Fraud types
Name the fraud type...A PI claim has been presented late
LIC
Name 3 things to do when you first get allocated a claim
FIS
Reserves
Assign exposures/claim to yourself
Assign COA to yourself
Mani
Jamie x 2
Ang
Rog
Darryl
Hannah
What law to rely upon for a finding of FD when it comes to PI claims
Section 57 of the Criminal Justice and Courts Act 2015
What is the difference?
Liability - Asks who is at fault here?
Indemnity - Asks has the insured complied with policy T&Cs
Name the fraud type...A dishonest claim, overstating the damages caused
Exaggeration
What do you need to do if you want to withhold a PAV?
Send a referral through the app to Matt/Rich
How many miles is it from LE1 1SH to TN39 3LW
180/200 miles
When can we speak to TPs directly?
When they are NOT represented
PH doesn't cooperate
Using car outside of scope
Driver not on cover
Undisclosed claims/convictions
Name the fraud type...One too many passengers claiming PI
Phantom
Name 3 platforms you will use on a daily basis
GW
COA
Referral app
CXOne
David's father has three sons: Snap, Crackle and...
David
What can we do if the TPS dont provide us with something we need
PAD app
How do we redirect a claim on COA?
Transfer box under portal response tab
Name the fraud type...Mechanics for injury don't make sense - TPS on hotlist
NTI strategy
What are the factor reserves for a S1 OICP claim with fraud
4182/272
What kind of room has no walls, door or windows?
A mushroom
If the TPS want our ER, what do we need to do first?
Redact it > Avoids a GDPR breach
What is a most important to establish? Fraud or indem/liab?
Indemnity & Liability
Name the fraud type...This RTA simply didn't happen
Contrived
On a Scottish claim - How long do you have to acknowledge the LOC
21 days
What sometimes runs but never walks
A nose
If indemnity is granted to our insured, who does the TPS need to issue against?
AIC
What forms do we need to send if we wish to recover from the insured?
C&I
A&A