What Adjusters Actually Look For — The Evidence Checklist
Most underpaid roof claims aren’t “personal.” They’re procedural. The field visit may capture photos, but the final decision is made by the insurance company—often by a desk reviewer who approves only what they can verify from the file.
The short truth
A roof claim is won when your documentation survives third-party review. That means: clear photos, clear orientation, measurable proof, and a scope that matches the evidence. Your goal is not to “convince” anyone—it’s to build a file that stands on its own.
How claim decisions are actually made (Georgia roof claims)
A common surprise: the person who comes to your house is not always the person who decides your scope. In many claims, the field visit captures photos and measurements, and the carrier makes the final decision after review.
Step 1: A field visit captures what can be documented
Photos, test areas, collateral impacts (soft metals), measurements, slope/facet context, and notes. If it’s not captured clearly, it becomes hard to approve later.
Step 2: A desk reviewer validates the file (often the decision point)
The desk reviewer compares the evidence to the reported date of loss and determines what’s supported. This is why independently verifiable documentation is so important.
Step 3: The carrier issues coverage + scope based on what’s verifiable
Even if damage exists, underpayment happens when the scope misses required items or the file can’t support roof-wide pattern, repairability limits, or system requirements.
Field adjuster vs ladder assist vs third-party inspection
On a roof claim, the “adjuster” at your home could be a carrier-employed field adjuster, an independent adjuster, or a third-party inspection/ladder assist service capturing documentation for the carrier.
Carrier field adjuster / independent adjuster
Typically documents damage, measurements, and scope-relevant items. Some can write the estimate, but final scope may still be reviewed by the carrier.
field visitLadder assist / third-party inspection
Often focuses on collecting photos, measurements, and observations. Some homeowners see vendors used in the industry (for example, services like Seek Now), but the key point is this: the carrier uses the submitted photos/notes to make the decision.
documentation captureWhere roof claim estimates come from (Xactimate and similar systems)
Most insurance roof estimates are built in Xactimate or another estimating platform that uses: line items (materials/labor), measurements, and local pricing databases. The estimate amount is not “a guess”—it is the sum of what the file supports.
| What drives the estimate | What the reviewer needs to see | Common underpayment trigger |
|---|---|---|
| Measurements (squares, slopes, facets) | Clear facet identification + accurate takeoff | Wrong slopes, missing facets, low waste |
| Line items (components + labor) | Photos proving what exists and what’s damaged | Missing accessories, flashings, ventilation items |
| Pricing (local database) | Correct region + date pricing | Outdated pricing or wrong settings |
| Justification (why items are required) | Repairability proof + system requirements + documentation | “Needs it” stated without evidence |
What adjusters verify (what they’re trained to look for)
| What they verify | What strong evidence looks like | Why it matters |
|---|---|---|
| Cause signature hail / wind / impact |
Repeatable photos showing consistent damage type across multiple locations and facets. | Separates storm damage from wear, mechanical, or installation issues. |
| Consistency & pattern density + distribution |
Multiple test areas with documented density and orientation (not isolated “best hits”). | One photo can be argued. A pattern across the roof is harder to dismiss. |
| Collateral impacts soft metals |
Documented impacts to vents, caps, gutters, downspouts, flashing, and other soft metals. | Corroborates storm intensity and supports causation. |
| Roof system & components assembly |
Photos showing ventilation, layers, edges, penetrations, flashings, and accessories. | Scope accuracy depends on knowing what’s installed. |
| Repairability & match spot repair vs replace |
Photos/notes showing match limits, brittleness, discontinuation, or manufacturer constraints. | “Repair only” is common—until repairability is disproven with evidence. |
| Interior symptoms leaks / staining |
Stains, attic moisture, wet decking/insulation + timing notes without guessing. | Supports urgency and shows functional impact when documented correctly. |
| Scope logic line-items |
Scope that mirrors the evidence: correct measurements, waste, accessories, and legitimate required items. | Even “approved” claims get underpaid when scope is incomplete. |
What helps you
Clear orientation. Multiple test areas. Collateral proof. Repairability documentation. A file that a desk reviewer can approve without being on the roof.
What creates friction
Random photos. No scale. No facet context. Unsupported conclusions. Scope numbers that don’t match the evidence.
What gets ignored (and why)
One “perfect” shingle photo
One photo doesn’t prove roof-wide distribution. It can be labeled isolated, old, mechanical, or inconclusive.
weak evidenceNo scale / no orientation
If no one can tell where the photo was taken or how large the mark is, it’s hard to verify.
verification gapGuessing about cause
Labeling damage without corroboration invites disputes. Keep statements factual; let the file prove cause.
avoidScope without system proof
Missing accessories, ventilation, flashings, or legitimate required items can mean “approved” but underpaid.
underpayment riskPhoto + documentation checklist (homeowner-friendly)
Use this to build an organized, desk-reviewable evidence set.
Exterior (roof + components)
- Front of home + all elevations (wide photos)
- Each roof slope/facet (wide + medium)
- Test areas on each slope (close-ups with scale)
- Ridge cap, hips, valleys, rakes, eaves
- Penetrations: vents, pipe boots, flashing
- Gutters/downspouts + soft metals (hail corroboration)
- Tree/limb impact points (wide + close)
Interior (facts only)
- Ceiling stains or bubbling paint (wide + close)
- Attic moisture, wet decking, damp insulation
- Room location photo (helps orientation)
- Timing notes: “noticed after storm on ___”
- Temporary mitigation photos (tarps, buckets)
How to name files (fast + clean)
Example: ALPHARETTA_GA_2026-01-ICESTORM_REAR-RIGHT_SLOPE_TESTAREA-2_CLOSE_SCALE.jpg
The goal is self-explanatory evidence that survives third-party review.
What to do on adjuster meeting day
Bring an organized evidence set
Not “here are some photos”—but “here are test areas by slope, collateral impacts, and repairability proof.”
Ask neutral questions
Examples: “What facets are you sampling?” “How are you documenting test areas?” “What would you need to verify roof-wide pattern?”
Keep the conversation factual
Facts are stable; opinions are negotiable. Your goal is a measurable, reviewable file.
Confirm what will be included in the scope
Underpayment often happens when scope omits components, accessories, or legitimate required items.
What not to say (and what to say instead)
Keep everything factual, time-anchored, and verifiable. Don’t label damage. Don’t guess dates. Don’t escalate. Build a file that stands on its own.
| Don’t say | Say this instead | Why |
|---|---|---|
| Avoid “It’s definitely hail.” | Better “We noticed symptoms after the storm on [date]. Here are test areas by slope and collateral impacts.” | Reduces causation disputes by relying on verifiable proof. |
| Avoid “The roof is destroyed.” | Better “Here are documented conditions by facet/slope with close-ups and scale.” | Measured evidence beats broad statements. |
| Avoid “We’ve had problems forever.” | Better “We first noticed [symptom] after the storm on [date]. Here are time-stamped photos.” | Long timelines can be framed as pre-existing. |
| Avoid “My roofer said you have to buy me a new roof.” | Better “We’re asking you to evaluate documented conditions. Here is the organized photo set by slope.” | Keeps discussion evidence-based, not positional. |
| Avoid “Just write it for replacement — it’s old anyway.” | Better “We want the scope to reflect what is verifiably damaged and what’s required to restore function.” | Avoids inviting exclusions or depreciation arguments. |
| Avoid “I don’t know… maybe it was last year?” | Better “The storm we’re referencing occurred around [date range]. These photos were taken [date].” | Anchors the timeline to what can be verified. |
| Avoid “If you don’t pay, I’ll sue.” | Better “If something is unclear, what additional evidence would help you verify coverage and scope?” | Evidence requests keep the file moving; threats stall it. |
| Avoid “My neighbor got a free roof.” | Better “We’re focusing on documented conditions on this property and what’s required to restore it properly.” | Other claims are not comparable; your file must stand on its own. |
| Avoid “Can you just include gutters too?” | Better “Here are documented impacts to gutters/soft metals with close-ups and scale.” | Line items get included when evidence supports them. |
| Avoid “It’s not wear and tear — trust me.” | Better “Here are test areas, consistent pattern, and collateral impacts that support storm-related damage.” | Arguments are subjective; patterns + corroboration are verifiable. |
Quick answers (carrier-neutral)
Where do insurance roof claim estimates come from?
Most carrier estimates are created in Xactimate or similar estimating software. They rely on measurements, line items, and local pricing databases. The total reflects what is supported by photos, notes, and measurable documentation.
Why did a third party inspect my roof?
Some carriers use ladder assist or third-party inspection services to capture photos and measurements. Those materials are then reviewed by the carrier/desk adjuster, who makes the final coverage and scope decision.
What is the fastest way for a claim to be underpaid?
A file that isn’t independently verifiable—no facet context, no scale, limited test areas, no collateral impacts, and no organized evidence tying conditions to the storm timeframe.
What should homeowners avoid saying?
Avoid guessing, exaggerating, or labeling damage without evidence. Stick to what you observed, when you observed it, and provide an organized documentation set that can be validated by a third party.
Want a claim file that a desk reviewer can approve?
We build inspection-first documentation designed for third-party verification—clear photos, clear orientation, repairability proof, and scope logic aligned to what reviewers actually approve.
Carrier-neutral education. Results depend on policy, evidence, and site conditions.