LORS
Coverage
Liab
Police Report
200
Anthony has received and LOR for clmt, asking for our insureds dec page. What is Anthony's next steps
1.Add atty to the claim
2. If not done already add that clmt is injured
3. send the claim to TCR2
4. reassign the work plan to the new adjuster
200
When do you need to submit a CPW?
1.Any fatal
2. Rideshare
3. any 37
200
Clmt called in and started the FNOL Clmt sttd that NI rear ended them. Who is Cynthia placing af for the accident?
Nobody we can not set liab until we talk with NI
200
Ebony enters a claim and receives a PR as a Q.
On the pr it stated Ni switched lanes and hit clmt
On the claim we have clmt switched lanes and hit NI
What is Ebony's next steps?
1. Ebony should update the information onto the claim from the pr
2. Ebony should send a message to her supe to update liab
3. Ebony should update liab and call all parties involved and send letters
300
Amber has received a LOR for an unknown person
What will be her next step?
Amber should call the atty and see how the person listed on the LOR is related to the claim.
300
Ashani Just go into a claim with a CC99
How would she clear the CC?
Coverage Condition 99 - Loss Date Occurred within the first 55 Days of the Policy
- Review EDGE for the date and time of the payment and click here to confirm if the payment has cleared.
EXCEPTIONS:
- For New York risk, cancellations are not back-dated. Payment status is not required for NY risk.
- For Florida risk, policies are not Null and Voided for payments. Payment status is not required for FL risk.
- For Kentucky risk policies, the CC95 may trigger for up to 30 days right after the policy transition. You must submit a coverage referral with the following note: "KY CC95 please advise if the policy went through a resumption, how the customer resumed the policy, and on what date/time did the resumption occur."
- Prior to resolve coverage, the following questions must be answered with a Yes or No response:
- Verify date and time of loss (click here for ways to verify date and time of loss)
- If the date of loss can be verified and coverage is afforded, DO NOT submit a CPW. Only submit a Coverage Problem Worksheet if denial/disclaimer of coverage is recommended.
- If the date of loss cannot be verified, contact the insured’s prior insurance carrier to determine what coverages the insured had prior to starting a policy with GEICO and confirm when the policy ended.
- If the vehicle involved is a newly purchased vehicle, obtain a copy of the bill of sale.
- If the date of loss cannot be confirmed and the insured did not have a prior policy with another company, establish a vehicle inspection with a bad pay code and refer to SIU.
300
NI called in and sttd that the were backing and clmt was also backing and they hit each other
Clmt sttd they were backing but when they saw PH they stopped and honked their horn.
What is Justin's next steps?
1. Get recorded interviews from both parties
If it were me: Set Ni AF clmt sttd they stopped and NI kept backing
300
Kye is reviewing a PR.
The report has 2 witnesses listed
Is she supposed to add them to the claim?
YESSSSSSS
400
Kirica has gotten into a claim and received an LOR she has noticed that an LOR response has already been sent out. What is her next step?
Kirica should review the LOR and the LOR response to make sure it is correct if it is she can note the file and move on, if not she must resend the LOR with the correct information.
400
Regine Has entered a claim with a PDX issue.
What is her next steps?
1 Check to see if we have the estimate for clmts veh.
400
NI calls in and tells Damon that a rock fell out of the sky and hit their hood causing a dent.
What would this accident be classified as?
Comp Falling objects
400
The clmt owner and clmt driver are two different people listed on the PR
On the claim we have the clmt driver listed as the driver and owner.
What is Anthony's next step?
Update the owner that listed on the pr to the claim
500
Christal Has received an lor with clmts information. On this claim we are set NAF and the claim is closed.
What is Christal's next step.
1. Get clmt info added on to the claim
2. Open the claim
3. make sure exp are open
4. Reassign the claim
500
When are we allowed to work a TCR2 or CDU claim?
NEVER!!!!
500
NI called in and started an FNOL. NI sttd that they were R/E.
What will our liab decision read?
Non-Fault- Claimant Rear-Ended Policyholder
500
Jimi received a call from clmt advising him he sent in a PR. Jimi reviewed the PR and found out it only has clmts side of the accident.
What is Jimis next step?
1. Ask clmt when he filed the PR
2. Advised we CAN NOT accept the pr due to it being one sided.
3. Ask him if he has any other evidence to send in
640
Clmt called in and said ph R/E them. We have have a statement from the NI they said they were not involved.
What is our next step?
1. Ask clmt if they have a PR or any evidence putting out insured at the accident site.
640
Kadazjha has entered a claim and there is a PDX. She has checked the docs and found the esti for clmt in the amount of $30,000.00. She has reviewed our limits and our PD is 5000. What is her next steps?
GET THE CLAIM TO CDU!!!!
640
When do we update Claim IQ
1. If there is PD
2. If there is shared NEG
640
Who is the Best LDP EVERRRR!!!!
EBONY!!!!!