LOSERs
TURE OR FALSE: IF THE FNOL CLERK DID NOT ASK ABOUT INSPECTING THE VEHICLE IT IS THE ADJUSTERS JOB TO DO SO.
TRUE
THE SCO LETTER IS THE:
STORAGE CUT OFF LETTER
WHAT LETTER MUST BE SENT TO CALIFORNIA INSURED WHEN WE MAKE A PAYMENT ON THEIR BEHALF AND THEY WERE MORE THAN 51% AT FAULT
PRINCIPALLY AT FAULT LETTER
FOR FRAUD : PATTERS AND VALIDITITY
WHO IS JOLLY?
JOLLY IS A CHRISTMAS ELF ON THE SHELF THAT CRAZY, ROMES THE HALLS AT NIGHT AND COMES AROUND WITH GIFTS IF YOU FIND HIM :)
WHAT DOES IT MEAN IF THE DRIVE IN OFFICE HAS A: " BB "
Black box data is pulled at that drive in office.
WHAT IS A PREDICTED REPAIRABLE VEHICLE?
VEHICLE IS ASSUMED DRIVABLE, NOT EXTENSIVE DAMAGE, DRIVE INS CAN BE SCHEDULED
WHAT ARE PAPER VEHICLES?
VEHICLES THAT DO NOT EXIST
WHAT IS A TOTAL LOSS VEHICLE?
DAMAGE, OR VALUE TO REPAIR VEHICLE IS EXTENSIVE/ OVER THE TRUE VALUE OF THE CASH VALUE
WILL THE AIRBAGS DEPLOY IF THE VEHILCE IS TURNED OFF OR WITHOUT POWER?
NO, THEY REQUIRE POWER
WHO IS RESPONSIBLE FOR SETTING UP A DTE?
FRONT LINE ADJUSTER
WHEN SHOULD THE ACK LETTER BE SENT?
ONCE PARTIES COME FOWARD, IF THE FNOL HAS NOT SENT
WHO IS RESPONSIBLE FOR SENDING RISK ALERTS FOR COVERAGE ISSUES AND ASSESING THOSE COVERAGES?
FRONT LINE ADJUSTERS
WHO DOES THE SIU REFERRAL GO TO FIRST?
SUPERVISOR THEN SIU
WHO IS THE FNOL MANAGER?
LUPE BOYETTE
WHAT IS REQUIRED IF THE VEHICLE IS DEEMED A TOTAL LOSS?
WE NEED TO SEND A DOCUSIGN RELEASE FORM, AND A STORAGE CUT OFF LETTER (IF AT B/S OR I/F)
CLAIM WILL THEN BE TRANSFERED TO TOTAL LOSS DEPT.
WHAT NEEDS TO BE POSTED IF WE GET A POLICE REPORT, OR WHEN IT COMES IN?
POLICE REPORT REVIEW, SUMMARY OF THE POLICE REPORT AND PARTY INFORMATIN.
WHAT WILL HAPPEN IF THE FRONT LINE ADJUSTER DID NOT ASK ABOUT INJURIES
CLAIMANTS ARE MORE LIKELY TO GET AN ATTORNEY
LIST CLAIM TYPES THAT WE WOULD NOT COMPLETE A DTE FOR:
Insured Vehicle with Liability Only
Excluded driver
Policy Not in Force (NIF)
Hail
Vandalism
Mechanical, undercarriage & glass.
Flood, recovered thefts and motorcycle
WHAT IS A NEW WAY THE FRAUDSTERS ARE GETTING MONEY?
AI, CREATING FAKE IMAGES, CREATING FAKE DAMAGE, PAPER CARS, CREATING FAKE INVOICES, CREATING FAKE BILLS.
DETAIL: PROVIDE THE BASIC STEPS TO COMPLETE A ROUNDTABLE PRESENTATION:
DIAGRAM
INSURED AND CLAIMANT PHOTOS
**INSURED STATEMENT
**POLICE REPORT: WITNESS, INJURIES, CITATIONS
CLAIMANT STATEMENT
LIABILITY ASSESMENT
DETAILS: THE REASON WE SEND OUT RELEASES FOR PAYMENTS ISSUED IS BECAUSE?
IT WILL RELEASE US FROM HAVING TO MAKE FUTURE PAYMENTS, THE PARTY SIGNED ACCEPTED THE PAYMENT AND SETTLEMENT AMOUNT.
DETAILS: IF THE INSURED CANNOT GET A HOLD OF THE CLAIMANTS, WHAT MUST BE DONE?
WE MUST ISSUE CONTACT LETTERS, AND PLACE CALLS, ISSUE SMS, GIVE A SECOND CALL ABOUT 2-3 HOURS LATER, IF NO CONTACT SET UP FOR LOC
DETAILS: WHAT ARE REASONS WE WOULD SEND THE "REASON FOR UNPAID CLAIMS" LETTER
A. Below Deductible
b. Insured Holds Liability ONLY
c. FLI Has chosen NOT to pursue claim
d. Insured filing with Adverse Carrier
e. Pending INVOICES for Windshield or Tow Invoice
f. Insured reported the claim for information purposes ONLY
DETAIL: BASED OFF YOUR TRAINING, PROVIDE THE FIRST DAY PROCESS...
k.i.s.s!!!
ITS OUR CHECKLIST :)
ITS JUST TOO LONG TO WRITE IN HERE