Dolphin Claims

Ch 5 · Documenting and Pricing the Loss

Module 5.1

Building Your Scope of Damage

The list that drives the entire claim. Room-by-room template. Why bad scope = bad estimate, even with perfect pricing.

12 min read

What you'll learn

The list that drives the entire claim. Room-by-room, item-by-item, surface-by-surface. The format adjusters use. Why a bad scope produces a bad number — even with a perfect estimate.


5.1.1 What scope is

Scope of damage = the comprehensive list of every damaged item, surface, and system that needs repair or replacement.

Not the cost. Not the price. Just the list.

A scope answers: what is damaged + what does it take to make it whole again?

The estimate (Module 5.2) takes the scope + applies pricing. Bad scope = bad estimate, regardless of how nicely the spreadsheet is formatted.


5.1.2 Why scope matters more than pricing

Carrier estimates often look professional + detailed. They're typically Xactimate documents w/ clean line items + reasonable unit prices.

Where they go wrong is scope.

Common scope failures in carrier estimates:

  • Missing rooms ("only the bathroom is damaged" — ignoring water that traveled into adjacent walls)
  • Missing surfaces (drywall replaced but not paint; tile replaced but not subfloor)
  • Missing systems (ceiling fans, light fixtures, smoke detectors, HVAC components affected by water)
  • Missing contents (furniture, electronics, soft goods damaged by water/smoke)
  • Missing code upgrades (covered in 2.6)
  • Missing mitigation (carrier estimates often lump mitigation into demolition lines or omit entirely)

The scope is your responsibility to build completely. The carrier's incentive is the minimum defensible scope. Yours is the comprehensive one.


5.1.3 The room-by-room walkthrough

Stand in each affected room. Walk through systematically. For every room:

The 6 categories to scope

CategoryWhat to inspect
CeilingDrywall, paint, popcorn texture, crown molding, light fixtures, ceiling fans, smoke detectors, HVAC vents
Walls (4 of them)Drywall, paint, baseboards, trim, doors, windows, switches, outlets, art, mirrors
FloorFlooring, subfloor, transitions, thresholds, area rugs, carpet pad
Built-insCabinets, shelving, vanities, countertops, plumbing fixtures, hardware
MechanicalHVAC ducts, water lines, electrical, gas lines (if applicable), wired smoke/CO detectors
ContentsFurniture, electronics, clothing, kitchenware, hobby items, etc. (Coverage C)

For each: what's damaged, what level of repair (clean / repair / replace), and where applicable, why (causation, especially if disputed).

Don't forget

  • Adjacent rooms that may have moisture migration
  • Wall cavities behind drywall (mold check)
  • Insulation above ceiling
  • Subfloor under flooring
  • Crawl space / attic if accessible
  • Exterior walls facing storm direction (after wind events)

5.1.4 The scope template

Use a spreadsheet. Each row = one scope line.

RoomSurface/SystemItemDamage TypeRepair LevelNotes
Master BathFloorTile flooring (~150 sqft)WaterR&RMatch to LR/Hall — see matching statute
Master BathWall — NDrywallWaterR&RLower 4 ft
Master BathCeilingDrywallWaterR&RFull ceiling
Master BathBuilt-inVanity cabinetWaterR&R60" — replace
Master BathBuilt-inVanity countertopWaterR&RGranite — replace
Master BathMechanicalCeiling fanWaterReplaceHard-wired
Master BathElectricalGFCI outlets (2)WaterReplace
LRFloorTile flooring (~400 sqft)Water (line of sight)R&RMatching statute — must replace continuous flooring even outside damaged area
LRWall — SBaseboardsWaterR&RAll baseboards on south wall
LRContentsSofaWaterTotal lossCoverage C
LRContentsCoffee tableWaterTotal lossCoverage C

Repair levels: Clean / Repair / R&R (Remove and Replace) / Replace.

Make this in Google Sheets. Share with your contractor. They use the same row structure to provide pricing in the next column.


5.1.5 Causation — sometimes part of scope

If causation is disputed (storm vs wear, sudden vs gradual), include it in the scope notes.

Example:

RoomItemDamageCausation Notes
RoofShingles, slope SEWind tear-offNWS confirmed 80mph wind gusts on [date]. Shingles consistent w/ wind damage, not age. Independent roofer report attached.

This builds the case in your scope before the dispute happens.


5.1.6 The Florida matching statute angle

§ 626.9744 — when a covered loss requires replacement and the replacement won't reasonably match adjacent material, the carrier must replace material as needed for reasonably uniform appearance within the same line of sight.

Common applications:

  • Tile flooring — damaged in master bath, but flooring continues into LR/hall in same line of sight → entire flooring run gets replaced
  • Cabinets — one damaged cabinet, but kitchen cabinets in line of sight don't match → full kitchen
  • Siding — wind damages 30% of one side, no match available → entire side
  • Drywall texture — patchwork repair won't match → may require full ceiling/wall

Note: roof matching has been narrowed by recent reforms. Verify current law against your specific date of loss.

When invoking matching: scope it explicitly. "Tile flooring continuous from master bath through hallway into LR — 850 sqft total, all in one line of sight, replacement under FL § 626.9744."


5.1.7 Scope mistakes that cost real money

MistakeCost
Stopping at the visible damageHidden moisture, mold, structural issues missed
Forgetting fixtures, fans, smoke detectors$1K-$5K per affected room
Forgetting baseboards + trim5–15% of room cost
Forgetting paint to matchRepaired drywall + old paint = visible patches
Forgetting subfloor under wet flooringSubfloor often costs more than the surface
Not invoking matching statuteAdjacent flooring/cabinetry left mismatched
Not scoping contentsCoverage C completely under-claimed
Not scoping ALECoverage D under-claimed

5.1.8 Building scope from photos

Sometimes you scope after mitigation (drywall already torn out, contents already discarded).

Use your photos (Module 3.2) to reconstruct.

For each photograph:

  • What room
  • What surface/item
  • What level of damage visible
  • What repair level needed

Match to the scope template. The photo becomes evidence for each scope line.


5.1.9 Working with a contractor on scope

Hire a contractor experienced w/ insurance claims (not just construction).

Their job in the scoping phase:

  • Walk every room with you
  • Identify damage you may have missed
  • Note structural / mechanical implications
  • Provide an itemized scope w/ pricing in Xactimate format
  • Identify code-required upgrades

What they should NOT do:

  • Sign an Assignment of Benefits w/ the carrier (post-2023 reform anyway)
  • Do work before carrier inspection (unless emergency mitigation)
  • Negotiate the claim on your behalf (that's a PA — their license type)

5.1.10 Action steps

  1. Build the scope template in Google Sheets today (even pre-loss).
  2. The day of a loss: walk every room, fill the template before any cleanup beyond emergency mitigation.
  3. Photograph every scope line.
  4. Apply the matching statute where appropriate.
  5. Share scope w/ your contractor → they fill in pricing → that's your independent estimate.

Next: 5.2 Xactimate Basics for Homeowners.


Educational. Not legal advice. Florida matching statute (§ 626.9744) language and case law continue to evolve. Verify current rule before relying on a specific application.

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