Category: Restoration Insurance Programs

TPAs, carrier preferred vendor programs, MSAs, referral networks, and the insurance ecosystem restoration companies operate inside.

  • Contractor Connection TPA Program Guide for Restoration Contractors

    Contractor Connection TPA Program Guide for Restoration Contractors

    Contractor Connection is the largest TPA in restoration. It’s also one of the most misunderstood — half the operators love it, half tolerate it, and a small but vocal minority leave it. This is what enrollment actually requires, what the program scoring really measures, and what the math looks like.

    What Contractor Connection actually is

    Contractor Connection is a managed-repair network that contracts with insurance carriers to dispatch claims to a vetted contractor pool. When a policyholder reports a covered loss, Contractor Connection’s call center routes the assignment to a network contractor based on geography, capacity, performance scores, and program rules. Documentation, scope, and pricing flow through the Contractor Connection platform (DASH integration is common).

    Who they’re vetting against

    Contractor Connection vets contractors against strict requirements including insurance, background checks, and certifications. The contractor pool is filtered through:

    • Financial stability (often verified with current financials).
    • Customer service track record.
    • Proper business insurance at program-required limits.
    • IICRC certifications across the production team.
    • Standardized software systems for documentation and pricing.
    • Equipment and crew capacity for the service area.

    Enrollment realities

    The single most common reason restoration contractors fail Contractor Connection enrollment is incomplete or inconsistent paperwork — not lack of qualification. Specifically:

    • Failing to complete the application in full.
    • Answering questions incorrectly or inconsistently across forms.
    • Misunderstanding what’s being asked (especially around insurance limits and certifications).
    • Missing or outdated company financial statements.

    The other failure mode is more painful: passing all the vetting, paying the enrollment fee, and then never getting activated or assigned work because the program already has saturation in your geography.

    How Contractor Connection scores you once you’re in

    Once active, contractors are scored on a continuous basis. The KPIs typically include:

    • Cycle time — days from assignment to completion.
    • Customer satisfaction — survey scores from policyholders.
    • Scope adherence — variance between authorized scope and actuals.
    • Documentation completeness — photos, moisture logs, daily progress reports.
    • Re-open rate — claims that need rework or supplemental visits.

    Higher scores get more assignments. Lower scores get assignments throttled. Sustained low scores get contractors deactivated.

    The economic math

    Contractor Connection pricing is typically Xactimate at carrier-approved settings, sometimes with a program discount applied (varies by carrier). Real-world margin on Contractor Connection water mitigation work in 2026 typically lands at 30-42% gross margin — solid but not exceptional. The trade-off is consistent volume and predictable AR.

    Should you enroll?

    Contractor Connection is a strong fit if:

    • You have spare capacity and want a steady fill of mitigation work.
    • Your team is disciplined about documentation and cycle time.
    • You can absorb the program fees and still hit margin targets.
    • You don’t already have direct carrier relationships in your market that would be cannibalized.

    It’s a poor fit if you’re already capacity-constrained on higher-margin direct or cash work, or if your shop struggles with rapid scope and photo documentation.

    FAQs about Contractor Connection

    How long does Contractor Connection enrollment take?

    Plan on 60-120 days from initial application to activation, sometimes longer if your service area is saturated. The vetting includes financial review, insurance verification, certification audits, and reference checks.

    Does Contractor Connection charge enrollment fees?

    Yes — initial enrollment fees and annual renewal fees apply, and they vary by program tier and number of locations. Confirm current fees directly with Contractor Connection during application.

    What insurance limits does Contractor Connection require?

    Typical program minimums are $1M / $2M general liability with mold endorsement, $1M commercial auto, and state-required workers comp. Some carrier programs within Contractor Connection require higher limits — confirm during enrollment.

    Can I be in Contractor Connection and other TPAs simultaneously?

    Yes. Most multi-program restoration contractors run Contractor Connection alongside Alacrity (now Altimeter), Accuserve (formerly CodeBlue), and various direct carrier programs. The key is capacity management — overcommitting kills your scores in all of them.

    What’s the typical revenue contribution from Contractor Connection?

    For active contractors, Contractor Connection often represents 15-35% of total revenue. Operators above 40% from a single TPA become uncomfortably concentrated and lose negotiating leverage.

    Full insurance programs framework: Restoration Insurance Programs Master Guide.


  • Alacrity / Altimeter Solutions TPA Program Guide (2026 Update)

    Alacrity / Altimeter Solutions TPA Program Guide (2026 Update)

    Alacrity has been one of the most established TPA networks in restoration for over two decades — but in 2026 the program structure changed materially. Alacrity announced the strategic sale of its Managed Repair Division, which now operates as an independent company under the name Altimeter Solutions Group with its existing leadership and team. For restoration contractors, that means understanding both what Alacrity Solutions still does and what Altimeter now owns.

    The 2026 split: what changed

    • Alacrity Solutions (parent): Continues to operate insurance claims, repair, and recovery solutions, including TPA services for property and casualty carriers.
    • Altimeter Solutions Group (new independent entity): Houses the former Managed Repair Division — the contractor network arm — with its existing leadership and team.
    • Working relationship: Alacrity is working closely with Altimeter to ensure seamless collaboration across long-standing shared clients.

    For contractors, the practical question is: which entity now owns your enrollment, your scoring, and your carrier relationships? In most cases, contractors enrolled in the Managed Repair Program now interface with Altimeter operationally, even though existing carrier relationships may still flow through Alacrity at the program level.

    Contractor network enrollment requirements

    Independent contractors entering the network must pass rigorous screening:

    • Criminal background checks for owners and key personnel.
    • Current state licenses and IICRC certifications.
    • Financial stability documentation (often 2-3 years of financials).
    • Proof of insurance at program-required limits.
    • Equipment and capacity verification for the service territory.

    Recruiting Managers are reachable 8 a.m. to 5 p.m. PT for application questions at 1-866-953-3220, option 7.

    How the Managed Repair Program operates

    The Managed Repair Program (MRP) routes claims from participating carriers to vetted contractors based on geography, capacity, and performance scoring. Documentation, scope, and pricing are managed through the program’s contractor portal and software ecosystem. The contractor handles the work, the carrier or its TPA approves payment, and program fees / discounts apply per the contractor agreement.

    Performance scoring

    Like every major TPA, the MRP scores contractors on cycle time, customer satisfaction, scope adherence, photo and documentation completeness, and re-open rates. Contractors with sustained high scores get larger and more assignments; sustained low scores get throttled or removed.

    The economics

    MRP work is typically priced at Xactimate carrier-approved settings, with program-specific discounts varying by carrier and contract. Realistic 2026 gross margins on MRP mitigation work fall in the 30-42% range, similar to other TPAs. The strategic value of the Alacrity / Altimeter relationship has historically been access to specific carrier programs that aren’t available through other TPAs.

    Should you enroll?

    Worth pursuing if:

    • You want exposure to carriers not available through Contractor Connection or Accuserve.
    • You have capacity and a documentation-disciplined production team.
    • You can absorb program fees and still hit margin targets.

    The 2026 transition to Altimeter has introduced some operational uncertainty, so confirm enrollment paths and current carrier rosters directly during application.

    FAQs about Alacrity / Altimeter

    Did Alacrity sell its restoration program?

    Alacrity announced the strategic sale of its Managed Repair Division, which now operates independently as Altimeter Solutions Group with its existing leadership and team. Alacrity Solutions itself continues to operate other claims and recovery services.

    How do I apply to the Alacrity / Altimeter contractor network?

    Alacrity Recruiting Managers are reachable 8 a.m. to 5 p.m. PT at 1-866-953-3220, option 7. Confirm with them whether your enrollment goes through Alacrity or Altimeter for 2026 — the operational handoff is still being clarified across some carrier relationships.

    What insurance and certification requirements apply?

    Typical: $1M / $2M general liability with mold endorsement, $1M commercial auto, workers comp, current state licensing, and IICRC certifications across the production team. Specific limits vary by carrier program.

    Can I enroll in Alacrity and Contractor Connection simultaneously?

    Yes. Most TPA-active restoration contractors carry multiple program enrollments to diversify carrier exposure. The constraint is capacity — over-enrollment without crew depth tanks your performance scores in all programs.

    How long does Alacrity / Altimeter enrollment take?

    Typically 60-120 days from application to activation. The 2026 transition between Alacrity and Altimeter may extend this in some markets — set realistic expectations during application.

    Full insurance programs framework: Restoration Insurance Programs Master Guide.


  • Code Blue / Accuserve TPA Program Guide for Restoration Contractors

    Code Blue / Accuserve TPA Program Guide for Restoration Contractors

    Code Blue was historically one of the most algorithm-driven TPAs in restoration. In 2026, the Code Blue brand has been officially united under the parent brand of Accuserve — consolidating Accuserve’s contractor and carrier-facing operations under a single name. For contractors evaluating program enrollment, the operational characteristics of Code Blue still apply, but the brand and account relationships now flow through Accuserve.

    What Code Blue / Accuserve actually does

    Code Blue is an independent Third Party Administrator for the casualty and property insurance industry that provides end-to-end outsourcing solutions. The program proactively manages policyholder claims on behalf of its insurance partners, fielding millions of calls annually through three command centers and connecting policyholders to contractors 24/7/365.

    The 27-point algorithm

    Code Blue’s signature operational characteristic is its scientific 27-point algorithm used to identify the best contractor available for each assignment, preconditioned to collaborate with the policyholder and the insurer. The algorithm factors include geography, capacity, certification mix, performance history, equipment availability, and program-specific carrier preferences.

    For contractors, this means assignment flow is more deterministic than some other TPAs — but also less negotiable. You either fit the algorithm’s criteria for a given assignment or you don’t.

    Quality assurance approach

    Code Blue conducts an electronic quality assurance audit on every claim, holding contractors accountable to IICRC industry standards. This is more aggressive QA than most TPAs and contractors should expect:

    • Photo and documentation requirements that are checked algorithmically, not just manually.
    • Scope variance flags that trigger supplemental review.
    • Customer satisfaction tracking on every job.
    • Real-time visibility into job status by the program team.

    Equipment rental discounts (the friction point)

    One commonly cited friction point: of the equipment rental discount Code Blue takes (historically reported around 15%), contractor reports indicate only a portion (~5%) gets passed to the carrier — the rest stays with the program. Whether this affects your shop depends on your equipment cost basis and how you structure equipment line items in your estimates. Run the math before assuming program work is automatically profitable.

    The contractor experience

    Code Blue / Accuserve has generated mixed reviews from restoration contractors. Some report tight oversight and active program management; others find that level of oversight valuable for cycle time and customer experience. The honest summary:

    • Pros: Predictable assignment flow, strong tech and documentation infrastructure, clear scoring, broad carrier roster, dedicated program team.
    • Cons: Heavy oversight (some contractors find it intrusive), equipment rental economics need careful modeling, limited room for scope negotiation outside program rules.

    Should you enroll?

    Strong fit if your shop:

    • Has tight production discipline and rapid documentation habits.
    • Is comfortable working under algorithmic oversight.
    • Wants exposure to specific Accuserve carrier relationships.
    • Has equipment cost basis modeled and can absorb program rental economics.

    Probably not a fit if you operate informally, dislike heavy oversight, or already have strong direct carrier relationships in your market that the program would cannibalize.

    FAQs about Code Blue / Accuserve

    Is Code Blue still a separate TPA?

    The Code Blue brand has been officially united under the parent brand of Accuserve. Operationally, the program still functions, but contractor relationships and account management now flow through Accuserve.

    How does the 27-point algorithm affect my assignment flow?

    Assignment volume depends on how well your shop matches the algorithm’s criteria for any given claim — geography, certifications, capacity, performance history, and carrier-specific preferences. Strong scores in one carrier program don’t automatically translate to volume in another.

    What’s the equipment rental discount situation?

    Contractor reports indicate Code Blue takes a 15% equipment rental discount, with only about 5% passing through to the carrier. Build your estimates with that economic reality in mind — it can meaningfully affect mitigation margin.

    How rigorous is Code Blue’s quality audit?

    Very. Code Blue conducts an electronic QA audit on every claim, with documentation, photo, and scope checks running continuously throughout the job. Plan for tighter documentation than most other TPAs require.

    Can I leave the program if it doesn’t work out?

    Yes. Most TPA contractor agreements include termination provisions for either party with notice. The honest part: leaving and re-enrolling later is harder than staying — once your score drops or you exit, it can take 12-24 months to rebuild standing.

    Full insurance programs framework: Restoration Insurance Programs Master Guide.


  • Insurance Carrier Direct Program Enrollment for Restoration Contractors

    Insurance Carrier Direct Program Enrollment for Restoration Contractors

    Direct carrier programs are the highest-margin insurance work in restoration. No TPA fee. No algorithmic dispatch. Direct relationship with adjusters and carrier vendor managers. The catch: it’s harder to break in, the requirements are higher, and the relationships have to be earned. This is how operators do it.

    What “direct” actually means

    A direct carrier program is a contractual relationship between a restoration contractor and an insurance carrier where claims are dispatched directly — often to a small preferred vendor list — without a TPA intermediary. State Farm Premier Service Program, Liberty Mutual Preferred Vendor, Allstate Quality Service Program, and USAA Preferred Contractor Network are all examples of direct programs.

    Why direct beats TPA on margin

    • No TPA fee or program discount coming out of the estimate.
    • Less aggressive equipment rental haircuts.
    • More flexibility on supplements when adjuster relationship is strong.
    • Faster payment in many cases (no TPA processing layer).
    • Direct adjuster relationships that compound into more referrals over time.

    Realistic gross margin on direct carrier mitigation work in 2026 typically lands 38-52% — meaningfully better than the 30-42% TPA range.

    What carriers want from direct vendors

    Carrier vendor management teams evaluate direct enrollment candidates on:

    • Demonstrated track record. Years in business, references from existing carrier relationships, claim volume handled.
    • Geographic coverage. Carriers prefer vendors who can cover an entire metro consistently, not just one zip code.
    • Capacity. Number of trucks, technicians, equipment cache, ability to mobilize for CAT events.
    • Certifications. IICRC across the team, specialty certs (FSRT, AMRT, OCT) where relevant.
    • Insurance. Often higher than TPA minimums — $2M / $4M general liability, $2M commercial auto, mold endorsement, pollution liability.
    • Software stack and documentation discipline. Xactimate proficiency, photo documentation standards, Encircle or similar.
    • Customer satisfaction history. NPS scores, reviews, references.
    • Financial stability. Audited financials or at least reviewed financials for larger programs.

    How to actually get in

    Direct carrier programs do not have a public application portal in most cases. The path in usually goes through one of three doors:

    1. Adjuster referrals. Build relationships with field adjusters and independent adjusters who work the carrier. When they consistently request you on assignments and you consistently perform, the carrier vendor manager notices.
    2. Vendor manager outreach. Identify the carrier’s vendor manager for your region (LinkedIn is the easiest path), make professional contact, send a capabilities deck. Patience is required — this is a multi-month courtship.
    3. Industry events. Restoration Industry Association (RIA) events, carrier-specific contractor summits, and TPA conferences (where carrier reps attend) are direct relationship-building opportunities.

    The capabilities deck

    When approaching a carrier directly, lead with a capabilities deck that addresses what they care about, in their order:

    • Service area map with response time commitments.
    • Capacity (trucks, techs, equipment, on-call coverage).
    • Insurance certificates (proactively at the limits they require).
    • Certifications (IICRC roster across the team).
    • References from existing carrier or TPA relationships.
    • Customer satisfaction data.
    • Sample documentation package showing your scope and photo discipline.

    What can go wrong

    • Burning the relationship by going direct too early. If you’re already in a TPA program serving that carrier, going around the TPA can get you kicked out of both.
    • Underestimating capacity expectations. Direct programs often expect coverage of an entire metro 24/7. Don’t sign up for what you can’t deliver.
    • Ignoring scorecard performance. Direct doesn’t mean unmonitored — most carriers track cycle time, customer satisfaction, and scope adherence just like TPAs.

    FAQs about direct carrier programs

    Which carriers are easiest to enroll directly?

    Smaller regional carriers and mutuals are typically more accessible than the top-5 national carriers (State Farm, Allstate, Liberty Mutual, Farmers, USAA). Build a track record at the regional carrier level first, then approach the nationals.

    How much higher is direct margin vs TPA?

    Realistic difference: 8-12 percentage points of gross margin. TPA mitigation work commonly runs 30-42% gross; direct carrier work commonly runs 38-52%. The exact difference depends on program structure and equipment rental terms.

    Can I be in TPAs and direct programs at the same time?

    Yes — most successful operators run a mix. The strategic question is whether your direct relationships overlap with the TPAs you’re enrolled in for the same carriers, which can create conflict. Generally, prefer direct where you have it, TPA where you don’t.

    How long does it take to land a direct carrier program?

    Plan on 12-36 months from first vendor manager contact to active assignment flow. The relationship has to be built, references have to season, and you usually need to demonstrate performance on a few trial assignments first.

    What’s the biggest mistake contractors make pursuing direct?

    Pitching their company before they’ve earned credibility. Vendor managers don’t want to hear how good you say you are — they want references, certifications, insurance, and demonstrated performance. Lead with proof, not promises.

    Full insurance programs framework: Restoration Insurance Programs Master Guide.


  • TPA vs Direct vs Cash: Building a Healthy Restoration Revenue Mix

    TPA vs Direct vs Cash: Building a Healthy Restoration Revenue Mix

    The single biggest risk to a restoration company isn’t competition or seasonality — it’s revenue concentration. When 70% of your work comes from one TPA or one carrier, a program change, a scoring drop, or a relationship shift can wipe out your year. This is what a healthy mix actually looks like.

    The three channels

    Restoration revenue lands in three buckets, each with distinct margin and operational characteristics:

    • TPA work (Contractor Connection, Alacrity/Altimeter, Accuserve/Code Blue, others). Predictable volume, moderate margin (30-42% gross), heavy oversight, recurring fees.
    • Direct carrier work (State Farm Premier, Liberty Preferred, etc.). Higher margin (38-52% gross), strong relationships, harder to break into, requires consistent performance.
    • Cash and out-of-pocket work. Highest margin (often 50-65% gross on water mitigation, 30-45% on reconstruction), no insurance friction, but variable volume and price-sensitive.

    What healthy looks like

    A defensible 2026 revenue mix for a $2-5M restoration company looks something like:

    Channel Target % of Revenue Why
    TPA programs (combined) 30-45% Volume floor, recurring work, predictable AR
    Direct carrier programs 20-35% Margin lift, relationship moat
    Cash / out-of-pocket 10-25% Highest margin, fast pay
    Commercial / property mgmt 10-20% Recurring relationships, stable scopes
    Plumber / referral / agent 5-15% Independent of program structures

    The concentration ceiling

    No single TPA, carrier, or referral source should exceed 30% of total revenue. Past that line, your business has effectively merged with that channel’s fortunes. If they pause your program, change scoring, or reorganize their vendor team, your revenue cliff is immediate.

    This is the single biggest factor PE buyers downgrade restoration acquisition multiples on — concentration risk over 30% reliably knocks 0.5x – 1.0x off the multiple.

    Margin-weighted thinking

    Revenue percentage isn’t the only number that matters. Margin contribution often differs sharply:

    Channel % Revenue % Gross Profit
    TPA 40% 34%
    Direct carrier 25% 27%
    Cash 15% 20%
    Commercial 15% 14%
    Other referral 5% 5%

    That cash 15% of revenue often delivers 20%+ of total gross profit — which is why mature operators protect cash channels even when TPA volume tempts them otherwise.

    How to rebalance when one channel dominates

    If a single TPA or carrier is over 40% of your revenue, the rebalancing playbook:

    1. Stop accepting marginal jobs from the dominant channel. Tighten what you take to preserve capacity.
    2. Aggressively pursue plumber referrals and property management contracts. These are independent of program scoring.
    3. Pursue 1-2 new TPA enrollments to dilute the dominant program.
    4. Invest in direct carrier vendor manager outreach. Multi-quarter project, but high payoff.
    5. Increase cash channel marketing. SEO, GBP, LSAs targeting non-insurance keywords.

    Rebalancing typically takes 12-18 months. Start before you have to.

    The capacity trap

    The other failure mode: spreading capacity across too many programs without depth. Six TPA enrollments and 20% of total revenue from each looks diversified — but if your performance scores are mediocre across all six, every program throttles you simultaneously. Better to be excellent in three programs than mediocre in six.

    FAQs about restoration revenue mix

    What’s a dangerous level of TPA concentration?

    Any single TPA over 30% of revenue is a yellow flag. Over 40% is a red flag. Over 50% means your business is effectively a subcontractor for that TPA — and exit multiples reflect that.

    Is cash work really worth pursuing if TPA volume is steady?

    Yes. Cash work delivers 50-65% gross margin on mitigation vs 30-42% on TPA, pays in days instead of months, and isn’t subject to program scoring or carrier reorganizations. Even at 15-20% of revenue, cash work disproportionately funds growth and acquisition value.

    Should I drop a TPA program to focus on direct?

    Usually no — drop a TPA only if it’s actively losing money, scoring is unrecoverable, or the relationship has clearly soured. More commonly, hold the TPA at maintenance level while you build direct in parallel, then let the TPA share fall naturally as direct grows.

    What if my market doesn’t have direct carrier opportunities?

    Every market has them — they just take longer to find in less competitive metros. Start with the carriers writing the most policies in your zip codes (your local independent agent can tell you), and build adjuster relationships from there.

    How do I track revenue mix accurately?

    Tag every job in your job management software with the channel source at intake (TPA name, carrier name, “cash”, “PM contract”, “plumber referral”). Pull monthly mix reports. Without tagging at intake, you’ll never have accurate mix data and rebalancing decisions become guesses.

    Full insurance programs framework: Restoration Insurance Programs Master Guide.


  • When to Exit a TPA Program: The Restoration Operator’s Decision Framework

    When to Exit a TPA Program: The Restoration Operator’s Decision Framework

    Exiting a TPA program is one of the highest-stakes decisions a restoration company makes. Done well, it frees capacity for higher-margin work and reduces concentration risk. Done badly, it creates a 6-12 month revenue valley that’s hard to recover from. This is the operator’s decision framework.

    The four signals that say “exit”

    1. Financial signal: the math doesn’t work anymore

    Run the unit economics on the TPA channel honestly. Total program revenue ÷ true gross margin (after equipment rental haircuts, supplement rejections, and program fees) ÷ time spent. If the effective margin is below 25% gross or the operating cost is materially higher than your other channels, the program is subsidized work.

    A common pattern: contractors stay in marginally-profitable programs because the volume feels reassuring — even when that volume is consuming capacity that could be deployed at 40%+ gross elsewhere.

    2. Performance signal: scores you can’t recover

    Every TPA scores contractors on cycle time, customer satisfaction, scope adherence, documentation, and re-open rate. If your scores are sustained low for 2-3 consecutive quarters and you’ve already invested in the obvious fixes (training, software, dispatcher), the program is no longer a fit operationally. Continuing to take throttled assignments at degraded scores is a slow exit anyway — better to make it intentional.

    3. Strategic signal: concentration risk over 40%

    If a single TPA represents over 40% of total revenue, the program owns your business — not the other way around. Exit doesn’t have to be immediate; intentional dilution over 12-18 months as other channels grow is usually the better playbook. But the strategic decision to reduce dependency should be made consciously.

    4. Relationship signal: the relationship has soured

    Sometimes the program team changes, the rules tighten without compensation, or the carrier relationships you cared about leave the program. If the relationship feels adversarial across multiple touchpoints for multiple months, the program is an unhappy fit and exit is usually right.

    The honest cost of exit

    Most operators underestimate the revenue valley that follows a TPA exit:

    • Months 1-3 post-exit: Existing assignments wind down. Revenue from the program drops to near zero by month 3.
    • Months 3-9: Other channels (direct, cash, plumber, commercial) have to fill the gap. They will, but slower than expected.
    • Months 9-18: Net revenue typically recovers to pre-exit level, often at higher margin.

    If you cannot survive a 30-40% revenue dip for 4-6 months, do not exit yet. Build the replacement channels first.

    The transition plan

    1. Months -12 to -6: Aggressively grow non-TPA channels. Plumber referral push. Property management contract pursuit. Direct carrier vendor outreach. Cash channel marketing.
    2. Months -6 to -3: Tighten what you accept from the TPA — only the highest-margin assignments. Let scores naturally throttle volume.
    3. Month 0: Send formal exit notice per program contract terms. Do not burn the relationship — exit professionally.
    4. Months 1-6: Execute on the channels you built. Track weekly revenue by channel. Adjust marketing spend toward whatever’s working.
    5. Months 6-12: Stabilize the new mix. Document what worked. Update the org chart and capacity plan to the new revenue shape.

    Re-enrollment realities

    Exiting and re-enrolling later is harder than staying. Most TPAs require a fresh application process for re-enrolling contractors, including financial review, insurance re-verification, and capacity assessment. Plus, the program team remembers contractors who left — sometimes positively, sometimes not. Treat exit as a 3-5 year decision, not a 6-month one.

    Partial exit is also an option

    You don’t always have to exit fully. Many TPAs let you reduce service area, restrict service types, or pause specific carrier programs. A partial exit can preserve optionality while reducing exposure.

    FAQs about exiting TPA programs

    How do I know if a TPA is actually unprofitable?

    Pull 12 months of program revenue. Subtract direct labor, materials, equipment cost (real, not Xactimate-priced), supplement losses, and an allocated share of overhead and admin time spent on program-specific tasks. If the result is below 20% gross profit or your operating cost is higher than your other channels, the program is subsidized.

    What’s the right notice period for exit?

    Whatever your contractor agreement specifies — usually 30-90 days. Honor it precisely. Sloppy exits damage your reputation across the broader TPA and carrier industry, which is smaller than it looks.

    Can I keep some carriers within the program but drop others?

    Sometimes. Some TPAs allow carrier-specific opt-outs; others treat program enrollment as all-or-nothing. Ask explicitly during your exit conversation — you may have more flexibility than the contract suggests.

    How do I tell my team we’re exiting?

    Be direct about why and what changes operationally. The honest version: “We’ve decided this program isn’t a fit anymore — here’s what we’re replacing it with and how the next 6-12 months will look.” Anxiety on the production team kills morale faster than the actual revenue impact.

    What if I exit and revenue doesn’t recover?

    That outcome usually means the replacement channels weren’t built before exit. The fix is rarely re-enrolling in the program you left — it’s doubling down on plumber referrals, direct carrier outreach, property management contracts, and cash channel marketing. Six months of focused channel building usually closes the gap.

    Full insurance programs framework: Restoration Insurance Programs Master Guide.


  • Restoration Insurance Programs: TPAs, Carriers, and Vendor Networks

    Restoration Insurance Programs: TPAs, Carriers, and Vendor Networks

    The insurance ecosystem in restoration is its own universe with its own language: TPAs, carriers, preferred vendor programs, MSAs, scorecards, audits, performance guarantees, network certifications. Most restoration owners have a vague sense of what these programs are and a stronger opinion about whether to join them, often without knowing the actual economics.

    This is the complete operator’s guide to restoration insurance programs in 2026: what TPAs actually do, how carrier preferred vendor programs work, what MSAs require, the real margin economics, and the framework for deciding which programs deserve your application.

    The four players in the insurance restoration ecosystem

    Every insurance restoration job involves up to four parties. Understanding which is which is the first step to navigating the system.

    The carrier is the insurance company that issued the policy and pays the claim — State Farm, Allstate, USAA, Liberty Mutual, Travelers, Nationwide, Farmers, Progressive, Chubb, and dozens of regionals. Carriers either have in-house claims handling or contract claims management out to TPAs.

    The TPA (third-party administrator) is a company that manages claims on behalf of carriers — Sedgwick, Crawford & Company, Contractor Connection, Code Blue Restoration Services, CCMSI, ESIS, and others. TPAs handle adjuster assignments, vendor management, scope review, payment processing, and customer communication on behalf of the carrier.

    The vendor network is a managed roster of restoration contractors that the carrier or TPA assigns work to. Some networks are operated by TPAs (Contractor Connection is the largest); some are operated directly by carriers (Allstate Premier Service, USAA STARS).

    The independent adjuster is a contracted adjuster (not a carrier employee) hired to assess specific claims, often for catastrophe events or to supplement carrier capacity. Independents work for IA firms like Eberl, Pilot Catastrophe, and Crawford.

    What a TPA program actually requires

    Joining a major TPA vendor network typically requires: a multi-year track record in restoration (most require 3+ years), specific IICRC certifications (firm-level plus individual technicians for relevant service lines), insurance coverage at higher limits than standard (often $2M+ general liability, $1M+ pollution liability, $1M+ professional liability), background checks and drug testing for technicians, vehicle and uniform standards, technology compatibility (use of TPA-approved estimating and reporting platforms), 24/7 dispatch capability with documented response time SLAs, monthly reporting and KPI tracking, and a signed master service agreement that defines pricing, scope, performance standards, and termination conditions.

    The application process typically takes 60-180 days, includes facility audits, reference checks, and may require a probationary period of supervised job assignments before full network status.

    The pricing economics of TPA work

    The honest economics: TPA work pays less than direct retail work. Most TPA agreements include some form of pricing concession — typically 10-20% off published Xactimate pricing, restrictions on overhead and profit, capped supplements, or fee schedules that cap certain line items. The trade-off is volume and predictability: a vendor in good standing on a major TPA network may receive 30-100+ assignments per month depending on territory.

    The math that matters: net margin per TPA job, after pricing concessions, after the operational overhead of TPA-required reporting and SLAs, and after slower payment terms (45-90 days is common). Companies that profitably run TPA programs typically have lean overhead, disciplined estimating, and the operational scale to absorb the lower per-job margin with higher volume. Companies with high overhead burden often lose money on TPA jobs they think are profitable.

    Major TPAs and vendor programs to know

    Contractor Connection (subsidiary of Crawford & Company) is the largest restoration vendor network, managing claims for many major carriers including Allstate, Liberty Mutual, and others. Network membership is tightly managed with strict performance standards and capacity targets.

    Code Blue Restoration Services is a major restoration-specific TPA serving multiple carriers, with significant residential mitigation volume.

    Sedgwick is one of the largest TPAs overall, serving commercial and residential property claims for many major carriers. Sedgwick’s vendor network is more decentralized than Contractor Connection’s.

    Crawford & Company operates both adjusting services and Contractor Connection, with significant CAT (catastrophe) capacity.

    Allstate’s Premier Service Program is a direct-from-carrier preferred vendor program for water mitigation and reconstruction.

    USAA STARS is USAA’s preferred vendor program serving its policyholder base.

    State Farm Premier Service is State Farm’s similar program (formerly Service First).

    Numerous regional and specialized TPAs exist — Sedgwick CCMSI, Cunningham Lindsey (now Sedgwick), various large loss specialty firms, and carrier-specific direct programs.

    Master Service Agreements (MSAs)

    An MSA is the contract that governs the relationship between the contractor and the TPA or carrier. Key MSA terms to scrutinize: pricing schedule (Xactimate concession amount, capped line items, fee schedules); territory definition (geographic scope, exclusivity provisions, right of first refusal); performance metrics (response time SLAs, completion timelines, scorecard targets); payment terms (net days, retention, hold-back provisions); insurance and indemnification requirements; termination provisions (notice periods, performance-based termination, transition obligations); customer ownership (whether you can market to customers post-job, whether the carrier owns the customer relationship); audit rights (TPA rights to review your job files, scope, photos, and pricing).

    MSAs are negotiable in some areas (especially territory and performance metrics) and rarely negotiable in others (pricing concessions, audit rights). Operators should have an attorney with restoration industry experience review any MSA before signing.

    The decision framework: which programs to join

    Whether to join a TPA program depends on four factors. Operational capacity: do you have the SLA capability, technology stack, and management bandwidth to meet program requirements? Market lead flow: is your direct lead generation strong enough that you can be selective, or do you need TPA volume to fill the calendar? Cost structure: is your overhead lean enough to make money at the program’s pricing concessions? Strategic mix: what percentage of revenue comes from TPA programs vs. direct? Most healthy operators target 30-50% TPA revenue mix — enough volume to leverage operations, not so much that the company is captive to a single TPA’s decisions.

    How to win at TPA performance scorecards

    Once on a TPA network, performance metrics determine assignment volume. The metrics that matter on most scorecards: response time (minutes from assignment to first contact, hours to first on-site), customer satisfaction scores (post-job surveys), cycle time (days from assignment to job completion), scope variance (how often supplements are needed and whether they’re approved), complaint rate (formal customer complaints per 100 jobs), quality scores (file documentation, photo quality, scope accuracy on TPA audits). Top-quartile performers on these metrics receive disproportionate assignment volume; bottom-quartile performers get reduced assignments and eventual termination.

    Frequently Asked Questions

    What is a TPA in restoration?

    A TPA (third-party administrator) is a company that manages claims on behalf of insurance carriers. In restoration, TPAs handle adjuster assignment, vendor selection, scope review, payment processing, and customer communication. Major restoration TPAs include Sedgwick, Crawford & Company, Contractor Connection, Code Blue, and CCMSI.

    How do you get on a carrier preferred vendor program?

    The application process typically requires: 3+ years in business, specific IICRC firm and individual certifications, higher insurance limits than standard, background-checked technicians, 24/7 dispatch capability, monthly KPI reporting, and signing a master service agreement that defines pricing concessions and performance standards. Applications take 60-180 days and often include facility audits and reference checks.

    Are TPA programs profitable for restoration companies?

    It depends on cost structure. TPA work typically pays 10-20% less than direct retail work due to pricing concessions, capped overhead and profit, and other restrictions. Companies with lean overhead and high operational discipline can run profitable TPA programs at high volume. Companies with high overhead burden often lose money on TPA jobs while believing they’re profitable.

    What is an MSA in restoration?

    An MSA (Master Service Agreement) is the contract between a restoration contractor and a TPA, carrier, or commercial customer that governs the relationship — pricing schedules, territory, performance metrics, payment terms, insurance requirements, audit rights, and termination provisions. MSAs should be reviewed by an attorney with restoration industry experience before signing.

    What percentage of revenue should come from TPA work?

    Most healthy restoration operators target 30-50% of revenue from TPA and preferred vendor programs. Below that range, the company isn’t leveraging program volume; above that range, the company is operationally captive to a few TPAs and vulnerable to program changes, pricing reductions, or termination.

    How do restoration vendor scorecards work?

    TPA performance scorecards typically measure response time (minutes to first contact, hours to on-site), customer satisfaction scores, cycle time (days from assignment to completion), scope variance and supplement approval rates, complaint rates, and quality scores from TPA file audits. Top-quartile performers receive disproportionate assignment volume; bottom-quartile performers face reduced assignments and eventual network termination.