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First Notice of Loss: What to Do in the First 72 Hours
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A restaurant owner in a mid-sized Ontario city arrived to find her establishment heavily damaged by fire that had started overnight in the kitchen exhaust system, destroying the kitchen and leaving the dining area with significant smoke and water damage. The restaurant had operated for 11 years under a commercial lease, and the owner held a policy with $850,000 in property coverage and $300,000 in business interruption coverage through a national insurer. In the hours following the fire, she permitted a restoration contractor to begin emergency work before notifying her insurer, signed an authorization allowing the contractor to communicate directly with the insurance company, provided a recorded statement within 36 hours without reviewing her policy, and disposed of spoiled food inventory before it could be documented. The insurer acknowledged the claim but reserved rights pending investigation, citing concerns about the sequence of events and available documentation.

Selecting and Working With a Public Adjuster: When It Makes Sense and When It Doesn't

The aftermath of a significant insurance claim can overwhelm even the most sophisticated policyholders. Business owners facing substantial property damage, homeowners confronting catastrophic losses, and risk managers navigating complex commercial claims often find themselves at a disadvantage when negotiating with insurance company representatives. This reality has given rise to a distinct category of claims professional in Canada: the public adjuster, sometimes called an independent adjuster working on behalf of the insured rather than the insurer. Understanding when engaging a public adjuster makes strategic sense, and equally important, when it does not, represents essential knowledge for anyone involved in the claims process during those critical first seventy-two hours following a loss.

Public adjusters occupy a unique position within the Canadian insurance ecosystem. Unlike company adjusters who work directly for insurers or independent adjusters contracted by insurance companies to investigate and settle claims on their behalf, public adjusters are retained by and represent the interests of policyholders. Their role involves preparing, presenting, and negotiating insurance claims exclusively on behalf of the insured party. This advocacy function distinguishes them fundamentally from other claims professionals, creating both opportunities and obligations that require careful consideration before engagement.

The regulatory framework governing public adjusters varies considerably across Canadian jurisdictions, reflecting the provincial nature of insurance regulation in this country. In British Columbia, public adjusters must hold a valid licence issued by the Insurance Council of British Columbia under the authority of the Financial Institutions Act, with specific educational requirements and examination standards that applicants must satisfy. Alberta's approach under the Alberta Insurance Act requires public adjusters to obtain licensing through the Alberta Insurance Council, with the legislation explicitly recognizing this category of insurance intermediary and establishing conduct requirements. Saskatchewan maintains similar licensing provisions through the Insurance Act and oversight by the Insurance Councils of Saskatchewan. Ontario's regulatory structure, governed by the Insurance Act and administered by the Financial Services Regulatory Authority of Ontario, imposes licensing requirements and professional standards on public adjusters operating within that province. Quebec's civil law framework under the Civil Code of Quebec and the Act respecting the distribution of financial products and services creates a distinct regulatory environment, where claims adjusters, including those acting for insureds, must comply with certification requirements overseen by the Autorité des marchés financiers. As of the date of authorship, Manitoba, New Brunswick, Nova Scotia, and other provinces maintain their own licensing frameworks, generally requiring registration or licensing for anyone holding themselves out as adjusters, regardless of which party they represent.

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