In the dark hours before dawn on January 9, 2018, a sudden burst of torrential rain hit the town of Montecito in Southern California, dumping half an inch of water within five minutes. The area had already faced two days of heavy rains. The sudden deluge brought mountain water cascading down ravines along with deadly mud and boulders, which hit the edges of the sleeping town below, tragically causing 23 fatalities and much damage to buildings.
One of the structures damaged was Casa Dorinda, a large assisted-living facility. Fortunately, none of the home’s residents were hurt. However, Casa Dorinda’s luck ran out when its insurance company denied its claim. After receiving the bad news, the facility’s executive team turned to Adjusters International/Matrix Business Consulting to handle its claim.
The insurance company denied Casa Dorinda’s claim because the facility’s policy excluded damage caused by floodwaters. Since the damage resulted from a flash flood, the insurance company refused to pay the claim. That left the facility in a bind because it needed to repair the damage quickly to minimize the disruption to its elderly residents.
An investigative team from Adjusters International/Matrix Business Consulting got to work and quickly realized that a previous insured catastrophe was directly responsible for the damage caused to Casa Dorinda’s facilities. A month earlier, a major wildfire known as the Thomas Fire had devastated Southern California and burned over 281,893 acres, including the mountainous area above Montecito.
The experts from Adjusters International/Matrix Business Consulting proved that the fire’s wholesale destruction of vegetation in the mountains above Montecito rendered the landscape vulnerable to the heavy rains. The fire transformed the organic soil to ash and char and created a water repellent layer, which led to increased runoff. Since the charred soil was no longer anchored down by roots, it was susceptible to erosion, and the runoff carried the soil away, which contributed to the cascading debris flow that hit and damaged the facility.
Adjusters International/Matrix Business Consulting’s investigation tied the damage suffered by Casa Dorinda directly to the fire, concluding that the assisted living facility’s insurance policy should cover the loss.It argued that the debris flow would not have occurred under normal circumstances. As a direct result of the investigation, Casa Dorinda’s insurance company reversed its decision and approved the payout for the loss.