Coverage
A type of loss, such as when a wildfire burns the vehicle, a falling tree branch, or flash flood
What is 'act of nature"
Policyholder Cranston drove his 2003 Pontiac Aztec over a sharp rock in the middle of the desert, damaging the undercarriage. There is no damage to the rock. He carries the following coverages:
Property Damage 25k
Bodily Injury 30/60
UPD 2500
UMBI/UIMBI 30/60
This is our next step for handling the claim
What is 'Set RPO?'
with no applicable first party coverage, there are no further steps
The claimant is uninsured, but GEICO wants to pursue them directly for subrogation. This information needs to be on file to pursue the claimant directly
What is the claimant's valid address?
The page in ATLAS where we update the negligence percentage
What is 'Claim Details?'
Flo is a busy woman who doesn't have time to handle the claim personally. This type of contact, such as a personal assistant or extended family member, could have Flo's permission to speak to us/handle the claim on her behalf.
What is 'Related Contact?'
Much like a warranty on the new vehicle, this coverage covers repair costs related to the vehicle's breakdown.
What is Mechanical Breakdown Insurance (MBI)
Claimant Doug reports his car was struck while stopped in front of the hotel. This is what we mark for liability during the FNOL
What is "fault unknown, liability investigation pending?"
until we speak to the policyholder, we are unable to set liability
Policyholder Martin rear-ended claimant Limu. After receiving a subrogation demand from Liberty Biberty and assigning the demand to SRT, this is what we can do with Limu's Property Damage Exposure?
what is nothing?
(we need to wait for SRT to complete their review and issue payment)
Claimant General (first name The) was rear-ended by policyholder Caveman (first name The). After accepting liability, the is when to update the paycode for The General's Property Damage Exposure
What is 'immediately?'
Claimant Shaquille tells us he has an appointment with his podiatrist tomorrow. This is how we update the claim in ATLAS
what is 'update Shaquille as Injured and Treating'?
bonus points:
assign to Casualty for BI claim
The type of coverage needed when I accidentally put diesel in my gas tank
What is "Comprehensive?"
Limu and Gary both claim they had a green light when they entered the intersection. We have policyholder Gary's statement, but not Limu's. This is what we should mark for liability
what is "fault unknown, liability investigation pending?"
an intersection loss typically prompts further investigation, including getting statements from all drivers
Policyholder Gary was rear-ended by Claimant Limu while stopped at a red light. Limu was driving a vehicle owned by Doug. This is the responsible party under the Recoveries Tab in ATLAS
What is Doug?
Liability is resolved at 100% on the insured. There are no coverage issues. This paycode can be set for the claimant even if we are unable to reach them on the phone.
What is Inspect and Pay? (Good Paycode)
"Hi, yes I'm calling from Weenie Hut General Hospital with regards to our patient Mr. Squarepants. I understand he's insured with you for the accident on the 15th?" This is how we respond to inquiry calls from Medical Providers
What is 'direct them to the b2b site?'
The type of coverage concern where we need to obtain PORS and CANS
What are Fatal Coverage Conditions? CC31
Claimant Limu turned right on red while policyholder Martin was traveling straight on a green light. Martin and Limu collide. This is the duty Limu breached.
What is "yield right of way?"
other acceptable answers: respect control of intersection, obey traffic code, maintain proper lookout
Erie Insurance sends a demand for $1,000. SRT reviews the demand and determines the following amounts are reasonable:
$700 for repairs, parts and labor
$50 for two days in a rental car
Assuming we have accepted full liability with no coverage issues, this is our next step?
What is issue a check to Erie for the approved amounts using the appropriate reserve lines?
(700 under PD, 50 under LOU)
When scheduling a Vehicle Inspection Center appointment, these are things we can advise the customer to prepare a car that is likely not going to be repaired. (multiple correct answers)
multiple correct answers:
remove personal belongings
remove license plate
authorize GEICO to tow the vehicle
rental car available right away (if they have coverage)
This loss type is used to describe types of claims where no claim for vehicle damage is presented, though our insured is getting treatment.
What are "Personal Injury" losses, such as when policyholder is injured as a pedestrian or as a passenger in someone else's vehicle?
The term we use to describe a situation where a policyholder has multiple active policies at the time of loss. For example, Jason Momoa's new GEICO policy started on the 1st but his old State Farm policy doesn't cancel until the 6th, and his accident is on the 3rd.
What is concurrent insurance?
When working CIQ, this is the button we click on to see the recommended liability range
what is 'view recommendations?'
*we should always view the recommendations before evaluating the liability ourselves
Claimant Mayhem is found 75% at fault in a merging loss with policyholder Maxwell (we are 25% responsible). The resulting impact pushed Maxwell's car into claimant Flo's vehicle. In a several only liability state, this is how much Flo can expect to recover from Maxwell
What is 25%?
"Where is my money!" Claimant calls in to ask the status of her payment. You check the Financials tab and see "Electronic Notification Failed." This is what we advise our caller.
What is "the check is in the mail"?
(our attempts to send electronic payment didn't work, so a paper check was automatically issued)
Because we protect the lienholder's interest in the insured's vehicle, checks written over a certain amount need this formatting
what are "two-party" checks?