ChecklistGeneral Claims·Intake phase
12 min execution

First 48 Hours After Carrier Estimate Checklist

Hour-by-hour intake checklist for the first 48 hours after receiving a carrier estimate — catalog the file, validate scope against field conditions, assign owners, and open supplement gaps before production absorbs unpaid work.

Claims Ninja Operations

Purpose

Establish a repeatable 48-hour intake window so every carrier estimate is reviewed, documented, and routed before crews commit to scope the carrier never approved. This checklist prevents silent margin loss on under-scoped files.

When to use

  • A carrier estimate arrives — PDF, Xactimate export, or adjuster email

    Signal: Estimate received timestamp in CRM or email inbox

  • Production is scheduled within 72 hours of estimate receipt

    Signal: Work order or mobilization date on calendar

  • The homeowner signed based on carrier numbers before field validation

    Signal: Contract signed with carrier ACV or RCV as budget reference

  • Storm volume creates backlog and files sit unreviewed

    Signal: Estimate age exceeds 24 hours without assigned review owner

Required documentation

  • Carrier estimate (PDF or Xactimate)

    Confirm claim number, date of loss, price list date, and deductible on cover page.

  • Policy declarations page or coverage summary

    Verify RCV vs ACV, endorsements, and deductible type before scope discussions.

  • Intake photo set from site visit or pre-production walk

    Minimum: four elevations, affected rooms, damage detail, and access conditions.

  • Field scope notes or internal estimate draft

    Room list, measurements, material grades, and trade breakdown from PM or estimator.

  • Adjuster and homeowner contact log

    Name, phone, email, and carrier file number for every party on the claim.

  • Gap list started in CRM or shared tracker

    Running list of missing line items, quantity disputes, and code-driven scope.

Quality gates

  • Review owner and field owner assigned within 4 hours of estimate receipt

  • Gap list exists with at least one validated item or explicit no-gap sign-off

  • Intake photo set uploaded and labeled before hour 36

  • Homeowner informed of pending supplement items before full production start

Execution checklist

  1. 1

    Hour 0–4: Catalog and assign ownership

    Office
    • Create or update the claim file in CRM with claim number, carrier, adjuster, and estimate receipt date.
    • Assign an estimate review owner and a field documentation owner — both names visible in the file.
    • Download the carrier estimate, note price list date, and flag if sketch or room list looks incomplete.
    • Send internal notification that the 48-hour review clock has started.

    Do not order long-lead materials or schedule full crew mobilization until Step 2 is complete.

  2. 2

    Hour 4–24: Compare estimate to field conditions

    Project Manager
    • Walk the carrier sketch or room list against actual site layout — note missing rooms, wrong dimensions, or omitted trades.
    • Compare line items to field photos: materials, quantities, access, and general conditions.
    • Document every gap with a photo reference and proposed line item or narrative note.
    • Confirm deductible, depreciation holdback, and mortgagee requirements with the homeowner.
  3. 3

    Hour 24–36: Capture missing documentation

    Field
    • Shoot labeled intake photos per documentation standards — room ID visible in every frame.
    • Record moisture readings, material samples, or code observations that the carrier estimate ignored.
    • Upload photos and notes to the shared claim folder the same business day.
    • Flag any safety or stabilization work already performed without carrier authorization.
  4. 4

    Hour 36–48: Route gaps and set production guardrails

    Office
    • Consolidate the gap list and classify each item: supplement-ready, needs re-inspection, or informational.
    • Route to supplement workflow if total gap value exceeds your internal threshold or affects production sequence.
    • Communicate scope boundaries to the homeowner in writing — what carrier approved vs. what is pending supplement.
    • Set a production hold or phased mobilization plan for high-risk gap categories (structural, code, multi-trade).

Common mistakes

  • Mobilizing full production on carrier numbers without field comparison

    Impact: Crews perform unpaid scope; supplement requests look retroactive and get denied.

    Correction: Hold or phase production until gap list is reviewed and homeowner acknowledges pending items.

  • Treating the carrier estimate as the contract budget

    Impact: Sales and production teams absorb margin when scope gaps surface mid-job.

    Correction: Use the carrier estimate as a draft — validate against field scope and internal estimate before commitment.

  • Delaying photo capture until supplement submission

    Impact: Evidence is stale, rooms are demoed, and adjusters cannot verify pre-existing conditions.

    Correction: Capture labeled intake photos within the first 24 hours on every file.

  • No written record of homeowner scope expectations

    Impact: Disputes over what was promised vs. what carrier approved damage trust and collections.

    Correction: Send a scope summary email listing carrier-approved work and items pending supplement review.

Supplement opportunities

  • Carrier sketch omits rooms or understates square footage

    Labeled room photos with tape measure or laser reading in frame; revised sketch overlay.

    Line item hint: Additional area calculations for flooring, drywall, paint, or mitigation scope.

  • General conditions missing — protection, debris, permits, supervision

    Site photos showing access constraints, occupied rooms, or permit-required work.

    Line item hint: Project management, debris removal, temporary protection, permit fees.

  • Material grade mismatch between field and carrier estimate

    Photos of existing materials with close-ups; manufacturer spec or like-kind justification.

    Line item hint: Upgrade line items or R&R for premium finishes the carrier priced as standard.

FAQ

Common questions

Quick answers related to this procedure.

Only phased or emergency work that is documented same-day. Hold full crew mobilization and long-lead material orders until the gap list is reviewed and the homeowner acknowledges items pending supplement.

Office catalogs the file and assigns owners within four hours. The project manager compares the carrier sketch to field conditions by hour 24. Field captures missing photos by hour 36. Supplement routing happens by hour 48.

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