Total-Loss Supervisor Escalation Letter (Template)

How to fill it in

Replace each [BRACKETED] placeholder with your specific information:

Template body

[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.

If a supervisor review does not produce a substantive response, I am
prepared to invoke the policy's appraisal clause and to file a formal
complaint with my state's department of insurance.

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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