Liability
Insured r/i: I was driving straight and the other driver came into my lane and hit me.
Claimant r/i: I was attempting to change lanes, and as I was changing lanes, the other car came into my lane.
What is improper lane change? 100% adverse clmt
Where do I click to add a new person to the claim? Walk me through the steps.
Parties involved. Add new IP. Add veh, add party in vehicle.
Where do I look at to see if a coverage condition exist?
Top of screen under Coverage.
Policy and coverage under coverage issue
I have a 1990 ford escape, that has heavy front end damage. Airbags deployed. I have collision coverage.
What is VIC
Insured r/i: I was attempting to exit the parking lot and turned right. As i turned right into the left lane, I was struck
Claimant r/i: I was driving straight in the right lane. I saw the other car at the edge of the parking lot. As I was driving past them, my p/s fender hit their d/s fender.
100% adverse insured for ftyrow
What is NFP vs CBP?
Negligence free party vs. Covered by policy
What is a cc37-unlisted vehicle?
non-owned/borrowed
temp-sub
newly aquired
We have accepted 100% liability and claimant has minor damage to vehicle. The nearest ARX is 50 miles away. What is your recommendation?
EPE-EASY PHOTO EST
POLICE REPORT: When i arrived to the scene i observed damage to both vehicles. After my investigation, it was determined that neither party has liability in this case. A verbal report was taken from the driver at the scene. One of the driver's were not present
Insured FNOL: As i was driving a package feel off the other vehicle causing me to hit it
Not fault- coll if package hit the ground
comp-no liability if package did not hit ground
What button do I press to get CIQ to appear? & What exposure needs to be open?
Is an investigation required & PD exposure
What is a Fatal CC?
A coverage condition that causes the policy to not be in forced.
Coverage Condition 31 - Policy Cancelation on or Before Loss Date
Coverage Condition 34 - Policy Not Cancelled; However, Loss Date Is On Or After The Effective Date Of Expiration/Cancellation Notice
Coverage Condition 55 - Loss Date On or After the Effective Date of Expiration
My vehicle is non-driveable, but i want to get it repaired as soon as possible. I do not have a shop of choice and i have collision coverage. What steps are needed to get vehicle inspected
What is set up tow? Set up ARX?
Both insured and claimant backing at the same time. Angled parking spaces and both admitted to not seeing each other and hitting each other's rear bumper
50/50 loss
Where do I go to update the insured's vehicle thats on the policy?
Parties Involved, incidents screen
What is needed to CLEAR a fatal CC?
Send notice to UW to confirm if policy was in force on DOL.
R/I from PH confirming if they were aware of the policy not being in forced
EDGARS/EDGE review confirming if payments were made or if there are any lapse in coverage.
PORS/CANS-if policy was canceled
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Coverage Condition 31 - Cancellation
Send a Coverage Referral from Referral tab > Coverage Referral in ATLAS or email to uwclaimcov@geico.com
After coverage advises cancelled for non-pay or underwriting reasons - Obtain PORS/CANS from EDARS.
*If cancellation reason was at PH request, there will be no PORS/CANC*
Obtain a coverage recorded interview from the named insured (if insured disputes coverage).
Complete the Coverage Problem Worksheet (CPW) regardless of recommendation for supervisor/CSCA review.
Note: If the policy was cancelled, a copy of the PORS & CANC are required to be attached to the CPW.
Coverage Condition 34 & Coverage Condition 55 - Expiration
Send a Coverage Referral from Referral tab > Coverage Referral in ATLAS or email to uwclaimcov@geico.com
If the expiration date is within 15 days from the loss date:
Determine if the policy has been reissued
Secure the effective date
Secure the payment status
Crosscheck the courtesy letter date sent to the customer in EDARS.
Obtain a coverage recorded interview (if the insured disputes coverage).
If the policy has not been reissued and the customer is on the phone, transfer them to Service.
Complete CPW regardless of recommendation for supervisor/CSCA review.
What is send mitigate storage letter and have claimant seek damages via AC
Claimant makes a left turn on a green light. Insured driving striaight. POI: clmt t-bone. POI: insured front end. Insured admitted to not seeing claimant until the other car was right in front of them. Claimant stated they turned and thought they had enough space to make their turn. Claimant is unsure how many car lengths away they saw insured prior to turning, but once they saw insured coming, clmt attempted to speed up to avoid
what is 70/30-60/40 majority insured for clmt for fytrow.. NI for improper lookout
Where do i click to get into the CPW screen
Referrals, CPW
What is required to be included in a CPW?
Policy language-owned, non-owned, temp sub- if cc37
Sections that you are approving, disclaiming, or denying (section 1, section 3)
Name and classification of person seeking coverage- (insured, john smit)
Your recommendation (approve, disclaim, deny)
Dates, CPW, LDW if you are approving a rental
DATES if you are reviewing any fatal CC
I only want an estimate because i'm unsure if the damages are below deductible. I have collision coverage. My vehicle is driveable and I want an estimate as soon as possible. What are the two best options for the insured.
What is drive in drive by?
What is EPE?