Insurance & Xactimate Glossary

Key terms and definitions for insurance adjusters, restoration contractors, and estimating professionals.

A

Actual Cash Value (ACV)

Insurance

The replacement cost of damaged property minus depreciation. ACV represents what the item is worth at the time of loss, factoring in age, wear, and condition.

Additional Living Expenses (ALE)

Insurance

Coverage that pays for temporary housing, meals, and other costs when a policyholder cannot live in their home due to a covered loss. Also called Loss of Use.

Adjuster

Insurance

A professional who investigates insurance claims, determines the extent of damage, and calculates the appropriate settlement amount. Can be a staff adjuster (employed by the carrier), independent adjuster, or public adjuster.

Appraisal

Claims

A dispute resolution process in insurance where each party (insured and insurer) hires an appraiser, and an umpire breaks any tie. Used when parties disagree on the loss amount but not coverage.

Assignment of Benefits (AOB)

Claims

A legal agreement where the policyholder transfers claim rights to a third party (usually a contractor), allowing the contractor to bill and collect directly from the insurer.

C

Carrier

Insurance

The insurance company that underwrites and issues the policy. The carrier is financially responsible for paying covered claims up to policy limits.

Category Code

Xactimate

A two-to-four letter code in Xactimate that groups line items by trade or area (e.g., DRY = Drywall, PLM = Plumbing, RFG = Roofing, FLR = Flooring).

Category of Water (1/2/3)

Restoration

IICRC classification of water contamination: Category 1 (clean — supply line), Category 2 (gray — dishwasher, washing machine), Category 3 (black — sewage, flooding). Category determines scope of remediation.

Claim

Insurance

A formal request by a policyholder to their insurance company for payment or coverage after a loss event. The claim triggers the adjustment process.

Class of Water (1–4)

Restoration

IICRC classification of water intrusion severity: Class 1 (least — partial room), Class 2 (significant — entire room, wicking up walls), Class 3 (most — ceiling, walls, floors saturated), Class 4 (specialty — hardwood, concrete).

Containment

Restoration

Physical barriers (polyethylene sheeting, negative air) erected to isolate a work area during mold remediation or asbestos abatement, preventing cross-contamination of unaffected areas.

Contents Claim

Claims

A claim for personal property (furniture, electronics, clothing) damaged or destroyed in a covered loss. Contents are covered under Coverage C of a homeowner's policy, separate from the structure.

Coverage A (Dwelling)

Insurance

The portion of a homeowner's policy that covers the physical structure of the home, including attached structures like a garage. Does not include land value.

D

Deductible

Insurance

The amount a policyholder must pay out of pocket before insurance coverage kicks in. Common deductibles range from $500 to $5,000 for property claims.

Depreciation

Insurance

The decrease in value of property over time due to age, wear, and obsolescence. In insurance, depreciation is subtracted from replacement cost to determine ACV.

Desk Adjuster

Claims

An adjuster who handles claims remotely without visiting the loss site. They review photos, contractor estimates, and documentation to make coverage and payment decisions.

Related:Adjuster

Drying Equipment

Restoration

Industrial dehumidifiers, air movers, and air scrubbers used in water damage restoration. Equipment charges are billed per unit per day in Xactimate (e.g., WTRDRY line items).

E

Estimate Review

Claims

The process of a carrier or TPA reviewing a submitted estimate for accuracy, scope appropriateness, and pricing compliance before approving payment. Common review platforms include XactAnalysis and ClaimXperience.

ESX File

Xactimate

Xactimate's native project file format. Contains estimate data (line items, pricing), room sketches, photos, and project metadata in a compressed, encrypted XML package.

Related:Xactimate

F

First Notice of Loss (FNOL)

Insurance

The initial report of a claim to the insurance company. FNOL begins the claims process and typically includes the date of loss, type of damage, and policyholder information.

Related:Claim

I

IICRC

Restoration

Institute of Inspection, Cleaning and Restoration Certification. The non-profit body that sets industry standards (S500 for water, S520 for mold) and certifies restoration professionals.

Independent Adjuster (IA)

Insurance

A claims adjuster who works as a contractor for insurance companies rather than as a direct employee. IAs handle overflow claims, catastrophe work, and specialized losses.

Related:Adjuster

L

Line Item

Xactimate

A single entry in an Xactimate estimate representing a specific task or material, identified by a selector code. Each line item has a quantity, unit of measure, and calculated price.

Loss Date (Date of Loss)

Claims

The date when the damage occurred. The loss date determines which policy is in effect, which price list applies, and starts any applicable filing deadlines.

M

Macro

Xactimate

A saved template in Xactimate containing a pre-built list of line items for common repair scenarios. Macros speed up estimating by auto-populating standard items for typical damages.

Managed Repair Program

Claims

An insurance program where the carrier directs policyholders to pre-approved contractors. The carrier negotiates rates, and the contractor works under program guidelines and pricing constraints.

Mitigation

Restoration

Emergency actions taken immediately after a loss to prevent further damage — tarping a roof, extracting standing water, boarding up windows. Mitigation is typically a separate claim from the repair estimate.

Moisture Mapping

Restoration

The process of documenting moisture readings throughout a structure using moisture meters and thermal imaging. Creates a visual record of affected areas to determine drying scope.

O

Overhead & Profit (O&P)

Xactimate

A markup (typically 10% overhead + 10% profit = 20%) added to an estimate when a general contractor manages multiple subcontractors. O&P compensates the GC for coordination, supervision, and business costs.

P

Pack-Out

Restoration

The process of inventorying, packing, and removing a policyholder's personal belongings (contents) from a damaged structure for cleaning, storage, or disposal.

Preferred Vendor

Claims

A contractor or restoration company on an insurance carrier's approved list. Preferred vendors agree to carrier pricing schedules and response time requirements in exchange for steady claim referrals.

Price List

Xactimate

A database of labor, material, and equipment costs specific to a geographic area and time period. Xactimate price lists are updated monthly and vary by state/region.

Related:Line Item

Public Adjuster (PA)

Insurance

A licensed adjuster who works exclusively for the policyholder (not the insurance company) to negotiate claim settlements. PAs typically charge 10–20% of the settlement.

Related:Adjuster

R

Reconstruction

Restoration

The repair and rebuild phase after mitigation and demolition are complete. Reconstruction returns the property to pre-loss condition and is estimated separately from emergency services.

Related:Mitigation

Recoverable Depreciation

Insurance

The portion of depreciation that can be recovered by the policyholder after repairs are completed. With an RCV policy, the insured receives the withheld depreciation upon proof of completed work.

Replacement Cost Value (RCV)

Insurance

The cost to replace or repair damaged property with materials of similar kind and quality at current prices, without deduction for depreciation.

S

Scope of Work

Restoration

A detailed list of all repairs, materials, and tasks needed to restore a property to pre-loss condition. The scope drives the estimate and defines what work the contractor will perform.

Selector

Xactimate

The unique alphanumeric code that identifies a specific line item within a category in Xactimate (e.g., DRYWLL for standard drywall). Combined with the category code, it forms the full item identifier.

Sketch

Xactimate

Xactimate's built-in floor plan tool that calculates room measurements (wall area, floor area, perimeter) used to quantity line items. Sketches define room geometry with walls, openings, and ceiling heights.

Related:ESX File

Subrogation

Insurance

The process by which an insurance company seeks reimbursement from a third party responsible for causing the loss, after paying the policyholder's claim.

Supplement

Insurance

An additional claim submission for damages or repairs discovered after the initial estimate. Supplements are common when hidden damage is found during restoration work.

Related:Claim

T

Third-Party Administrator (TPA)

Claims

A company that handles claims processing on behalf of an insurance carrier. TPAs manage adjuster networks, review estimates, and administer payments without underwriting risk.

Total Loss

Claims

When repair costs exceed a certain percentage (often 70–80%) of the property's insured value, making it more economical to pay the policy limit than to repair. The threshold varies by state and policy.

X

XactAnalysis

Xactimate

Verisk's claim assignment and workflow platform. Insurance carriers use XactAnalysis to assign claims to adjusters, track estimate status, and manage the review process.

Xactimate

Xactimate

The industry-standard estimating software by Verisk (formerly Xactware) used by insurance carriers, adjusters, and contractors to create repair cost estimates for property claims.

Xactimate Online

Xactimate

The cloud-based version of Xactimate accessible through a web browser. Offers the same estimating functionality as the desktop version with automatic updates and anywhere access.

Related:Xactimate

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