Negotiations
Added to evaluations to document where you may disengage in a negotiation
What is a milestone?
This piece of your evaluation documents why injuries were or were not considered.
What is a causation statement?
You, relative, and rated residents.
What is an insured person?
You made an offer of an unconditional tender to the attorney and ended the phone call. What should you do next?
What is coding an offer? What is sending confirmation in writing?
The insured initialed rejecting UM, signed the form, and no changes have been made since the form was signed. Congratulations, you have a _______?
What is a valid UM rejection form?
Your evaluation range is $8,500 - $21,000. Your first offer is $8,500. Your second offer might be $12,875. Your third offer might be $16,000. This is an example of _____.
What is tapering?
Monies added to an evaluation in an attempt to settle pre-lit.
What is LUC?
Coverage is currently under investigation. This must be sent every 30 days.
What is an ROR?
You just settled a claim with the attorney. What must be completed in Claimstation?
What is the settlement screen?
The evaluation range is $5,000 - $13,500. $5,000 is?
What is an unconditional tender?
Low impact MVA, minimal treatment, pain resolved with PT. These are examples of?
What is a factor/merit?
The insured has a loss 2 months after the claim you have open. You should attempt to verify:
What are overlapping injuries?
The UM limits are lower than the BI limits. What is needed?
What is a UM selection form?
The vehicle is not a listed vehicle but it is owned by the insured's spouse. This exclusion may apply.
What is exclusion 1?
This is used for finding values for general damages awarded.
What is Eason's?
What is bidding against yourself?
A review/summary of injuries, treatment, etc.
What is a bodily injury evaluation?
A vehicle that does not strike you but causes you to swerve, requires _____ for UM coverage to apply.
What is an independent witness?
This must be coded every time a claim is settled, regardless of Medicare/Medicaid status.
What is the ORM screen?
The insured is driving their work vehicle and they have a workers' comp claim open, as well as a medpay claim on your claim. What is the possible coverage issue?
What is medpay exclusion 8?
Your range is $1,000 - $9,500. Your second offer is $3,975, your third offer is $6,100. Your next offer might be:
*hint: consider tapering*
$7975
Coverage and liability, confirmed underlying limits, ruled out course and scope, verified no additional insurance.
What is SPOL?
The insured is at fault. The insured guest passenger is claiming BI on the liability claim and UM on your claim. This is allowed per the policy: true or false?
To be completed upon your initial review of the claim, highlighting what steps have been completed and what is pending.
What is initial liability review?
Headquarters/main corporate office location.
Where is Cleveland?