Your Roof Was Denied for 'Wear and Tear' Now What?
A major hailstorm hits your neighborhood. Your neighbors are getting new roofs. But when your insurance adjuster shows up, they take a look and tell you the damage is not from the storm, it is just wear and tear.
This is one of the most common and most frustrating tactics insurance companies use to deny roof claims in Oklahoma. And in many cases, it is not accurate. Hail damage and normal aging look very different to a trained eye, and insurers know that most homeowners will not challenge the determination.
If your roof claim was denied based on wear and tear, here is what you need to know.
Why Insurers Love the Wear and Tear Argument
Every roof ages over time. Shingles lose granules, flashing deteriorates, and seals around vents and pipes can weaken. This kind of gradual deterioration is generally not covered by homeowner's insurance policies, which are designed to cover sudden and accidental damage, like damage caused by a hailstorm.
Insurance companies exploit this distinction by attributing storm damage to the normal aging process. It is an easy argument to make because every roof that has been hit by hail is also a roof that has been exposed to years of Oklahoma sun, wind, and weather. The question is whether the damage you are claiming was caused by the storm or by time, and that distinction often comes down to the quality of the inspection.
Hail Damage vs. Wear and Tear: Key Differences
A qualified roofing professional can usually tell the difference between hail damage and wear and tear. Hail damage creates random, scattered impact marks across the roof. The hits are typically circular or irregular and may crack, dent, or dislodge shingle granules at the point of impact. The damage pattern corresponds to the direction and intensity of the storm.
Wear and tear, by contrast, tends to be uniform. Granule loss from aging happens evenly across the roof surface. Cracking from thermal cycling follows a consistent pattern. Deterioration around flashings and edges develops gradually over years.
When an insurer denies your claim for wear and tear, they are essentially saying that none of the damage on your roof was caused by the storm. In a state like Oklahoma where hailstorms are frequent and often severe, that determination deserves scrutiny.
How to Challenge the Denial
If your roof claim was denied for wear and tear, do not assume the decision is final. There are several steps you can take to dispute it.
Get an independent inspection. Hire a licensed, reputable roofing contractor to inspect your roof and provide a written report. A good inspector will document the type and pattern of damage and distinguish between storm-related impacts and normal aging.
Request the insurer's inspection report. You have the right to see the documentation your insurance company relied on to deny your claim. Review it carefully and compare it to your independent inspection.
Document the storm. Gather weather data, news reports, and any neighborhood information showing that a significant hail event occurred. If your neighbors received payouts for roof damage from the same storm, that is relevant evidence.
Put your dispute in writing. Send a formal letter to your insurer explaining why you disagree with the denial and include your independent inspection report. Be specific about the damage and reference the storm event.
Consult an attorney. If the insurer refuses to reconsider, an experienced insurance bad faith attorney can evaluate whether the denial was reasonable or whether it constitutes bad faith.
When a Wear and Tear Denial Becomes Bad Faith
A wear and tear denial is not automatically bad faith. But it can become bad faith when the insurer's determination is not supported by a competent inspection, the adjuster ignored obvious evidence of storm damage, the company relied on a biased or underqualified inspector, or the denial contradicts what other insurers in the same neighborhood paid for the same storm.
Oklahoma law requires insurers to conduct a reasonable investigation before denying a claim. If the company made a coverage decision based on a cursory inspection or a predetermined conclusion, that may violate the implied duty of good faith and fair dealing.
In these situations, you may be entitled to not just the value of your roof repairs, but additional damages for the insurer's bad faith conduct.
Talk to an Oklahoma Insurance Attorney Free Consultation
If your insurance company has denied, delayed, or underpaid your claim, the attorneys at Hamilton Murphy Law can help. We represent Oklahoma policyholders in insurance bad faith and personal injury cases, and we offer free consultations to evaluate your situation.
Contact Hamilton Murphy Law today to schedule your free consultation. Call our Tulsa office or reach out through our website at hamiltonmurphylaw.com.