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Claims Settlement · Oleg Kultajev · CLM Expert UÜ

Was 6,800 € → became 10,028 €. An insurer that rewrote reality.

On 4 October 2025, a shared riser pipe burst in an ordinary apartment building.

Water doesn't choose: it seeped under the floors, into the partition walls, into the children's room, into the bathroom. A routine utility failure. Hundreds happen every year.

The apartment owner did everything right: notified the housing association, contacted the insurer, gathered the documents. Insurance company BTA sent its own experts. They recorded honestly: the insulation inside the partition walls was soaked through, moisture levels were critical, water had reached both the toilet and the bathroom.

The case seemed clear-cut.

The bathroom disappeared from the estimate without warning. The payout figure was cut nearly in half. Then came a new argument: the apartment had no thresholds between rooms, therefore, in the insurer's view, the owner was herself responsible for the water spreading further. Penalty for a modern renovation without door thresholds: minus 20%.

The laws of physics haven't been repealed, but BTA was unbothered.

BTA offered 6,800 €. Their own partner Rismar OÜ had originally estimated 10,701 €. Three independent firms put restoration at 14,982 € to 16,678 €.

The client came to me.

The insurer had rearranged words in the expert report. Literally. The technical note about the need to open up a structure referred to the children's room. In BTA's position, it had «moved» to the bathroom. That became the formal pretext for excluding the costly bathroom repair from the calculation.

This is not a mistake. This is a method.

The insurance industry's conciliation body (EKSL) suggested we «find a compromise», meaning accept BTA's terms. We refused.

We filed documents with TTJA, the Consumer Protection and Technical Regulatory Authority. A commission hearing took place, chaired by a sworn advocate. A hearing at which my presentation was repeatedly interrupted. Where the client's position barely made it into the minutes. Where the signed minutes took five days to appear. Where the recording of the hearing was never provided.

Each of these facts individually is a «technical error». Together they form a pattern.

After six months of correspondence, objections, references to Riigikohus decisions, and sustained pressure, BTA paid out 10,028 €.

3,228 € more than the original offer. The bathroom is back in the estimate. Door thresholds are no longer an argument.

A complaint to the Chancellor of Justice and the Estonian Bar Association regarding the conduct of the commission chair is being prepared in parallel.

Not to frighten anyone. But so you understand: an insurance dispute is not simply an exchange of letters. It is a process in which one side is professionally prepared and the other is not.

BTA knew what it was doing with the expert report. It knew that most clients would not push back. It knew that 6,800 € is the figure an ordinary person without support will accept.

This client did not accept it. And received a third more.

When an insurer names a figure, that is not the final number. It is the opening of a negotiation in which they have lawyers, experts, and years of experience applying pressure.

You can have the same. For 60 € I will review your documents and tell you plainly: whether there are grounds to fight and what they are worth. No obligations, no vague promises.

Sometimes the insurer is right. But in this case they rewrote the expert report. And lost.

If you have been denied, had your payout reduced, or simply don't know what to do, write or call. The first conversation is free.

A dispute with an insurer? Write: info@clm.ee

+372 5159 215
Oleg Kultajev · Insurance Dispute Expert
CLM Expert UÜ · registrikood 17101774 · Narva, Eesti · clm.ee · info@clm.ee · +372 5159 215