Best Practices
Coverage
Auto
Authority/Reserve/ Negotiation
Injuries / Threshold
100

Contact Standards  - Timeframe to make contact with insured or claimant?

What is 2 business hours

100
What is important to note on the coverage for commercial vehicles?

What is the symbol

100
If a pedestrian, bicyclist or motorcyclist is injured what should you do?

What is assign no fault

100
What is considered bad faith in settlement

What is to offer lower than your low end

100

What is the threshold for the service center

What is $300K

200

How often should you follow up with the insured?

What is 6 months

200

If the insured driver is not listed on the policy what do you need to confirm with the insured?

What is permissive driver

200

If you are found 1% at fault what is that called?

What is Contributory Negligence


200

If you do not have sufficient authority, what should you do?

What is to request authority

200

What should you confirm in NJ or PA with the PIP examiner? 

What is tort selection

300

Settlement - when should releases be obtained?

What is always, minus PIP subro

300

What is it important to note for the effective dates

What is to affirm the date of loss is within the policy period

300

If the damage is low impact and minimal damage what should you consider

What is SIU

300

What is important to review when reviewing medical bills?

What is collateral source

300

In PIP primary states who is responsible for the medical bills? 

What is PIP, 1st party. 

400

Reserves - when should the reserve be posted

What is as soon as practical up to the 90 days

400
What should you include in your coverage analysis?
What is to affirm coverage 
400

What does MA have that others don't?  

What is MADOR, DCD & MRB
400

What states should policy limit demands be transferred?

What is FL, TX, CA

400

What states are threshold states?

What is NY, MA, FL, DC, NJ, PA

500

Coverage - When should coverage be documented in the claim?

What is as soon as possible - before completing anything further

500

What is important to review in the endorsements?

What is deductible 
500

How often should you follow up with an attorney or TPC for an update?

What is 30 days

500

What is considered a reserve violation?

What is extending above your authority or beyond 90 days

500

What is important to note about Massachusetts PIP Coverage

What is to confirm if $2K or $8K 

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