The Claims Ninja

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2nd Inspection/Estimate Rule

Fee recalculation when carrier reinspection exceeds TCN estimate.

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If insurance sends another adjuster and their revised estimate exceeds TCN estimate, CM only gets minimum estimate fee. Negotiation invoices based on 2nd insurance amount as initial carrier estimate.

Example: Carrier $5K → TCN $10K → Carrier 2nd $20K (min est fee) → Settlement $25K (15% of $5K increase above $20K).

If we initiated reinspection, business as usual.