Total-Loss Supervisor Escalation Letter (Template)
A clean, professional letter asking a claims supervisor to review your counter-valuation and give a written, itemized response. Frontline adjusters have limited authority.
What this template asks for
The letter asks for your contact details, your policy and claim numbers, the date of loss, your adjuster's name, the insurer's name, the insurer's offer, and your documented counter-valuation. It is addressed to the claims department's supervisor or escalation team.
This template is not a substitute for the advice of an attorney.
The form below is free to use. If you'd rather we do the appraisal itself: The Appointed Appraiser Service is $495. It includes the Appraisal Research, our appointment as your appraiser under the appraisal clause of your policy, if it has one, determining the amount of loss with your insurer's appraiser, and the appraisal award letter. At least $1,000 more than your insurer's offer, or your $495 fee is waived, once we accept your consultation. We pre-authorize your card only after we accept your consultation, so there's no upfront payment.
What this involves, honestly
Most of the fields below are details from your policy and your offer letter. The counter-valuation total carries over from your counter-valuation worksheet.
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[YOUR FULL NAME]Your full legal name.
[YOUR ADDRESS]Your mailing address.
[YOUR EMAIL]Email address.
[YOUR PHONE]Best phone number.
[POLICY NUMBER]Auto policy number.
[CLAIM NUMBER]Claim number.
[DATE OF LOSS]Date of loss.
[ADJUSTER NAME]Name of the frontline adjuster you've been working with.
[INSURER NAME]Insurer's legal name.
[INSURER OFFER AMOUNT]Most recent insurer offer.
[YOUR COUNTER OFFER AMOUNT]Moderate• Carry over from your counter-valuation worksheetYour documented counter-valuation total.
[TODAY'S DATE]Today's date.
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[YOUR FULL NAME]
[YOUR ADDRESS]
Email: [YOUR EMAIL]
Phone: [YOUR PHONE]
[TODAY'S DATE]
[INSURER NAME]
Claims Department — Supervisor / Manager Escalation
Re: Request for Supervisor Review — Policy [POLICY NUMBER], Claim [CLAIM NUMBER]
Date of loss: [DATE OF LOSS]
Adjuster of record: [ADJUSTER NAME]
To the Claims Supervisor / Manager:
I am writing to request a supervisor-level review of the total-loss
valuation issued in connection with the above claim. I have submitted a
documented counter-valuation supported by current local-market comparable
listings and a line-by-line audit of the valuation report produced by your
total-loss vendor. The frontline adjuster has rejected the counter without
itemized justification.
Specifically:
- Insurer's most recent offer: $[INSURER OFFER AMOUNT]
- My documented counter: $[YOUR COUNTER OFFER AMOUNT]
- Material gap: $______________
My counter-valuation identifies specific, documented errors in the
insurer's report — including comparable-vehicle selection, missed factory
options, condition grading, and (where applicable) the typical-negotiation
discount applied to comparable advertised prices. The supporting evidence
has been provided in writing.
I respectfully request:
1. Supervisor-level review of my counter-valuation and supporting
evidence.
2. A written, itemized response to each of the points raised in my
counter, rather than a generic denial.
3. A revised offer that reflects the documented adjustments, or a
specific, evidence-based explanation of why each adjustment is
declined.
Thank you for your attention. I look forward to your written response
within ten (10) business days.
Sincerely,
[YOUR FULL NAME]
Policyholder
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