Misc
Process and Procedures
APD Resource OneNote
Claims Handling
Coverage Investigations
100

How many days do you have to make changes to your policy?

30 days

100

Who is inbound subrogation tasked to?

Inbound subro

100

Where would you find the link for AAA paid CE classes?

CE Credits

100

What two types of losses require a file handler to report a loss to ISO?

Fire and theft

100

If SIU is involved with the claim process, and they clear the ULD, what is the next step the file handler must take to clear the ULD?

Task their specialist

200

If a loss happens in Canada, what IA is used?

Empathy Claims

200

Liability denials can be delivered in what ways?

Verbally or written
200

What status should you be in on diary days?

Available 

200

What are we able to send to claimant attorneys?

Nothing, BI does it, unless it's an attorney rep'ing for PD

200

What must be obtained when an excluded driver is driving at the time of loss?

Excluded driver RS

Signed excluded driver form

300

In order to search under Research Hub in ISO, what must be done?

Nothing, you can always search under Research Hub

300

In order to void an EFT payment, what must be done?

Email the claims transformation team

300

What's the minimum about of surveys back you need to hit bonus?

8

300
What document is required to be sent to an insured when their vehicle is a total theft?

Theft affidavit 

300

What is needed to clear a rented ULV?

Rental agreement

400

How many Goals are listed in your CRII 2025 Goals?

5

400

Name 2 coverage issues that require an ROR

ULD, ULV, excluded driver, garage issues, business issues, SIU involvement, non coop

400
What's an escheated check?

When a check is issued and never cashed, eventually it's escheated and the funds are sent to the state

400

What is the new requirements to waive a deductible?

AC must have accepted liability and claimant's name and full address is known

400

Who clears a coverage investigation for a newly purchased vehicle involved in a loss?

PVU

500

At what point in the claim process is the survey sent out?

The Monday following the NI exposure closure 

500

An insured states they were delivering for Uber Eats on their recorded statement but they do not have the TNC endorsement; what must be sent out to the insured?

Business delivery ROR

500

The insured is disputing their total loss, we are offering $15k and they believe their vehicle is worth $17k. The file handler has reviewed the evaluation, the owner has submitted comps but the value is still the same causing the owner to still dispute the total loss. At what point would you suggest the appraisal clause to the owner?

NEVER

500

When do you link a claim in FACTS?

If it's a duplicate claim and the reserves are open

500

If ULD lives in the household, does not have their own insurance, and SIU cannot send an MMR, are we extending all coverages?

No first party coverages 

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