental claim is the standard remedy.

What is Citizens' inspection deadline?▾

Under FL Statute 627.70131(5), Citizens must conduct an inspection within 14 days of receiving notice of loss. Citizens' internal target is 10 days. Document everything before any inspector arrives — they will document only what they choose to record.

What is Citizens' managed-repair program?▾

Citizens offers a 'managed repair program' on water-damage claims — they choose the contractor and pay them directly. Policyholders can opt out, but Citizens will then settle the claim on their own scope. A public adjuster can negotiate scope independently of the managed-repair contractor's estimate.

Does the 2022 SB 2A reform affect Citizens claims?▾

Yes. SB 2A (Dec 16, 2022) eliminated one-way attorney fees in Florida property insurance disputes, shortened the new-claim window to 1 year, and added mandatory pre-suit notice requirements. The result: more claims now resolve through public adjusters and the appraisal process rather than litigation.

What if Citizens 'depopulates' my policy mid-claim?▾

Citizens depopulation transfers policies to private carriers. If a covered loss occurred under Citizens but the policy was transferred before settlement, the original Citizens policy still applies to that loss. Don't let a transfer letter intimidate you — the contract that was in force at the date of loss governs.

Can a public adjuster invoke appraisal on a Citizens claim?▾

Yes — Citizens policies contain a standard appraisal clause. When the carrier and policyholder disagree on amount of loss (not coverage), either side can demand appraisal. Each side picks an appraiser; the two appraisers pick a neutral umpire. The umpire's signed award is binding on amount.

How much does it cost to hire a public adjuster for a Citizens claim?▾

Contingency 10–20% of the additional recovery — capped at 10% in year one for declared-emergency claims (FL Statute 626.854(11)). No upfront fees. No fee if there's no recovery.

Free Citizens Claim Review

Send us your policy + denial letter. We'll tell you honestly whether you have a supplemental, reopened, or appraisal claim worth pursuing — and what it's likely worth.