Coverage
Investigative Contact
Acronyms
Scenarios
Repairs & Rental
100

What is the resource we use if we are unable to locate the policy in LIT/HAART?

Company Wide Search

100

What is needed when speaking with minors? 

Permission from a parent or guardian

100

ODM

On-Demand Messaging

100

An Insured calls in with Glass Only Damage and is eligible to file a glass-only claim and you have confirmed coverage.  

What is your next step?

Warm transfer to LYNX.

100

If V1 is stolen, what are the rental limits offered under Comprehensive coverage?

25/750

(This is only extended by Property CS - do NOT set this up)

200

What is the COL we use if an insured strikes an animal?

Comprehensive (390)

200

What is a specific JR requirement for both CA and IL?

CPRS

200

ADSP

Auto Damage Service Program

200

During business hours Claimant calls in on an existing claim wanting to discuss repairs.  What are your next steps?

Provide claimant with claim # and claim handler information and warm transfer to claim handler/department.

200

What three things should be included in rental reservation comments?

  • The repair facility's name
  • Repair facility's phone number  
  • Drivability of the vehicle
300

What does PCIEO stand for?

Policy (In force)

Covered vehicle 

Insured driver 

Exclusions

Other (provisions )

300

What are the three different types of *1 vehicles?

NOC, NAC and TSC

300

CA

400/501 - INSD

SSFRB

HRAC FB

200/205 CLMT

PR pends for CLMT info

QFC w/ CO

Claim Associate

400/501 - INSURED

SELECT SERVICE FINAL REPAIR BILL

HERTZ RENT-A-CAR FINAL BILL

200/205 CLAIMANT

POLICE REPORT pends for CLAIMANT info

QUALITY FIRST CONTACT with Claimant Owner

300

V1 is involved in a collision loss.  NID is 100% liable. No injuries are reported.  The policy strip shows:

A100/300/100, D500, R1 25/600

Which coverages are applicable to this loss?

A100 (PD100)

R1 25/600

300

What are the two types of inspections which require Template 343?

VIS and EA

400

When can we send an ERS tow to an accident scene?

When the INSD has H coverage but does not have physical damage coverage (D/G).

400

Who are the three parties who can report a loss and no additional call is required to the insured to determine liability?

  • The Insured
  • Insured's Relative
  • State Farm Agent's Office
400

P/A - RCF CLMT ATTY

• Completed claim

Atty stated C/V at BS (NPS)

R - Set CAL and Pending

Purpose/Action - Received Call From CLAIMANT ATTORNEY

• Completed claim

Attorney stated Claimant Vehicle at Body Shop (Non Program Shop)

Result - Set CALENDAR and Pending

400

V1 owned by NID (father) backed into p/u V2 owned by CO (daughter), a Resident Relative.  V2 is insured by OIC. 

Is there an exclusion which may apply in this situation, and if so, what is the exclusion?

Yes, Exclusion 11 - Household exclusion (Care, custody & control)

Virginia (and some other states) have exceptions to this.  Always check Jurisdictional References.

400

V1 is pulling a non-owned trailer and causes damage to the trailer.  How should AILR/Express handle the damages?

We don't.  Reassign to Property-Complex.

Even if the trailer is owned by NI, if it does not have its own trailer policy, it gets reassigned to Property-Complex.

500

What are the four criteria for the NH Waiver of Collision Deductible?

  • Insured must have collision coverage
  • Operator of the uninsured vehicle is 100% at fault  
  • Operator of the uninsured vehicle is positively identified
  • It has been verified that the operator is uninsured.
500

What is the reason that a CA would set a call task instead of a CR calendar to contact the Insured for a QFC?

Another party calls in to file the claim on our Insured's policy after call out hours.

500

RCF COD.  Expl ADSP, Sent SS assignment, expl CIC 758.5, read RWT, sent HRAC assignment and expl GMI.

Received Call From Claimant Owner Driver.  Explained Auto Damage Service Program, Sent Select Service assignment, explained California Insurance Code 758.5, read Rental Word Track, sent Hertz Rent-A-Car assignment and explained Gas/Mileage/Insurance.

500

A lienholder calls in and wants to file a claim reporting damage to V1, but does not know what date the damage occurred.  What date should be used to proceed in filing the claim?

The date of repossession.

500

How long does the insured have rental coverage for once the TL valuation has been reviewed? 

7 days

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