Dolphin Claims

Ch 6 · Reading the Carrier's Estimate

Module 6.6

Writing a Rebuttal That Gets Results

The 6-section format. Tone + statute citations. Evidence stacking. The sentence that stops most lowballs cold.

12 min read

What you'll learn

The rebuttal letter that turns "no" into "yes." Format. Tone. Evidence stacking. The 6-section template every effective rebuttal uses. The sentence that stops most lowballs cold.


6.6.1 What a rebuttal is

A rebuttal letter is your formal written response to the carrier's estimate, identifying every disagreement, with evidence + calculations.

Goal: get the carrier to revise their estimate upward without going to appraisal, mediation, or litigation.

A good rebuttal succeeds 70-80% of the time. The carrier usually meets you somewhere between their original number and yours.


6.6.2 The 6-section format

Every effective rebuttal has these sections:

#SectionPurpose
1Introduction + claim #Identify yourself + the claim
2Statement of the disputeWhat you disagree with
3Scope rebuttalMissing items + math
4Pricing rebuttalUnderpriced items + comparable data
5Depreciation + O&P rebuttalCalculation errors + applicable adjustments
6Demand + deadlineSpecific revised number + response timeline

Plus appendices: photos, contractor quotes, expert reports, statute citations.


6.6.3 The template

[Date]

[Carrier Name]
[Claims Address]

Re: Rebuttal to Estimate
Policy Number: [#]
Claim Number: [#]
Insured Name: [Your Name]
Property Address: [Address]
Date of Loss: [Date]

Dear [Adjuster Name / Claims Department]:

I have received and reviewed the carrier's estimate dated [date]
for the above-referenced claim. After careful review, I respectfully
disagree with several elements of the estimate. This letter
constitutes my written rebuttal pursuant to my rights as a
policyholder under my policy and Florida Statutes.

I. STATEMENT OF DISPUTE

The carrier's estimate dated [date] totals [$ original amount].
Based on my independent inspection, contractor estimates, and
applicable Florida law, the appropriate replacement cost value
of the loss is [$ proposed amount]. The differences are
detailed below.

II. SCOPE REBUTTAL

The carrier's estimate omits or under-quantifies the following
items:

[Itemized list — one row per missing/under-quantified line]

| Room | Item | Carrier qty | Correct qty | Reason |
|------|------|-------------|-------------|--------|
| [Master Bath] | [Drywall] | [80 sf] | [120 sf] | [photos show wider damage area] |
...

Total scope rebuttal: [$ amount]
Supporting documentation: Exhibits A-[X]

III. PRICING REBUTTAL

The carrier's unit pricing on [N] line items is materially below
FL market and FLMI database averages. The following revisions are
warranted:

[Itemized list — line, carrier price, market price, difference]

Total pricing rebuttal: [$ amount]
Supporting documentation: Exhibits [Y-Z]

IV. OVERHEAD AND PROFIT (O&P)

The repair involves [N] trades: [list]. Per industry standard,
General Contractor coordination is reasonably required, and
Overhead + Profit (10% + 10% = 20%) should be added.

O&P adjustment: [$ amount]

V. DEPRECIATION

The carrier's depreciation calculation contains the following
errors:

[List — line, carrier depr %, correct depr %, reason]

Total depreciation correction: [$ amount]

VI. DEMAND

Based on the foregoing, the corrected RCV is [$ amount], an
increase of [$ amount] over the carrier's estimate.

I respectfully request the carrier issue a revised estimate
reflecting the corrections above within fifteen (15) business
days of this letter. If a revised estimate is not received by
[date], I will pursue the additional remedies available under my
policy and Florida law, including but not limited to formal
appraisal, DFS mediation, civil remedy notice, and litigation.

I am committed to a good-faith resolution and remain available
to discuss any of the items above.

Sincerely,

[Your Signature]
[Your Printed Name]
[Date]
[Your Phone]
[Your Email]

Attachments:
- Exhibit A: [scope photos]
- Exhibit B: [contractor estimate(s)]
- Exhibit C: [FLMI pricing data]
- Exhibit D: [expert reports]
- Exhibit E: [building department code letter]
- ...

6.6.4 Tone — professional, firm, evidence-based

The best rebuttals never argue. They state, cite, and document.

Wrong toneRight tone
"Your estimate is a complete joke.""The estimate omits the following items..."
"You guys always lowball.""Unit pricing for [item] is materially below FLMI database averages..."
"I'm going to sue you.""If unresolved, I'll pursue available remedies including [list]."
"This is unfair.""Per § 627.7142, I'm entitled to..."

Carriers respond to evidence + statute citations, not emotion.


6.6.5 The sentence that stops most lowballs

In your demand section, include a version of this:

"My contractor's estimate (Exhibit B), supported by FLMI database pricing (Exhibit C) and current Florida law, exceeds the carrier's estimate by [$X]. I am prepared to formally invoke appraisal under the policy's appraisal clause if a good-faith revision is not received."

This signals:

  1. You have independent evidence
  2. You know about appraisal
  3. You're not bluffing about escalation
  4. You're not settling at the carrier's number

90%+ of professional adjusters know that appraisal results in higher numbers than initial estimates. The threat alone often produces movement.


6.6.6 Citing statutes effectively

Cite specific statutes, not generic references.

IssueStatute
Carrier missed acknowledgment deadline§ 627.70131(1)
Carrier missed coverage decision deadline§ 627.7142
Carrier missed pay/deny deadline§ 627.70131(7)
Matching dispute§ 626.9744
Pre-suit notice / litigation prep§ 627.70152
Bad-faith setup§ 624.155
Unfair claims practice§ 626.9541

Citations show the adjuster and (more importantly) their supervisor that you know the rules. Substantive references > tone.


6.6.7 Evidence packet — what to attach

Every claim that you make needs an exhibit:

ClaimExhibit
Missing scopePhotos showing the missing damage
Wrong quantityMeasurement photos / contractor measurements
UnderpricedContractor quotes + FLMI pricing
Wrong material gradePhotos of original material + manufacturer documentation
Improper depreciationUseful-life industry references + manufacturer warranty
Missing O&PList of trades involved + industry references
Code-required upgradeBuilding dept letter + FBC citation
Matching neededPhotos showing line of sight + manufacturer discontinuation letter

Index every exhibit. Reference each in the rebuttal body.


6.6.8 Submitting the rebuttal

MethodWhy
Carrier portal uploadDate-stamped, ingested into claim file
Email w/ read receiptDocumented delivery
Certified mailBelt-and-suspenders for high-stakes claims

Best practice: all 3 simultaneously. Maximum certainty of receipt.

Subject line: "Rebuttal — Claim # [X] — Policy # [Y]"


6.6.9 What to expect

OutcomeLikelihoodNext step
Full agreement to revisionsRare (~10%)Accept, complete repairs, recover depreciation
Partial revision (meet in middle)Most common (~60%)Decide: accept, or further escalate
Reinspection requested by carrierCommon (~20%)Attend; reinforce rebuttal points
Outright denial of rebuttalLess common (~10%)Appraisal, mediation, or litigation

If carrier ignores or rejects: that's when Module 7 — When Carrier Pushes Back kicks in.


6.6.10 The follow-up

Carriers blow rebuttal response deadlines. When they do:

Subject: Follow-up — Rebuttal — Claim # [X]

Pursuant to my rebuttal letter dated [date], a revised estimate
was requested by [deadline]. As of [today], no revised estimate
has been received.

Pursuant to § 627.70131(7), the carrier remains under deadline
to pay or deny the claim. Statutory interest continues to accrue
on unpaid amounts.

Please provide a revised estimate or written explanation by
[5-7 business days from today's date] or I will proceed to next
steps.

If still ignored: Civil Remedy Notice territory. Detail in Module 7.6.


6.6.11 Action steps

  1. Build your rebuttal using the 6-section format (6.6.3).
  2. Index every exhibit + reference in the body.
  3. Cite specific statutes for any timing/conduct issues.
  4. Submit via portal + email + certified mail simultaneously.
  5. Calendar a follow-up date (15 business days).
  6. If no response by deadline: send follow-up + escalate.

Chapter 6 complete. Next: 7.1 Lowball Offers.


Educational. Not legal advice. Specific rebuttal practices vary by claim type and jurisdiction. Verify any cited statute against current Florida Statutes. Consider consulting a licensed Florida public adjuster or attorney for high-stakes claims.

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