Dolphin Claims

Ch 5 · Common Loss Types

Module 5.3

Fire Loss Playbook

Smoke and soot. ALE. The contents claim is half the recovery.

12 min read

What you'll learn

The 3-component fire claim. Smoke + soot reality. ALE for 12-24 months. Why contents often equals structural.


5.3.1 Fire claims have 3 components

ComponentTypical % of total
Fire damage (direct burn)30-40%
Smoke + soot damage30-40%
Water damage (firefighting)20-30%

Plus:

  • Contents (often equals structural)
  • ALE (12-24 months for major fires)
  • Mitigation (board-up, tarping, demolition)

A "fire claim" is really 3 claims rolled together. Don't undersell any component.


5.3.2 The fire claim workflow

Day 1-3: Safety + mitigation

  • Fire department clearance — do not enter unsafe structure
  • Board-up service (boards, plywood, fence)
  • Tarp roof
  • Secure utilities (gas, electric)
  • Document everything before any cleanup

Day 1-7: Documentation

  • Notice carrier in writing
  • Comprehensive photo / video documentation
  • Police + fire reports
  • Cause-and-origin determination
  • Fire marshal report
  • ALE arranged immediately

Day 7-30: Initial inspection

  • Carrier sends adjuster + cause-and-origin expert
  • Your contractor + IICRC inspector + cause-and-origin expert present
  • Independent estimate prepared
  • Contents inventory begun

Day 30-90: Negotiation

  • Carrier issues estimate
  • Your independent estimate ready
  • Mitigation reimbursement demanded
  • Contents inventory finalized
  • ALE ongoing
  • Specific rebuttal

Day 90-365: Reconstruction

  • Demo phase
  • Reconstruction estimates
  • Multiple progress payments
  • Recoverable depreciation tracking
  • Final closeout

5.3.3 Smoke + soot — the hidden multiplier

The problem

Smoke + soot:

  • Penetrates everything (walls, ceilings, contents, HVAC)
  • Persistent odor
  • Health hazard (especially synthetic burns)
  • Requires specialized cleaning

Required scope

ItemTreatment
HVAC systemFull duct cleaning + filter replacement
Walls + ceilingsWash + odor seal + repaint
CarpetsReplace (cannot be cleaned)
HardwoodSand + refinish OR replace
CabinetsWash + treat or replace
Soft contents (clothing, fabrics)Specialty cleaning OR replace
Hard contentsWash, treat, ozone
InsulationReplace
Whole-house ozone treatmentOften required

Common gaps

  • HVAC undertreated
  • Insulation not replaced
  • Wall washing done, sealing not (odor returns)
  • Contents cleaning insufficient

5.3.4 Water damage from firefighting

Firefighters use thousands of gallons. Water damage component often equals fire damage in cost.

Treatment

  • Standard water mitigation (extraction, drying, dehumidification)
  • IICRC S500 protocol
  • Mold prevention
  • Subfloor + insulation removal
  • Contents drying / replacement

Strategy

Bill water damage component separately from fire. Don't let carrier roll into single low number. 3 distinct mitigation invoices = 3 distinct reimbursements.


5.3.5 Cause-and-origin disputes

What happens

Carrier sends investigator (often O'Connor, JS Held, or similar). Looks for:

  • Arson (intentional)
  • Owner negligence (smoking in bed)
  • Pre-existing condition
  • Excluded cause (e.g., war, nuclear)

If they suspect arson

  • Carrier issues Reservation of Rights
  • Demands EUO
  • Investigates owner finances, history
  • Hires forensic experts

Counter

Hire your own cause-and-origin expert immediately. Public investigator (often retired fire marshal) writes independent report.

Document

  • Time stamps of fire
  • Witness statements
  • 911 calls
  • Police + fire reports
  • Owner whereabouts at time of fire
  • Smoke detector / alarm logs

Never let a fire claim ride without your own expert. Carrier's narrative becomes the case unless you counter.


5.3.6 Contents — the parallel claim

Fire contents claims often equal or exceed structural claims.

Categories

TypeTypical $Considerations
Soft contents (clothing, bedding, towels)$5K-$50KReplace, not clean for major smoke
Furniture$20K-$200KItem-by-item value
Electronics$5K-$100KComputers, TVs, appliances
Kitchenware + glass$5K-$30KOften heat damage
Books, photos, mementosVariableSome irreplaceable
Jewelry / valuablesSub-limit trapsSchedule separately
Outdoor / pool / garage$5K-$50KOften missed

Process

  1. Pre-loss baseline — credit card history, photos, lifestyle inferences
  2. Item-by-item inventory — every category
  3. Pricing source — current retail, scheduled property, receipts
  4. Sub-limit verification — jewelry, art, electronics may have caps
  5. Documentation — photos before disposal, receipts after replacement

5.3.7 ALE — Additional Living Expenses

Major fire = 12-24 months out of home.

Coverage

  • Hotel / rental during reconstruction
  • Furniture rental
  • Increased food costs
  • Pet boarding
  • Storage units
  • Mileage to home for cleanup

Strategy

  • Begin ALE Day 1 — do not wait
  • Document expenses — receipts, mileage logs
  • Bill monthly — don't wait until end
  • Sub-limit awareness — typically 24 months OR 20% of dwelling
  • Extend if needed — most policies allow extension if delay caused by carrier

Common gaps

  • Mileage not claimed
  • Storage rent not claimed
  • Increased meal costs not tracked
  • Pet costs missed
  • Furniture rental not in plan

5.3.8 Mitigation reimbursement

Fire mitigation is intensive:

ItemTypical $
Board-up + fence$1K-$10K
Tarp roof$500-$5K
Secure utilities$500-$2K
Initial demolition$5K-$50K
Disposal$2K-$20K
Antimicrobial / odor treatment$2K-$15K
Equipment rental$5K-$30K
Total mitigation typical$15K-$130K

Document + bill all. Most carriers underpay.


5.3.9 Code upgrades — substantial in fire

Major fire = full reconstruction = current code requirements:

  • Sprinklers (where required)
  • Smoke detectors / hardwired
  • Electrical (current code)
  • Plumbing (current code)
  • Insulation (R-value upgrades)
  • Roofing (current code)
  • Hurricane straps (now typically required)
  • Energy efficiency (windows, HVAC)

O&L coverage activates here. Substantial — often $10K-$100K+.


5.3.10 Common scope items missed

  • HVAC ductwork cleaning + replacement
  • Insulation in attic + walls
  • Subfloor under burned areas
  • Stair stringers (structural)
  • Roof decking
  • Whole-house odor treatment
  • Code upgrades
  • Pool / pool equipment
  • Detached structures
  • Landscape damage from heat / firefighting
  • Electrical / mechanical full system check
  • Asbestos / lead testing if older home
  • Contents pre-disposal photos

5.3.11 Carrier tactics + counters

Carrier tacticCounter
"Cause uncertain"Independent expert report
"Owner negligent"Counter-investigation, attorney
"Smoke can be cleaned, not replaced"Heavy soot + contamination evidence
"Single contract for everything"3-component breakdown — fire, smoke, water
"Contents under-documented"Pre-loss baseline + thorough inventory
"ALE is generous, no extension"Reconstruction reality, document delay
"Code upgrades not covered"O&L coverage clause

5.3.12 Action steps

  1. Day 1: Safety + board-up + cause-and-origin documentation.
  2. Day 1-7: Independent expert hired before carrier's locks in narrative.
  3. Day 1-30: Comprehensive scope w/ 3 components priced separately.
  4. Day 30-90: Contents inventory + ALE + mitigation invoicing.
  5. Day 90-180: Negotiation + reconstruction.
  6. Day 180+: Final closeout w/ recoverable depreciation.
  7. Multiple components — never let carrier roll into single low number.

Next module: 5.4 Hail Loss Playbook.


Educational. Not legal advice. Specific fire claim handling consults licensed FL professionals.

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