Resources, Insurance

Filing a Water or Storm Claim in Arizona

A claim runs on a clock the state sets, on paper you write, and on a policy you have not read since the closing. Here it is in the order it happens: the first call, what the policy pays and refuses, the deadlines the carrier owes you, who is who on the file, and where to go when it stalls.

Water moving right now?

Mitigation does not wait for an adjuster. Take photographs, then call {{PHONE}}. A person answers at any hour.

The Arizona Department of Insurance and Financial Institutions, DIFI, regulates every carrier writing homeowners policies in this state, and it has written down what it expects from a policyholder with water in the house and what it expects from the carrier. Most of what goes wrong in a West Valley claim goes wrong because one side did not know those rules. Every statute and number below is linked in the Sources band.

The First Call

DIFI’s own water damage guidance, in the order it gives it.

  1. Call the carrier before a contractor.

    DIFI’s wording: "Prior to calling a contractor, call your insurance company/ adjuster." The claim number from that call is what every photograph, reading and invoice attaches to.

  2. Photograph everything before mitigation.

    "Take pictures of the damage before any water mitigation, plumbers, or restoration contractors show up." The policy also asks you to "Protect the property from further damage", so the photographs are your record of what you found before you acted.

  3. Keep a log.

    DIFI asks for "a log of times, dates, names of techs and equipment (dehumidifiers, air movers, air purifiers, moisture detectors)". Equipment and readings are logged on every job; keep your own copy.

  4. Sign only what you can read.

    "Do not sign on any device (phone, iPad, tablet) where the contract is not able to be viewed." Ask for paper or a full screen.

  5. Hire only a contractor licensed in Arizona.

    DIFI says to check at roc.az.gov before signing and to avoid "high pressure sales, and people who are coming door to door offering their services without being requested". How to check a restoration contractor is the walk through.

What a Standard Policy Pays, and What It Refuses

DIFI: "Home Insurance covers sudden, accidental damage and catastrophic losses." On water: "Water damage and mold remediation, not caused by a flood, may be covered if they are the result of a sudden or accidental event." A supply line that lets go under the kitchen sink is sudden. A fitting that has wept into the slab for a year is not, and the standard form excludes wear and deterioration and, in most current editions, repeated seepage over weeks or months. The evidence decides which you have.

The standard homeowners form, ISO HO 00 03, also excludes, verbatim:

  • "Flood, surface water, waves, tidal water, overflow of a body of water". DIFI defines flood for Arizona homeowners as "any water outside your home that flows inside at ground level" and calls it "strictly excluded from standard homeowners insurance". Monsoon sheet flow under a Buckeye garage door is this exclusion. Why a house nowhere near water takes on water explains the maps.
  • "Water or water-borne material which backs up through sewers or drains". Coverage exists as an endorsement, priced separately. Ask your agent before the monsoon.

Flood insurance has a waiting period.

DIFI: "There is generally a 30-day waiting period before a new National Flood Insurance Program (NFIP) policy takes effect." FEMA’s exceptions: coverage required by a government backed lender at a loan closing, or a purchase tied to a community flood map change. FloodSmart, the NFIP’s own site, reports that from 2014 to 2024 nearly a third of NFIP claims, 29 percent, came from outside the mapped high risk areas. The Flood Control District of Maricopa County: "You do not need to live near water to be flooded." A floodplain determination from the District is free at 602-506-2419, or look the address up on the FEMA Flood Map Service Center.

The Clock Arizona Sets for the Carrier

Arizona Administrative Code R20-6-801, the unfair claims settlement practices rule.

  • Acknowledgement, 10 working days. The carrier must "within 10 working days, acknowledge the receipt of the notice unless payment is made within the 10 working days".
  • Replies, 10 working days. "An appropriate reply shall be made within 10 working days on all other pertinent communications." That includes your emails.
  • Investigation, 30 days. "Every insurer shall complete investigation of a claim within 30 days after notification of a claim", unless it cannot reasonably be done in that time.
  • Decision, 15 working days. Within 15 working days of receiving properly executed proofs of loss, the carrier must tell you whether the claim is accepted or denied.
  • The 45 day letters. If it needs more time it must say so within those 15 working days with reasons, then write to you 45 days from the initial notification and every 45 days after that until it decides.
  • Interest after 30 days. A.R.S. 20-462: a claim "not paid within thirty days after the receipt of an acceptable proof of loss" carries interest at the legal rate from the date the claim was received.

Write the dates down. The log DIFI asked for in step three is also the record that shows a carrier missed a deadline.

Who Is Who on the File

  • The carrier’s adjuster. A salaried employee of the insurer, exempt from the adjuster license under A.R.S. 20-321. Decides coverage and scope for the carrier. Get a name and a direct line.
  • The independent adjuster. Licensed under A.R.S. 20-321.01 and hired by the carrier for a fee. Works for the carrier, not for you, however friendly the visit.
  • The public adjuster. Also licensed under A.R.S. 20-321.01, hired by you for a fee, and the only person outside the carrier who may lawfully adjust the claim on your behalf. Check any adjuster at DIFI’s license search first.
  • The contractor. None of the above. A restoration contractor documents the loss, dries the building, writes the scope and coordinates with the carrier on the documentation. The statute says a person "shall not act as or claim to be an adjuster" without a license. We document. We do not negotiate.

Deductibles, Contracts and Assignments

The deductible is yours

The policy sets it, and in most cases the homeowner pays it. An estimate padded so the carrier’s payment covers the deductible is a statement to an insurer that "fails to state any material fact" under A.R.S. 20-463, the fraudulent claims statute. Anyone offering to waive it is telling you how they run the rest of the job. DIFI adds that a claim close to the deductible "can result in increased premium at renewal".

The contract must be written

A.R.S. 32-1158 requires residential contracts over one thousand dollars to be in writing, with the scope, the price and the payment terms. Restoration work usually crosses that threshold. A verbal go ahead is not a contract.

Assignment of benefits

A document that transfers your policy benefits for the claim, and the dealings with the carrier, to the contractor. The National Association of Insurance Commissioners’ consumer guidance is to understand what you are giving up before signing. Ask why the job needs one.

When there is a mortgage

On a large loss the carrier’s check is usually made out to you and your lender together, and the lender may release the money as the work is completed and inspected, as the Insurance Information Institute and the Consumer Financial Protection Bureau describe. Call the lender’s loss department early.

When the Claim Stalls

DIFI investigates "Claim-handling delays, denials, or unsatisfactory settlements". File online at the DIFI complaint form or call the department’s main line, (602) 364-3100. Two things to know first. Each complaint, the carrier’s response and many related documents become a public record under Arizona law. And filing "will not extend any time limitations specified in policy provisions, statutes, or regulations", so a complaint is not a pause button on your policy’s own deadlines. Put your request to the carrier in writing before you file, and keep the copies.

Questions People Ask

Does my policy cover monsoon water that came in under the garage door in Goodyear?

Usually not. Water that was outside and flowed inside at ground level is flood under DIFI’s definition and is excluded from a standard homeowners policy, whatever FEMA zone the house sits in. An NFIP flood policy pays for it. Rain through a roof the wind opened is a different peril and is usually a homeowners claim.

The adjuster has not called back in three weeks. Is that allowed?

Under R20-6-801 the carrier owes you a reply within 10 working days to any pertinent communication and a completed investigation within 30 days of notice unless it explains why it cannot. Put the request in writing with the dates, keep a copy, and if the silence continues, file with DIFI.

A contractor offered to waive my deductible. Is that a good deal?

No. Under A.R.S. 20-463 a statement to an insurer that omits a material fact is a fraudulent claim, and a padded estimate is that statement. We do not waive deductibles, and the contract we sign with you shows the same price the carrier sees.

Sources for this page

Need the Loss Documented?

We document the loss to the standard the carrier needs and coordinate directly with your adjuster. A person answers, 24 hours a day.

Get Emergency Help

Call {{PHONE}}

Call {{PHONE}} Emergency help