HOMEAPPRAISAL CLAUSE
APPRAISAL CLAUSE

THE APPRAISALCLAUSE.

A dispute-resolution mechanism most homeowners never hear about, sitting in the policy they already have.

  • RESOLVESAMOUNT
  • NOTCOVERAGE
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If you and your insurer agree the loss is covered but disagree about how much it costs to fix, most Alberta property policies contain an **appraisal** provision — a process for resolving that disagreement without litigation. Alberta’s Insurance Act contains statutory conditions that apply to property policies, and appraisal is among the mechanisms available.

It is genuinely useful and it is widely unknown. It is also frequently the wrong tool, and knowing which situation you’re in matters more than knowing the process.

What it resolves, and what it doesn’t

This is the distinction that decides whether appraisal helps you.

  • It resolves **the amount of the loss** — disagreements about scope and cost, where both sides accept the damage is covered.
  • It does **not** resolve **coverage** — whether the policy responds at all, whether an exclusion applies, whether the damage is hail or wear. A denial on those grounds is not an appraisal question.
  • So: “we agree your roof is hail damaged but we say $9,000 and you say $16,000” is an appraisal matter. “we say this is wear, not hail” is not.

Roughly how the process runs

The mechanics are set out in your policy and the statutory conditions, and the shape is consistent.

  • Either party demands appraisal in writing.
  • Each side appoints its own appraiser.
  • The two appraisers select an umpire. If they can’t agree on one, a court can appoint.
  • The appraisers assess the loss. Where they agree, that’s the amount.
  • Where they disagree, the disputed items go to the umpire. An agreement between the umpire and either appraiser typically sets the amount.
  • Each side pays its own appraiser; the umpire’s cost is usually shared.

Before you invoke it

Appraisal costs money and takes time, and it is not free leverage. Work through the cheaper steps first — they resolve most disputes.

  • Ask for the adjuster’s written scope and read it line by line against your contractor’s. Most gaps are omissions, not disagreements.
  • Submit a supplement with documentation for anything missing. Undocumented items aren’t denied so much as unconsidered.
  • Request a reinspection, ideally with your contractor present so the scope is agreed on the roof.
  • Escalate within the insurer to a team lead or their internal complaints officer.
  • Then, if the gap is genuinely about amount and remains material, appraisal.

When it’s the wrong tool

If the dispute is coverage — a denial, an exclusion, a date-of-loss argument, an allegation of pre-existing damage — appraisal cannot help you and invoking it wastes months. That’s a complaint to the insurer’s ombudsperson, then to the General Insurance OmbudService, and potentially a legal question. Getting this distinction wrong is the most common mistake we see homeowners make with this process.

Where we fit, and where we don’t

We are a roofing contractor. We can document the damage and produce the itemised scope that either resolves the dispute or forms the basis of your position — and in most cases that’s what actually settles it. We are not appraisers, not adjusters and not lawyers, and we’re not going to advise you on invoking a statutory process. Read your policy, and if the amount at stake justifies it, get advice from someone qualified to give it.

QUESTIONS

STRAIGHT ANSWERS.

Does my policy definitely have an appraisal clause?

Most Alberta property policies do, via the statutory conditions and policy wording, but read yours rather than assuming. Search the wording for “appraisal”, or ask your broker to point you at it.

What does it cost?

Each side pays its own appraiser and the umpire’s fee is generally shared. That makes it disproportionate for a small gap and reasonable for a large one. Weigh it against the amount actually in dispute.

Will invoking it damage my relationship with my insurer?

It’s a mechanism written into your own policy — using it is not adversarial in itself. In practice most disputes resolve before it gets that far, often because a properly documented supplement makes the gap disappear.

My claim was denied outright. Can I use appraisal?

Generally no. A denial is a coverage question and appraisal addresses amount. Your routes there are the insurer’s internal complaints process, then the General Insurance OmbudService, and the Alberta Insurance Council for conduct issues.

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