Insured/1st Party
Insured file claim for Collision but does not have it, What's next?
-Make 3 attempts to reach Insd
-Sent Contact letter if applicable
-Send 1p Denial
-If RS is needed for LX, Send ROR
-Close File
Claimant is unknown, what should I do next?
-Try to find clmt info, order PR, seach ISO for dup claims, search lexis nexus if we have any vehicle info, ASK INSURED if they have it
-If all attempts failed, Close File untin obained
There is a police report # in the file, but laibility was already finalized, what should I do next?
Order it, always order PR when provided with PR#
Insd file,Veh TL, Settled on 1/31, when is the ldr?
2/7
Insd/clmt filed claim on Tuesday 1/31, when should I make 1st contact?
within 24 buisness hours
It's been 10 days since claim was filed and Insured never called back, what should I do next?
- Send contact letter, send stop strage if needed
-ROR if applies
-After ROR Exp date, close file
Claimant informed us they are injured? what happens now, what's next step?
-open BI
-Bi will only handle LX
-Continue to handle PD portion, Request photos or set APC for Estimate, Cannot move vehicle but should send Stop storage letter, advised to move vehicle, Do not set up Rental nor Copart
I got a statement from my insured but I am still waiting for Clmt statement and PR, When should I determine LX?
-Immediately.
**Add note as PreLim decision or that LX can change if other evidence presents itself.
The vehicle is now repairable, when should I extend rental too?
-TL reps do not manage Rental
-RMD or Appraiser handle
-You must always make sure you have the GRN or SOC listed on the claim.
When do you send a file to salvage?
- ppwrk has been sent to an email address on file or via mail (whichever applies)
-Vehicle at Copart or pending release
The insured refuses to release the vehicle to Copart? What should I do?
-Send Storage Letter
-Discuss and Resolve appraisal matter
Claimant hasn't called me back and the claim was filed 7 days ago, what should I do?
-Send contact letter
-Sent Storage letter
-Close File
I have a FOL report at first call but can't get a hold of Insd or Clmt? When can I determine Liability?
-You can make a prelim decision with FOL but fianlizing liability requires at least 1 RS for questionable LX
Claimant filed, Veh is total loss, settled on 1/30, when is the ldr?
2/3
The vehicle has now become repairable, What should I do with estimate and vehicle at Copart?
-Send Manager Review
-If warranted, move veh to SOC/GRN per insured- Monitor move
-Issue payment to DTP for original estimate
-Close file
Vehicle CTL, Called Insd, No answer, I LVM, sent tl13 same day and sent text, What is the next steps?
- send to salvage
-pay Lienholder, if applies
-early pay
-f/u if needed
Claimant is refusing to release vehicle to Copart, what should I do?
-Send storage letter (if not done so yet)
-Discuss apprisal options -Resolve Appraisal matter
Vehicle lost control and spun out, I go a statement and Insd mentioned hit a guardrail, When should I determine LX?
-LX is only required when more than 1 exposure is open.
In this case you must open LIPD exposure, determine LX, close LIPD file until demand received and make sure loss detail/summary is all correct.
Insd in Rental since DOL, I sent paperwork but then realized it was wrong? When should I extend rental too?
-7 days unless Insd request more days due to delay in ppwrk
-If request no more than 7 days from new ppwrk sent
I got a repairable claim, should I reassign it back to Core?
No, we do not reassign claims back unless the claim needs to go up- like CRS