Quote from @Chris Milosevich:
@Matthew Olszak my insurance company is State Farm. Can you expand on what the "appraisal/legal route" is? I like your idea of contacting the CO department of insurance (DOI) and hiring my own public adjuster so the PA and roofer are working for me and not colluding. Thanks for your insight on the $225 hourly fee, which seemed extremely fishy to me. It's good to know that what’s common is for a PA to charge ~15% of the money paid by the insurance carrier.
@Javier Ramirez thanks also for your advice. Hiring my own public adjuster seems key. Then, if I get a settlement from the insurance carrier, I'll re-engage the roofers.
In Illinois, SF used to be great, they'd pay out anything. Since 2020 though, they are downright dreadful. I have their adjusters as well as Allstate's on body-cam straight up admitting a roof is damaged, but "they don't know why". Calling hail hits blemishes. That doesn't matter under a DO3 policy - its their responsibility to find an exclusion, not your's to find its an included loss as any loss not excluded is covered. Its gross, but we don't have strong laws here to hold their feet to the fire like they somewhat do in CO. And 9 times out of 10 their "old damage" argument is completely wrong.
So in MOST insurance policies and states, as long as coverage is "opened", IE they say some part of the roof system is damaged, you can invoke appraisal. What that means is you demand appraisal, you name an appraiser (who is basically a non-interested 3rd party adjuster), SF does the same, and the appraisers determine the amount of the loss and either agree upon an umpire who will settle their differences or you'd have to petition the court to do so if they cannot (not that common). They as disinterested parties then determine the amount of the loss. And by disinterested, that happens by you hiring the appraiser for a flat fee vs. a percentage which a PA would receive. HOWEVER, SF usually around here with either ignore the appraisal award and force you to file suit to enforce it at a heavy legal cost, OR they'll gut it and say certain items aren't covered which is garbage.
If the insurer is refusing to properly inspect a loss or adjust it, I usually go the DOI route first. You file a complaint for adjusting in bad-faith, which helps set you up for a lawsuit later when you may be able to recover your legal costs. Noting missed statutory timelines is key. However under your policy you likely have responsibilities as well, such as providing a specific Proof of Loss with certain information, which any PA worth their weight would know to do within the policy timelines.