Underwriting
When should you update the paycode for clmt's veh when there are no coverage issues and we set the claim to 100% at fault?
ASAP
How would we handle a claim in which insd strikes a deer but has no comprehensive coverage?
RPO
Adrian was borrowing INSD Ashley's veh when he lost control and struck CLMT Philip's veh. Who would be marked CBP in CIQ?
Adrian
What information is required for proper Medicare reporting?
Name, SSN, DOB, gender, address
What should be your first resource for understanding duties and breaches in CIQ?
Guidance
True/False: The adjuster's liability decision must fall within CIQ's recommended range?
False
Passengers in a vehicle are marked what in CIQ?.
NFP
What type of loss is selected when insd is injured as a pedestrian?
Insd sustained severe injuries in a non-fault loss with clmt. Insd has UIM available on their policy, what steps should you take as an adjuster?
Call AC to determine if there are BIX concerns
Insd Dan and Clmt Joanne involved in an intersection loss. There are no passengers or witnesses. Comp neg has been identified as well as a coverage issue. How many RI(s) do you need to obtain?
3 total - 2 from Dan(coverage & liability), 1 from Joann(liability)
Connect sends auto communication to IP(s) when the First Contact Indicator is set to what?
What will happen if GEICO issues payment for insd's veh, AC ctc info is on file, AC accepts liability, have issued no payments, and they are a member of ARB Forums?
How would you complete the record exchange in CIQ when you have determined insured was not at-fault for a loss?
What do we need to secure before scheduling an appointment at a total loss inspection center?
Permission to move the veh
Refusing to settle a PD claim until clmt's BI claim is settled is an example of what?
Violation of Fair Claims Settlement Practices
When MUST a liability denial letter be sent by?
Within 15 days of making the decision
Why do we issue 2-party checks?
When insd has a lh, we have a duty to protect the lh's interest
How should you handle a conversation with a customer who disagrees with the liability decision?
What letter do we send INSD when we determine the policy was canceled at the time of loss?
Denial of Coverage
What do you do if an IP refuses an RI?
Take a verbal interview
What happens when digital payment is unsuccessful?
A paper check is issued
What info must we have before referring to PRU?
A letter notifying IP(s) that GEICO is investigating coverage is called what?
ROR
Duty breaches and proximate cause determine what range in CIQ?
Recommended liability range
You are barred from recovery if you are even 1% negligent under what type of negligence law state?
Contributory