First Notice of Loss (FNOL)
Coverage
Letters & Communication
Fred Loya
RANDOM
100

This is the first step when a claim is reported.

  • What is FNOL?


100

An insured backs into a parked car in a parking lot. Their vehicle also has rear bumper damage.

  • Other vehicle → Property Damage Liability
  • Insured vehicle → Collision Coverage
100

This letter informs the attorney that their claim has been received.

  • What is an Acknowledgment Letter?


100

Who will assist in dispatching a field appraiser to inspect damages? 

CDU

100

An insured is 20% at fault and damages total $10,000. In a comparative negligence state, how much can they recover?

$8,000 (reduced by their percentage of fault)

200

This key detail includes date, time, and location of the accident.

  • What is loss information?


200

A tree branch falls on the insured’s parked vehicle during a storm.


Comprehensive Coverage

200

This letter explains that coverage may not apply and investigation is ongoing.


What is a Reservation of Rights Letter?

200

What must be done if the insured stated they where not involved in the claim? 

Gather documentation and deny the claim


200

An insured refuses to provide a recorded statement. What policy condition may be violated?

Duties after loss / cooperation clause

300

This person reports the claim but may not be the policyholder.

  • Who is the reporter or claimant?


300

The insured is rear-ended at a stoplight. The at-fault driver has no insurance.

  • Uninsured Motorist (UM) Coverage (and possibly Collision if UM not used/applicable) 
300

What letter is sent when status is being requested? 

Status Letter


300

if the insured does not pay for their insurance on time what is this called? 

POLICY NIF


300

The insured’s parked car rolls downhill (brake failure) and hits another car.

  • Property Damage Liability
  • Collision Coverage
400

Photos, police reports, and witness statements fall under this.

  • What is supporting documentation?


400

A passenger in the insured’s vehicle is injured in an at-fault accident.

  • Bodily Injury Liability (for liability to passenger)
  • Possibly PIP/MedPay depending on policy
400

What letter will se send if insured does not carry first party coverage? 

Reason for unpaid letter


400

Who handles payment to other insurance companies when fred loya insurance was at fault for the accident?

Pending Subrogation


400

True or False: If the insured is cited for the accident on a police report, fred loya will automatically put them at fault. 

FALSE


500

This is used to verify policy status at the time of loss.

What is A COVERAGE RECAP?

500

The insured’s engine is damaged due to lack of oil/maintenance.

Answer: No coverage (mechanical breakdown/maintenance exclusion)

500

What letter/s must be issued if the insured has multiple parties in the vehicle? 

Ack Letter to all parties. 

500

What was the most recent update to our guidewire/ file manager system? 

File manager button is no longer available through summary tab, you must go through the Table of contents


500

The repairable Storage Cut off letter will be sent to the body shop if the insured states the vehicle is a total loss?

NO, only if the vehicle is repairable


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