COVERAGE
What policy endorsement covers a custom $10,000 stereo system installed in the insured's vehicle?
Extra Equipment Coverage
Where can you find who the PIP adjuster is on a claim?
Performer Overview tab under the PIP subclaim
Yes - R/S should be taken on ALL fire claims
You called Joe Hudson's to get an update on claimant repairs. What subclaim should you document this call in?
ZPD
24
What is covered under the Enhanced Exterior Repair Option?
OEM parts
Where can you find the police report information?
Incident tab
Tati has made 2 unsuccessful attempts to reach Mr. Claimant. The FNOL reports that CV is non-drivable and located at Bernie's Towing. How often should Tati attempt contact with Mr. Claimant?
Daily
JR finalizes liability on a claim as probable. He adds the liability template, adds the IR file marker, and notifies all parties involved of the liability decision.
What step was missed?
Updating liability in FACTS
After acceptance of liability with the adverse carrier, diary every ___ days, follow up with adverse carrier for status, and then diary another ___ days before closing.
60 / 30
The insured is driving for Uber with a passenger in the rear when he is rear-ended at a red light.
He carries TNC coverage on his policy. Would this loss be covered?
No, TNC coverage only applies during a standby period.
Appraisers of Central Florida should be added as what type of BP?
Independent Adjusting Firm
***DOUBLE JEOPARDY***
Erica runs PMOI for Mrs. Insured's vehicle. PMOI recommends TLE - Predicted Total Loss. Mrs. Insured had mentioned that she was already interested in an ACE shop, so Erica sets up DRS. Is this proper handling?
No - We should always follow PMOI when circumstances allow
#FollowThePMOI
Letrice's new claim has FOL listed as "Bucket flew and hit IV." The ZCOM folder is opened and incident-type reads Non-Accident.
After first contact, Letrice determines that the insured hit a stationary bucket that was in the road. She closes the ZCOM folder and opens ZCOLL.
What else needs to be updated? (2 part answer)
Incident Type & Loss Cause
Mr. Insured calls in and leaves a voicemail at 4:45 PM. By what time should his call be returned?
Before noon the following business day
***DOUBLE JEOPARDY***
Tessa calls out on a new out-of-state loss. Mrs. Claimant tells her that it's snowing badly where she's at in Michigan and only has a few moments. Tessa quickly takes the recorded statement, confirms the loss happened in Detroit, advises Mrs. Claimant that we have accepted liability, and facilitates an inspection. Mrs. Claimant thanks Tessa and disconnects the call.
Is this proper claim handling?
No - Michigan is a licensed state, so Tessa should have assigned Michael Curtin to handle the liability investigation.
How do you search for previous claims? (3 step answer)
1) PH: INSURED NAME/TAMPA FL 33863
2) Previous Claims tab
3) Execute
Julie has an unsettled total loss for Mr. Claimant. How often should she be dairying out to settle the total loss?
Every 2 days
True or False: We are strongly encouraged to send the survey notice at the time of claim closure, but it is not required.
FALSE - Audit requires that we notify the insured of the NPS Survey (unless the survey is excluded on the claim)
***DOUBLE JEOPARDY***
John sent an ROR for non-cooperation. Mr. Insured's received the letter and called John to provide a recorded statement. What letter should John send out after his conversation with Mr. Insured?
ROR Rescind Letter
Enhanced Total Loss Replacement Coverage requires the insured vehicle must have under ____ miles on the odometer at the time of the loss.
24,000
When manually assigning PVU, what should be entered into the "Claim Handler" field?
50001951
What does the "H" stand for in the Call Guidelines?
Hear your customer's concerns (active listening)
Nick receives the estimate for Mr. Insured's vehicle on Tuesday. Coverage is clear. Payment should be issued no later than what day?
Thursday
If the repair estimate says 7 days, how many days of rental should we authorize if the insured drops off at ACE on Monday?
between 9 and 11 days
Rental Formula: repair days from estimate + 2 days for parts (if on order) + weekend/holidays (if applicable) = total # of rental days