Auto Claims
FNOL Calls
ZZ Requests
Workflow
Assignment Logic
100

What is our preferred method of inspection?

What is DRP?

100

What is the availability goal?

What is 2-3 hours plus talk time?

100

Who do we use for arborist inspections?

Who is HMI?

100

Who should you reach out to if you have a question on a claim or phone call?

What is my Team Lead or my neighbors?

100

Who gets assigned a deer hit claim?

AMA

200

What deductible applies for a hit and run claim in New York?

$100 hit and run deductible

200

What information should you leave in a voicemail?

What is the claim number and adjuster information?

200

True or False: You do not have to keep diaries on ZZ files

False. Keep a diary and follow up in about a week.

200

What is the first thing you should do when you come into work in the morning?

What is sign in and go available on the phones?

200

Who gets assigned a water loss to the member's home?

General Adjuster (GA)

300

What is the limit on Comsearch reviews?


Bonus: What method of inspection do we use if the estimate is over the limit?

What is $5,000?


Bonus: IA if the shop is not in Open Shop

300

True or False: Only the handling adjuster can discuss estimate options with the member.

False. If you have confirmed the member has coverage we can direct them to DRPs or the other estimate options.

300

Who are the main 2 vendors we use for art and jewelry appraisals?

Who is Pall Mall and Winston Art Group?

300

When is an inbox loss expected to be completed?

What is within 1 hour?

300

Who gets assigned a claim where both vehicles were backing up in the parking lot and collide with one another?

Claims Representative (CR)

400

What are the five methods of inspection?

What is DRP, IA, Comsearch, Pure Express and Open Shop?

400

If a member is suffering water damage to their home and needs assistance getting the home dry, who can we call?

An emergency mitigation services (EMS) company.


Ex. Belfor, Jenkins, ServPro

400

How many complimentary background checks does a PURE member get a year?

What is 5?

400

What can you do if you have free time?

What is barge other calls or review your claims/work ahead?

400

Who get's assigned a claim where the member or claimant was injured?

Claims Analyst (CA)

500

True or False: When you assign a claim through Open Shop you do not need to open expense reserves on your claim files.

False. Need to open expense reserves so we can pay Comsearch through bulk billing?

500

What do you put in the FNOL subject line?

Claim Number| DOL | Policy Number | Member's Name | Phone Number

500

What are the 4 options for Leak Detection Systems?

Phyn, FloLogic, Flo Tech and Leak Defense

500

Who do you copy and blind copy on FNOL emails?

Who is the adjuster and agent? Who is my Team Lead, Manager and the adjuster's manager?

500

Who get's assigned a claim with serious injuries? 


Bonus: Who can give me an example of a serious injury?

Senior Claims Analyst


Head Trauma, Jaws of Life, Burns


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