Be the Champion
These are people that have a direction connection with the accident
Interested Parties (IPs)
Tasks you will complete to resolve a claim.
Activities
A Financial estimate set aside to cover the anticipated cost of a claim, ensuring funds are available for payment
Reserve
What does EDARS stand for
Electronic Document Archive and Retrieval System
During what type of coverage investigation would you gather the PORS and CANS?
Investigating a policy cancellation for non-payment of premium.
Individuals or companies that are conducting business related to the claim, such as attorneys, body shops, adverse carriers, and rental car companies.
Associated Parties (APs)
In order to identify a claim we one of the following
Claim Number
Phone Number
Policy Number
This reserve is applied at the initial stage of the claim when limited information is available, typically within the first 90 days.
Stat Reserve
New language becomes part of the contract is called
Amendments
a letter notifying interested parties that GEICO is investigating coverage.
Reservation of Rights (ROR)
Individuals who hold a close or direct relationship with an Interested Party, such as a parent/guardian, spouse, child, employer, or friend.
Related Contacts (RCs)
list of items necessary to resolve the customer's claim
Claim Navigator
Provides a specific dollar amount that reflects unique facts of a claim. Typically, within 60-90 days or during the Timed Reserve Review.
Case Reserves
John had a blowout and had to put his car in the, in the meantime he borrowed Sheila car to get to work. Sheila car would be described as
Temporary Substitute Auto
What does PORS stand for.
Post Office Receipt Secured
An approach to call handling where anyone who answers the phone can assist the customer and takes the next steps to resolve the claim for the customer.
Direct Handling
To clear the information on the ATLAS Verification tab, select
Reset
Reserves are always tied to an open exposure
Represents dollars, not coverage
Can be adjusted as claim facts change
Classified as either:
Loss reserve line (damages)
Expense reserve line (costs to handle the claim)
section of the Family Auto Policy lists conditions that apply to all coverages in the policy contract.
General Conditions
What evidence is needed for 63 – Policy is pending for cancellation/non-renew
Refer the claim to SIU for investigation
In order to BE THE CHAMPION on every single call we must.
Make a Connection
Lay the Foundation
Map out the Next Steps
Put the customer at ease
What tab do you select to submit an exposure to Subro
recoveries
When you reopen an exposure what type of reserve would be available
Case
process of utilizing a third party to settle a dispute between an insurance company and its insured.
Arbitration
What evidence is needed for 50 - Named Driver Exclusions
Obtain confirmation of who was driving the insured’s vehicle (if contested)
Copy of the NDE
Documentation from Underwriting noting:
If the NDE was voluntary or involuntary
If voluntary, when it was requested and if it is still in effect
When the UE119 (Involuntary Named Driver Exclusion Form) was signed
Any requests to lift the exclusion and why it was not lifted