LORS
Coverage
Liab
Police Report
ATLAS
200
Brittany has received and LOR for clmt, asking for our insureds dec page. What is Brittany's next steps
DO NOT COMPLETE THE WORKPLAN
1.Add atty to the claim
2. If not done already add that clmt is injured
3. send the claim to TCR2
4. reassign the work plan to the new adjuster
200
When do you need to submit a CPW?
1.Any fatal
2. Rideshare
3. Any 37
200
Clmt called in and started the FNOL Clmt sttd that NI rear ended them. Who is Brittany placing af for the accident?
Nobody we can not set liab until we talk with NI
200
Ebony enters a claim and receives a PR as a Q.
On the pr it stated Ni switched lanes and hit clmt
On the claim we have clmt switched lanes and hit NI
What is Ebony's next steps?
1. Ebony should update the information onto the claim from the pr
2. Ebony should send a message to her supe to update liab
3. Ebony should update liab and call all parties involved and send letters
200
Mrs. Smith called in and got Cynthia, She is very upset that a claim was filed on her policy and wants to know who filed it.
Where does Cynthia go in Atlas to find who filed the claim?
FNOL Snapshot
300
ARIAL has received a LOR for an unknown person
What will be her next step?
ARIAL should call the atty and see how the person that listed on the LOR is related to the claim.
300
Augustine just got into a claim with a CC99
How would she clear the CC?
Coverage Condition 99 - Loss Date Occurred within the first 55 Days of the Policy
- Review EDGE for the date and time of the payment and click here to confirm if the payment has cleared.
EXCEPTIONS:
- For New York risk, cancellations are not back-dated. Payment status is not required for NY risk.
- For Florida risk, policies are not Null and Voided for payments. Payment status is not required for FL risk.
- For Kentucky risk policies, the CC95 may trigger for up to 30 days right after the policy transition. You must submit a coverage referral with the following note: "KY CC95 please advise if the policy went through a resumption, how the customer resumed the policy, and on what date/time did the resumption occur."
- Prior to resolve coverage, the following questions must be answered with a Yes or No response:
- Verify date and time of loss (click here for ways to verify date and time of loss)
- If the date of loss can be verified and coverage is afforded, DO NOT submit a CPW. Only submit a Coverage Problem Worksheet if denial/disclaimer of coverage is recommended.
- If the date of loss cannot be verified, contact the insured’s prior insurance carrier to determine what coverages the insured had prior to starting a policy with GEICO and confirm when the policy ended.
- If the vehicle involved is a newly purchased vehicle, obtain a copy of the bill of sale.
- If the date of loss cannot be confirmed and the insured did not have a prior policy with another company, establish a vehicle inspection with a bad pay code and refer to SIU.
300
NI called in and sttd that they were backing and clmt was also backing and they hit each other
Clmt sttd they were backing but when they saw NI they stopped and honked their horn.
What is Justin's next steps?
1. Get recorded interviews from both parties
If it were me: Set Ni AF clmt sttd they stopped and NI kept backing
300
Kye is reviewing a PR.
The report has 2 witnesses listed
Is she supposed to add them to the claim?
YESSSSSSS
300
Anthony has a CC37. Where does he go in atlas to pull up the policy contract?
1. Policy and Coverage
2. Amendments and Endorsements
400
Kyle has gotten into a claim and received an LOR he has noticed that an LOR response has already been sent out. What is his next step?
Kyle should review the LOR and the LOR response to make sure it is correct. If it is he can note the file and move on, if not he must resend the LOR with the correct information.
400
Ryan Has entered a claim with a PDX issue.
What is his next steps?
1 Check to see if we have the estimate for clmts veh.
2.if we have the esti and it is close to our pd limit get it to CDU
3. If it is not close clear the CC and note about the esti
400
NI calls in and tells Damon that a rock fell out of the sky and hit their hood causing a dent.
What would this accident be classified as?
A. NAF Collision
B. Comp Falling Objects
C.AF collision
Comp Falling objects
400
The clmt owner and clmt driver are two different people listed on the PR
On the claim we have the clmt driver listed as the driver and owner.
What is Anthony's next step?
Update the owner that listed on the pr to the claim
400
Regine has gotten in to a claim and has realized it is a dup. Where do we do to submit that this claim is a dup to UW?
1. Referrals
2. Underwriting
Just a little more info...
Click add new
and remove dup claim/remove surcharge
500
Marshall has received an lor with clmts information. On this claim we are set NAF and the claim is closed.
What is Marshall's next step.
1. Get clmt info added on to the claim
2. Open the claim
3. make sure exp are open
4. Reassign the claim
500
When are we allowed to work a TCR2 or CDU claim?
NEVER!!!!
500
NI called in and started an FNOL. NI sttd that they were R/E.
What will our liab decision read?
Non-Fault- Claimant Rear-Ended Policyholder
500
Jimi received a call from clmt advising him he sent in a PR. Jimi reviewed the PR and found out it only has clmts side of the accident.
What is Jimis next step?
1. Ask clmt when he filed the PR
2. Advised we CAN NOT accept the pr due to it being one sided.
3. Ask him if he has any other evidence to send in
500
What is one way to update owner/driver in atlas
1. Incidents
2. Parties involved
640
Clmt called in and said NI R/E them. We have a statement from the NI below.
"Hello my name is Marsha Lee(NI) i was called a week ago about an accident. my 2026 Audi A6 was not involved in an accident"
What is our next step?
1. Ask clmt if they have a PR or any evidence putting out insured at the accident site.
*ask ni to send in photos of their veh all the way around
640
Kadazjha has entered a claim and there is a PDX. She has checked the docs and found the esti for clmt in the amount of $30,000.00. She has reviewed our limits and our PD is 29842.00. What is her next steps?
GET THE CLAIM TO CDU!!!!
640
When do we update Claim IQ
1. If there is PD
2. If there is shared NEG
640
Susan received a PR while on a call. What status is she supposed to work the PR.
A. Wrap
B. File Handling
C. On the call
C. On the call
640
Policy holder called in and said the veh listed is not correct
How does Tiara delete the veh?
1. Choose parties involved tab, click on 'Incidents'
2. Hit 'Edit' and hit the radio button the vehicle we are removing
3. Click 'Retire' at the top
4. Update