Investigating Coverage CC31/34
What documentation if any would we request from insured to aid in our coverage review
Proof of payment
This policy exclusion typically applies for a timeframe that starts when
Logs into the App
Name at least one piece of documentation we would need from Insd on a CC37 review
RA
Bill of Sale
Invoice/evidence or insd veh repairs (for TSA)
Police report confirming owner of the vehicle
Which of these represents a CC50, Fatal, Critical, Warning
Fatal
Aaron is a fan of this football team
Green Bay Packers
This tab and sub tab are used in order to request from underwriting what day the policy cancelled in a CC31/34 review
Referrals and Coverage Referrals
When a policy exists but the loss is not covered due to a breach of the policy
Disclaim
You have 30 days for this type of vehicle to be put on the policy
Additional vehicle
There are two types of Named Driver Exclusion
Voluntary and Involuntary
These are the only three possible resolutions for a coverage investigation.
Afford, Denial or Disclaim
I would need to this many calls and send this many letters, for a claim that has two IP's, an insured and claimant, as well as 3 AP's, two body shops and an A/C.
3 calls and 3 letters
What documentation if any would we request from insured to aid in our coverage review
Documentation confirming if the insured was logged into the app
A police report that indicates the insured was using the vehicle for rideshare
If the caller reports the insured is not the owner of the vehicle in the loss, the ‘Vehicle Status’ will display one of these three options
Rental
Borrowed
Other Non-Owned
What documentation if any is needed for a CC50
NDE form from Underwriting
Police report supporting who was driving each vehicle
Photos of the scene that help identify who was involved in the loss
The number of Harry Potter Movies and Lord of the Rings Movies Combined
11
In this scenario, the RLA would not need to review a CPW to deny the claim for canceling due to non payment
over 30 days from canx date and insd is not disputing
This is how you would explain to claimant that the review is ongoing
"I am handling the claim because the way in which the vehicle was used in the accident is under review to see if it meets our policy guidelines, and because of that, we may not be able to pay for your damages.”
This is the time frame insd has to replace a vehicle on the policy with a new one
the length of the policy period
The official name for the form insd needs to sign to exclude a driver from the policy
UE119
This means there was a valid policy with GEICO at the time of the loss; however, the loss does not meet the definitions of a covered loss or is excluded per the policy contract.
What is a Disclaimer
These things need to be completed before I can submit my Coverage Problem Worksheet to the RLA with a recommendation to deny the Claim
Interview with INSD or attempts made, U/W Documentation in the file and PORS and CANS have been uploaded to the claim
I use these points to help me explain my coverage review decision
The evidence gathered, what the evidence supports, and what happens next including any impact to the insured
The insured Carol Baskin rents an ERAC (Enterprise Rent-A-Car) vehicle for the 6 weeks her Camry is being repaired. The RA confirming all info dates, veh, etc is on file. If insd was to get into an accident would we cover this claim based on the info on hand. Why or why not?
Yes the vehicle was rented for 42 days which is longer than the time frame we allow per the contract but since it was a temp Sub the timeframe does not count
A person driving the listed vehicle who lives outside the insured household is covered only if driving with
Permissive Use
These are the four names of Both Aaron and Mike's Dogs. Must be able to name who's is who's
Aaron: Doba
Mike: Sami, Diego, and Becky