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House Fire--A simulated claim for discussion
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 To kill some time in this lull period & spread some knowledge, here is the scenario (or scenarios) as you see fit to make it. I will lay out the limited info as follows, and let's see where it goes.

Heavy fire loss occurs in a single family dwelling. Cov is HO-3, no issues with eff dates. Insureds have just left home about 6:00 p.m., a couple hours before fire breaks out and is discovered. High winds fan the flames and each house on either side sustain heat/smoke damage before the fire is brought under control. Let's say both neighboring houses now have some melted vinyl siding, one sided 2 years ago and the other 12 years ago. The elderly neighbor next door initially beat on the insured's door trying to see if they were OK, and burned his hand. He then rushed home to get his wheelchair bound wife out of their house, but she spends a week in the hospital with smoke inhalation related complications.

The insureds are a young couple, both smokers, with a 6 year old son. They just moved in about 2 years ago, only work in the house since they came was replacing the kitchen flooring, and adding a center island with a new cooktop on it. These were professionally installed within the past 6 months.

You receive the claim assignment. The only loss info given is: Dwelling fire, appears to be total loss, possibly started in or near kitchen or in basement below kitchen. Neighbors have damage/injury.

When you 1st arrive at the loss, you are also "greeted" by Mr. Red Handed neighbor and his son-in-law who happens to be a well known plaintiff's attorney. You now discover that the neighbor is insured by the same carrier you are working for, but they haven't reported this loss to their agent yet because they've been waiting for you.

Now, where did you start, what is your plan of action, what do you find out, and how does this claim end? The stories will change as you will each come up with different findings in your investigation.

Old timers please hold your horses, and save critiques til later...thanx! Newbies & not-so newbies, jump in.



Source: Forum Post Started by Racko - 52 Replies
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