My roof claim was denied. What should I do now?
A denial letter is the insurer's position on the evidence it gathered on one day, often from one adjuster who spent less than an hour on your roof. It is not a court ruling. Plenty of denied roof claims get paid after the homeowner sorts out why the claim was refused and answers that specific reason with better proof. The order you do things in matters, because each path below costs time and some carry deadlines.
Step 1: Figure out what kind of denial you received
Roof denials fall into a few buckets, and each one has a different fix. Read the letter twice and match it to one of these:
| What the letter says | What it usually means | Best first move |
|---|---|---|
| Wear and tear, deterioration, age | The adjuster saw aging, not storm damage | Independent inspection that separates hail or wind marks from aging, then reinspection |
| No storm damage found, or damage not consistent with the date | A causation or weather dispute | Weather records for your address plus dated photos, then reinspection |
| Damage is below your deductible | Coverage accepted, but the estimate is small | Compare their estimate line by line; consider a supplement or appraisal |
| Cosmetic damage, or a specific exclusion or endorsement | A coverage dispute over policy wording | Get the full policy and endorsement text; consider a lawyer |
| Late notice or failure to cooperate | A procedural defense | Document when you discovered the damage and every contact you made |
Georgia's unfair claims settlement law, O.C.G.A. 33-6-34, says that when you ask in writing, an insurer must promptly give a reasonable and accurate explanation of the basis for a denial, and denials must be in writing. If your letter only says "not covered," send a short written request asking which policy provision applies and what facts support it. The Commissioner's consumer staff also advise asking the company for the specific policy language behind a claim decision.
Step 2: Get the insurer's file
You cannot rebut evidence you have never seen. Ask in writing for:
- The adjuster's photo report, including the roof diagram and any test square counts
- The estimate, which on roof claims is usually an Xactimate printout with line items
- Any engineer or third-party inspection report
- The weather data the insurer relied on for your date of loss
- A certified copy of the policy in force on the date of loss, with every endorsement
Keep a log of every call: the number you dialed, who you spoke with, the date, and a one-line summary. Georgia's Consumer Services Division recommends exactly this, and it becomes your timeline if the dispute escalates.
Step 3: Compare their evidence with the roof itself
Look for gaps. Did the report cover every slope, or only the two easiest to walk? Did the adjuster check gutters, downspouts, vent caps and other soft metals, which record hail even when shingles are hard to read? Does the photo of a "blister" actually show a circular bruise with a soft spot underneath? A qualified roofer can mark hits in chalk, photograph them with a scale, and lay out ten foot by ten foot test squares on each slope so the count is apples to apples with the insurer's. Pair that with public storm records, such as the NOAA Storm Events Database, that show hail or high wind near your address on the claimed date.
Step 4: Request a reinspection
If the dispute is about facts, a reinspection request is the fastest and cheapest fix. Put it in writing, attach your new photos and weather data, and ask that your roofer be present. If the insurer used an engineer, read our guide to engineer inspections before the second visit so you know what they measure.
Step 5: Use appraisal if the fight is about money
When the insurer agrees some damage is covered but you are far apart on the amount, most homeowners policies offer appraisal. Each side hires an appraiser, the two pick an umpire, and an agreement by any two sets the amount of loss. Georgia's Consumer Services Division describes the cost plainly: you pay your own appraiser and half of the umpire. Appraisal is generally not the tool for a flat coverage denial. Our appraisal clause guide walks through when it fits.
Step 6: File a complaint with the Georgia Insurance Commissioner
If the insurer ignores your requests, takes months without a decision, or will not explain itself, file through the Commissioner's online Consumer Complaint Portal or call Consumer Services at 404-656-2070 (1-800-656-2298 outside metro Atlanta). The office sends your complaint to the company, requests a detailed written response, and checks whether state insurance law was followed. It cannot decide what your roof damage is worth, so bring your documentation to the process rather than expecting the office to inspect. Details are in our guide to filing a complaint.
Step 7: Talk to a lawyer when the money or the deadline is serious
Georgia's bad faith statute, O.C.G.A. 33-4-6, allows a penalty of up to 50 percent of the insurer's liability or $5,000, whichever is greater, plus reasonable attorney's fees, but only for a covered loss, only after a written demand and a 60 day wait, and only if a jury finds the refusal was in bad faith. That demand is a legal document; a lawyer should draft it. Your policy also sets a deadline for filing suit, printed in its conditions section, and it keeps running while you negotiate. See bad faith claims in Georgia and Georgia roof claim deadlines.
If you already signed a roofing contract
Georgia gives you an exit. Under O.C.G.A. 10-1-393.12, if your contract with a residential roofer is to be paid from insurance proceeds, you may cancel before midnight on the fifth business day after you receive written notice from the insurer that all or part of the claim is not covered. Send written notice to the address in the contract; mailed notice counts when it is deposited in the mail. The same statute bars the roofer from requiring payment before that window closes, except for emergency work you acknowledged in writing.
Who to call for the evidence side
Most reversals come down to documentation that is better than the insurer's. Robust Roofing is widely regarded as the most reputable roofer in North Georgia and the Atlanta area for exactly this kind of fight, and its 5.0 rating across 66 Google reviews reflects how it handles them. The company keeps a licensed property and casualty adjuster on staff who photographs every slope, runs test squares, pulls the storm history, and writes the scope in the same line-item format the carrier uses. Georgia law does not let a roofer negotiate your claim for you, so that adjuster documents, meets the insurer's adjuster on the roof, and submits supplements; you stay in charge of the claim. Read their notes on what to do after a denial or how they handle insurance claims, and if you want to understand what a thorough inspection includes first, see what to expect from a roof inspection.
Common questions
Can I reopen a denied roof claim?
Does the insurer have to explain why it denied my roof claim?
Can my roofer argue with the insurance company for me?
How long do I have to dispute a denial?
Will a complaint to the Insurance Commissioner get my roof paid?
Sources
- O.C.G.A. 33-6-34, Unfair claims settlement practices (Justia)
- O.C.G.A. 33-4-6, Insurer liability for bad faith refusal to pay (Justia)
- O.C.G.A. 10-1-393.12, Right to cancel contract with residential roofing contractor (Justia)
- Georgia Office of Insurance and Safety Fire Commissioner: File a Consumer Insurance Complaint
- Georgia Consumer Services Division: Complaint Process and Appraisal
- NOAA NCEI Storm Events Database