COVERAGE
This type of coverage pays for damage you cause to another person’s car or injuries when you’re at fault in an accident.
What is Liability Coverage?
This abbreviation stands for the first time an insurance company is notified of a loss or claim.
What is FNOL (First Notice of Loss)?
This letter is sent to all parties involved in a claim to formally acknowledge their participation and confirm that all are recognized in the process.
What is the Acknowledgment Letter?
This document is the written contract between the insured and the insurance company, outlining coverages, limits, and terms of protection.
What is the Policy?
set up the best method of inspection
This coverage pays for damage to your vehicle after an accident, regardless of fault, and requires you to pay a deductible before repairs.
What is Collision Coverage?
This abbreviation represents the person who owns or drives the vehicle listed on the policy.
What is INSD (Insured) or ID (Insured Driver)?
This letter is sent only to the insured when there are potential coverage issues, notifying them that the company is reserving the right to investigate before deciding coverage.
What is the Reservation of Rights Letter?
The Personal Auto Policy applies only to accidents that occur during this time frame and within the United States, its territories, Puerto Rico, or Canada.
What is the Policy Period and Territory?
what are 3 ways to complete a vehicle inspection/ estimate?
field appraiser
drive in
inspection facility
This optional coverage protects you from non-collision damages such as theft, vandalism, or natural disasters.
What is Comprehensive Coverage?
This stands for the type of coverage that pays for injuries to others when you are at fault.
What is BI (Bodily Injury)?
If the insured or claimant has not responded after the first outreach, this letter is sent on the second day of file review to re-establish communication.
What is the Second Contact Letter?
For coverage to apply after an accident, the insured must notify the insurer promptly, cooperate in the investigation, and protect damaged property from further loss.
What are the Duties After an Accident or Loss?
if the insured refuses to give us access to the vehicle what can happen to the claim?
denial for lack of cooperation
This coverage pays medical expenses and lost wages for you and your passengers, regardless of fault, and is required in Texas unless rejected in writing.
What is Personal Injury Protection (PIP)?
This abbreviation refers to a document that outlines your policy coverages, limits, and deductibles
What is DEC PAGE (Declaration Page)?
This letter is sent to the claimant when liability for the accident has been denied, and it includes the specific factors or reasons for the denial.
What is the Denial Liability Letter?
The insured must do this as soon as possible after an accident or loss so the insurer can begin its investigation.
What is Promptly Notify the Insurer?
what must happen if insured/ claimant has retained an attorney
all communication will be with attorney, statements, status, and if needed payments.
This coverage protects you if an at-fault driver has no insurance or insufficient coverage to pay for your damages.
What is Uninsured/Underinsured Motorist Coverage (UM/UIM)?
This abbreviation is used when an insured has a right to recover payment after paying damages caused by another driver.
What is PS (Pending Subrogation)?
This letter is sent to the insured when they fail to cooperate with the claim investigation, warning that coverage may be impacted if they don’t comply.
What is the Lack of Cooperation (LOC) Letter?
This part of the auto policy pays for damage you cause to others — including their injuries and property — when you’re at fault in an accident.
What is Liability Coverage (Part A)?
What happens if the insured deductible is under the estimate for repair amount?
we will close the claim as : BELOW DEDUCTIBLE