Estimate gap
Insurance estimate is lower than my contractor's estimate
Here's what it usually means, and what to do about it.
You're not alone in this. On most hail, wind, and water claims we handle in North Texas, the contractor's bid comes in materially higher than the insurance company's estimate. That gap is almost never random — it usually traces back to one of four things — and the right fix depends on which one you're dealing with.
Why the dispute happens
Insurance companies price claims out of estimating software using a regional pricing database that updates on the carrier's schedule, not the market's. Contractors price from real supplier quotes, current labor rates, and the way the repair will actually be sequenced on your property. In an active loss market — the last two years of DFW hail and freeze events, for example — those two numbers can be weeks or months apart on materials alone.
The gap almost always breaks down into four categories. Figuring out which one is driving your number matters more than arguing about the total:
- Scope. The insurance estimate is missing line items the repair actually requires: tear-off, decking, underlayment, drip edge, flashing, soft metals, interior water damage, or code-required work.
- Price. Same line items on both estimates, but the insurance company's unit prices are trailing the market. This is the smallest gap and often the hardest to move without documentation.
- Code and matching. Texas building code, local ordinances, and matching provisions (siding, shingles, tile) can add significant cost that the initial estimate ignored.
- Depreciation. The first check is often actual cash value (ACV) — replacement cost minus depreciation. The recoverable portion is held back until the work is done and invoiced. That gap isn't a dispute; it's a paperwork step. But it looks like a shortfall on paper.
What to check before doing anything
Before you sign a release, cash a final-payment check, or send the contractor's bid to the insurance company hoping they'll match it, work through this list:
- Was the settlement ACV or RCV? If it's ACV, how much recoverable depreciation is being held back, and what triggers its release?
- Line-item comparison: which items from the contractor's bid don't appear on the insurance company's scope at all?
- Code items: did the estimate include everything current IRC and your local jurisdiction require on a repair of this size?
- Matching: if only some slopes, some sides of siding, or some rooms of flooring were approved, is the rest of the property being left as a visible mismatch?
- Overhead and profit: on losses that require three or more trades, most Texas carriers owe general contractor overhead and profit. Was it included?
- Waste, dumpster fees, permits, protection: small line items that add up on a real job. Are they there?
- Hidden damage: was any additional damage found on tear-off or demo that hasn't been reported yet?
- Deadlines: your policy has a proof-of-loss window and a supplement window. Know where you are in both before you accept anything as final.
When a public adjuster may help — and when it won't
Honest read: a public adjuster adds value when the gap is meaningful and driven by scope, code, depreciation, or documentation. When the gap is purely a few hundred dollars of unit-price difference on identical scope, we usually tell homeowners to save the fee and let the contractor negotiate directly.
Where representation earns its keep:
- The gap is several thousand dollars or more and includes missing scope, code items, or matching.
- You submitted a supplement or reinspection request and the insurance company is not responding.
- An engineer's report came back and it contradicts what your contractor is seeing on the property.
- You feel pressure to accept the check now, and you can't tell what you'd be giving up if you did.
- The claim is still within its statutory window, so a supplement is still possible.
What Frost Property Loss Advisors does about it
Every engagement starts with diagnosis. We read your policy, the insurance company's estimate, the contractor's bid, and any correspondence, and we tell you which of the four categories above is actually driving the gap. That determines the path — a supplement, a reinspection, appraisal, or a call to an attorney — and we're honest when the answer is 'you don't need a public adjuster here.'
- Independent inspection with photo documentation, coordinated with your contractor.
- Line-item estimate in the insurance company's own estimating platform, so nothing gets lost in translation.
- Supplemental submission with policy citations, code references, and backup documentation.
- On-site meeting with the reinspection adjuster or engineer, with your contractor present.
- Negotiation through supplement, reinspection, or appraisal as appropriate — including serving as your appraiser under the appraisal clause when the dispute is purely amount-of-loss.
- Contingency fee, capped at 10% of claim proceeds per Texas Insurance Code, agreed in writing before any work begins.
Related questions
- Can I just send my contractor's estimate to the insurance company?
- You can, and you should keep your contractor and the carrier in sync. But a bid on its own rarely moves the number. What moves it is policy language, code citations, matching provisions, and the specific line-item backup that shows the insurance company why the scope has to change.
- Does the insurance company have to match my contractor's estimate?
- No. The insurance company owes what the policy owes, which is not always the highest bid on the table. But it's also not what a field adjuster wrote in fifteen minutes if real scope, code, or matching was missed.
- Will my rates go up if I hire a public adjuster?
- No. Texas law prohibits insurers from non-renewing or surcharging a policy because a homeowner exercised their right to representation.
- What if I already cashed the first check?
- Cashing a partial-payment check almost never closes the claim. Cashing a check marked 'final payment' or signing a release is different — and that's the moment where we tell most homeowners to stop and get a second read before signing anything.
Not sure which of these you're in?
Send us the estimate, denial letter, or the situation in your own words. We'll respond within one business day with an honest read — including whether you need a public adjuster at all.
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