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Last Post 02/14/2009 6:59 PM by  okclarryd
Proper training and knowledge a necessity? Absolutely
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katadj
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02/09/2009 7:08 PM
    Follow this topic and see what we are getting for our indulgence: 
     
    "Anyone who has never made a mistake has never tried anything new... Albert Einstein"
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    BobH
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    02/09/2009 7:53 PM
    Posted By R .D. Hood on 09 Feb 2009 07:08 PM
    An insurance executive who indefinitely postpones upgrading his or her staff's writing skills may be under the impression that either form letters will do the trick or that because all the staff has been in the business a while, their writing must be perfectly fine. Both assumptions are wrong.
    Reminds me of a form letter response I received last week to a $50,000 subrogation demand that had been submitted to a large commercial carrier where their Insured was clearly at fault.  They did a "brush off" investigation, and sent a form letter with one sentence added "because our Insured did not install the Reverse Osmosis unit".
    They DID install it about 10 years ago, and serviced the filters the day before water was discovered all over an expensive kitchen, under the custom cabinets with "U-shaped" granite counter that did not come out in one piece, with stone back-splash above that, uppers matching damaged lowers, hardwood floor going out through the dining room and hallways... 
    The claim person responding to our subro demand was the dullest tool I have seen in the shed for years.  When I finally got a return phone call, my fears were confirmed.  Despite having sent them 45 photos, plumbers report, full documentation, they still deny the claim.  She was too busy to read it, and unwilling to go against the grain of her management.  A useless seat filled in the office.
    Bob H
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    katadj
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    02/09/2009 11:46 PM
    I sure hope that seat is empty now and the claimant gets treble damages, from the carrier for a bad faith claim. and the claims examiner gets her E&O attacked.

    This kind of activity, is what gives our profession the reputation in which we are perceived.

    A National Licensing Board needs to be established, with verifiable credentials and background checks and hopefully we can collectively make a CHANGE.

    Heard of several people that went to the NFIP classes, with less than 4 years experience, and all they said was they will lie on the IA application. What is this world coming to?
    "Anyone who has never made a mistake has never tried anything new... Albert Einstein"
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    katadj
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    02/10/2009 3:57 PM
    And Yet another report from a verifiable resource:


    http://www.claimsjournal.com/news/n.../97789.htm
    "Anyone who has never made a mistake has never tried anything new... Albert Einstein"
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    Medulus
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    02/11/2009 11:00 AM
    Bob,
     
    That's what intercompany arbitration is for.  I recommend using it sooner rather than later when you encounter lazy claim reps.
    Steve Ebner CPCU AIC AMIM

    "With great power comes great responsibility." (Stanley Martin Lieber, Amazing Fantasy # 15 August 1962)
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    BobH
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    02/11/2009 11:04 AM
    Yeah, that's what I recommended to the person I report to. 
    The other carrier is Travelers.
    Bob H
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    Tom Toll
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    02/12/2009 9:09 AM
    Posted By Steve Ebner on 11 Feb 2009 11:00 AM
    Bob,
     
    That's what intercompany arbitration is for.  I recommend using it sooner rather than later when you encounter lazy claim reps.
     
    I certainly agree with Steve on this one. I too have had similar problems with this same company, but they are not the only ones. Some examiners just don't understand the nuts and bolts of how this process works. Inter Company arbitration takes this to the correct lever for resolution.

    Success is not final, failure is not fatal: it is the courage to continue that counts.
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    okclarryd
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    02/13/2009 10:54 PM
    Actually, I think "lever" is appropriate.

    You're tryin' to "pry" the money out of the other company.
    Larry D Hardin
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    Tom Toll
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    02/14/2009 10:50 AM
    Larry, you caught that, you rascal you. I started to stay level, but decided to use lever. Your very observant.
    Success is not final, failure is not fatal: it is the courage to continue that counts.
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    okclarryd
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    02/14/2009 6:59 PM
    It's hard to get somethin' past us trained investigators, ya know.
    Larry D Hardin
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