Adjuster forwards link from claims portal after investigation reveals multiple inconsistencies
What is a SIU Referral
100
This tool has the functionality to provide additional data/insight about a captured item/document
What is the Meta data (tool)
100
P/Fire
What is partial fire?
100
I200
What is the Inured's Free Text Letter?
100
REO: The Expectation when You Address our Members
What is Respect, Empathy and Ownership?
200
Indicators are based on industry experience and elements that appear frequently in fraudulent claims
What is Fraud indicator
200
This department provides specialized investigative services when claim or underwriting fraud is suspected.
What is SIU?
200
Determining whether exclusions apply and how to handle them; Determining the appropriate MOI; Determining in damages documented in the appraisal are consistent with the loss
What is Evaluating the loss/claim?
200
I126
What is The Insured Status Letter?
200
Thank you for trusting USAA
What is Branding the Call?
300
indicators of fraud, but not actual "evidence"
What is a red flag?
300
Recorded or factual versions of a loss
What is a statement?
300
SLO for returning calls
What is 4 hours?
300
District Attorney/Restitution Letter
What is the G118?
300
Service, Loyalty, Honesty and Integrity
What is Our Core Values?
400
Deliberate hiding or falsification of a material fact, which if known to the party, could have aborted or significantly altered the basis of a contract, deal or transaction.
What is material misrepresentation?
400
Preferred line of questioning (technique)
What is an Open ended question?
400
1. CCOM Messages
2. new claims (Fire is priority)
3. Automated payment Not Issued
4. Letters to be Sent
What is Work List Priority?
400
Denial Letter may be sent when partial/loss is denied and is required by some statues
What is I128?
400
1922
What is When was USAA founded?
500
This agency's vision "to be the preeminent organization fighting insurance fraud and crime.
What is NICB? (National Insurance Crime Bureau)
500
CAAS
What is Customer Accounting Account Status?
500
UPP-pending voo in CCOM
What is UPP loss' awaiting verification of property in CCOM?
500
Letter may be required when coverage questions exists on certain First party (insured) iosses
What is a Reservation of Rights/Non- Waiver agreement?
500
This is Our Brand Promise
What is Going Above for Those Who Have Gone Beyond