Claims Process
An adjuster receives a new claim where liability is pending an investigation. The adjuster sees that our insured is enrolled in text messaging. They also have an address and email address on file. What is the best method to make contact with the insured?
Send a text message to the insured requesting they contact us for a Recorded Statement.
When can you share your GEICO password with someone?
Which customer type prefers directness and being in control of the conversation?
Strength Oriented
On a CC99 , other than verifying the date and time of loss, what else do we need to verify?
Peak/Edge to confirm payment method.
This is used to walk you through the next tasks in a claim for any interested party.
Claim Navigator
Motorcycles qualify for what kind of inspection?
Field inspection
What qualifies a new report as a report purpose only?
insured is 0% negligent
no applicable vcs/cc
no fire losses
no theft losses
claims involving clmt injuries with no liability against insured
first party injury claims with no pip or med coverage
Our insured was involved in a loss in a contributory state. They were determined to be 20% responsible, claimant was determined to be 80% responsible. The damage to our insureds vehicle was $7,000. How much can they recover?
If I trade in my car (which is listed on my policy) for a new one. What is the new car?
Replacement Vehicle
What is found under the Actions Bar in ATLAS?
Upload Document
Note
New Transaction
Denial of coverage
Outbound calls to customer can only take place between which of the following?
8:00 AM – 9:00 PM local time
Our insured losses control of their vehicle and hits a guardrail. After getting out to inspect their vehicle, they get back in their car and when pulling back out onto the freeway, they hit a clmt vehicle. How many losses would the adjuster file?
Two separate losses.
Which of the following scenarios will prompt an automatic underwriting notification?
a. Update to an insured’s address
b. A driver using the insured’s vehicle and the driver is not listed on the policy
c. The vehicle is used for ridesharing purposes
d. All of the above
all of the above
Which of the following is a true statement regarding ‘View Recommendations’ in ClaimIQ?
a. Adjusters should review the recommended range after entering their evaluated liability percentage.
b. Adjusters must review the recommended range before entering the evaluated liability percentage.
c. It is permissible not to review the recommended range when making the liability decision.
d. None of the above
b. Adjusters must review the recommended range before entering the evaluated liability percentage.
What are the 4 components of an accident description ?
Set the stage
The beginning
the impact
the end
In ClaimIQ, what is the recommended liability range determined by?
Duty Breaches and Proximate Cause selected by the associate for that particular loss
When there is flood damage to an insureds vehicle, what two elements to we input in ATLAS for damages?
Type of water
and water level
What is the letter thats sent when investigating coverage?
Reservation of Rights
In a loss where both parties were found to be 50% responsible, Claimants damages totaled to be $1,000. The loss occured in a "Not greater than state". What amount if any can clmt recover from GEICO?
$500
Insured Jam is involved in an accident with Marry Poppins. Jam is found to be not at fault. Marry poppins is deemed to be uninsured. Jam carries UMPD on her policy. Who would be marked as CBP in this scenario?
Marry Poppins
In which of the following scenarios is the insured’s deductible eligible for automatic advancement?
GEICO has issued payment for the insured’s damages, adverse carrier contact information is on file, including their claim number. Adverse has accepted responsibility, they have issued no payments, and they are a member of Arb Forums.
A lienholder has filed a claim for damages on the insured vehicle they recently repossessed. What is the first step the adjuster should take?
Determine the location of the vehicle and set up an inspection with an ‘Inspect Only’ paycode.
Insured just purchased a new vehicle that was involved in an accident. He did not yet add it to his policy, what document is needed for our coverage investigation? And what is typically the grace period for adding a new vehicle?
Bill of Sale
& 30 days
An adjuster is completing ClaimIQ and is unsure of what the duty “Maintain Safe Vehicle” means. What resource should the adjuster use to understand what the duty refers to?
Review the ClaimIQ Guidance information.