Coverage
What type of loss are the following considered:
- Wildfire burns the vehicle
- A falling tree branch
-Flash flood
- An A/C unit fell from a building window and landed on our insured's parked vehicle.
What is 'act of nature"?
What would we do in the following scenarios:
- Policyholder hit a curb and does not carry collision/rental.
- Policyholder was rear-ended by claimant and policyholder plans to file with adverse carrier.
- Policyholder reports a theft claim but does not carry comprehensive coverage.
What is 'RPO?'
What information does the Payment Recovery Unit (PRU) require prior to assignment if the claimant is confirmed to be uninsured?
What is the claimant's valid address and phone 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)
What MUST we obtain in the following scenarios:
Backing losses
Intersection losses
Lane change losses
What is liability recorded interviews? (or statements)
Our insured rear-ended the claimant. Claimant filed with adverse carrier. What must happen before we can H/C (Handle Complete) the Property Damage exposure?
What is "we must receive the demand, assign to SRT, wait for their review to be completed, issue payment, then H/C Property Damage".
Assuming there are no coverage conditions on the claim and liability was just set to at-fault 100%, when must you update the pay code to 'inspect and pay' for the Property Damage exposure?
What is 'Immediately?'
Claimant Elmo tells us he has an appointment with his podiatrist tomorrow. This is how we update the claim in ATLAS
Bonus: In real life what do we do?
what is 'update Elmo as yes to Injured and Treating'?
Bonus: Assign to Casualty for BI claim
What type of coverage needed:
- When I accidentally put diesel in my gas tank
- When the wind blowing an unmanned shopping cart into my parked car
What is "Comprehensive?"
Claimant reports they were t-boned by the insured while they were approaching through the intersection on a green light. What would be selected for the accident type during the FNOL?
What is "Fault unknown, liability investigation pending?"
an intersection loss typically prompts further investigation, including getting statements from all drivers
Tom is insured by Progressive. Mary is insured by GEICO. Tom is at-fault for the loss, but Mary decides to file with GEICO. Who would be the ‘responsible party’ on our subrogation details tab?
Who is "Tom"?
Before liability is updated to at-fault, a claimant should have a ______ pay code. After liability is updated to 100% at-fault, a claimant should have a ______ pay code immediately.
What is "Inspect only; Inspect and pay"?
"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?'
When investigating for a CC31/34 due to a cancelled policy for non-payment, what evidence needs to be obtained?
Bonus points: Who or how are those documents obtained?
What are PORS/CANS?
Bonus answer: U/W through emailing UWCLAIMCOV@GEICO.COM; Refferals (UW tab)
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?
If a vehicle is covered by two insurance companies at the same time, this is called what?
BONUS: DOES ICS HANDLE?
What is concurrent insurance?
BONUS: No, CDU does
In ClaimIQ, after inputting all the duty breaches and deciding the proximate cause, what option populates that you must review prior to finalizing your decision?
What is 'view recommendations?'
*We should always view the recommendations before evaluating the liability ourselves
Mindy’s parked car was hit by a GEICO and Allstate insured. She lives in a several state. GEICO is 40% at-fault and Allstate is 60% at-fault. How much would GEICO owe Mindy?
What is 40%?
"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?