Start with the policy, not a template
There is no single appraisal clause for New Mexico. Homeowners forms, commercial policies, HOA master policies and New Mexico Property Insurance Program policies all phrase it a little differently. Before you invoke appraisal, get a complete certified copy of your policy, including endorsements, and find the paragraph titled “Appraisal.” It usually sits in the conditions section.
What to look for in the clause
The trigger
Most clauses begin with something like “If you and we fail to agree on the amount of loss.” That phrase matters. Appraisal is built for disputes about amount. If the carrier has denied the claim outright, appraisal usually isn’t the tool, and you should talk with a New Mexico attorney.
Who may demand
Most clauses let either side demand appraisal. Some older or commercial forms require both parties to agree. Read carefully.
The timelines
Many clauses give each side a set number of days, commonly 20, to name an appraiser after a written demand, and a set number of days for the appraisers to agree on an umpire. Check your policy for the exact numbers, and note that other policy provisions, such as suit limitation, may run on their own clocks. An attorney can tell you how New Mexico law treats those limits.
Conditions and costs
Look for any conditions before appraisal, such as a sworn proof of loss, and for the cost-sharing language. Most clauses have each side pay its own appraiser and split the umpire.
Is appraisal the right move?
Appraisal tends to work well when:
- The carrier agrees the loss is covered, at least in part.
- The gap is about scope, measurements, pricing or repair method.
- The gap is large enough to justify fees after your deductible.
It tends to work poorly when the real dispute is coverage, causation that the carrier treats as a coverage issue, or claim handling conduct. Run the numbers in the claim gap and net recovery estimator and check your file with the appraisal file checkup.
Writing the demand
A demand doesn’t need legal language. It needs to be clear. Include:
- Your name, property address, policy number, claim number and date of loss.
- A statement that you and the insurer disagree on the amount of loss.
- A reference to the appraisal provision by its title or section.
- Your appraiser’s name and contact details, or a statement that you will name one within the policy’s time frame.
- A request that the carrier name its appraiser within the time the policy allows.
Send it by certified mail with return receipt and by email to the adjuster, and keep copies. Avoid adding arguments about coverage or claim handling; keep the demand focused on amount.
Choosing your appraiser
The clause usually calls for a “competent and disinterested” appraiser. In practice, that means:
- Competent: experience with the type of property and peril. A wildfire total loss calls for different knowledge than a hail-damaged foam roof or a burst pipe in a Taos adobe.
- Disinterested: no financial stake in the outcome beyond a fee. Your contractor, a relative or anyone with a business tie to the carrier is usually a poor fit.
- Clear on fees: the arrangement should be written down before work begins.
- Willing to say no: a good appraiser will tell you if your number isn’t supportable.
Questions worth asking
- How many appraisals involving this peril have you worked, and in what roles?
- How do you document and price the loss?
- How will you communicate with me during the process?
- Do you have any relationship with my carrier or contractor?
Mistakes that slow things down
- Naming your contractor as appraiser. The carrier may object that the contractor isn’t disinterested, which can stall the process before it starts.
- Missing the window to name an appraiser. If the policy gives a set number of days, treat it as firm.
- Invoking before the file is ready. Gather photos, estimates and correspondence first so your appraiser can start quickly.
- Mixing coverage arguments into appraisal. If part of the claim was denied, that part usually needs a separate path, often with an attorney.
- Ignoring other deadlines. Appraisal doesn’t automatically pause other policy timelines; ask an attorney how New Mexico law treats them.
What the carrier may do in response
Carriers usually name an appraiser and move forward. Sometimes the adjuster responds with a revised estimate first, which may close the gap. Occasionally a carrier argues that part of the dispute is about coverage rather than amount. If that happens, keep the appraisal focused on the items the carrier has accepted and talk with a New Mexico attorney about the rest.
After the demand goes out
Once both appraisers are named, they’ll review the file, inspect, select an umpire and compare estimates. Many disputes settle between the appraisers without an umpire decision. Read inside the appraisal process for the full sequence.
If you’d like help drafting or sending the demand, see appraisal demand representation or our home insurance appraisal page. For commercial or association properties, see commercial and HOA appraisal. We work across the state, as listed on cities we serve.
