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Last Post 06/23/2009 9:02 PM by  Roy Estes
Regular Claims, its a snap
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Ray Hall
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04/24/2009 11:40 AM
    The insured has two autos and their Homeowners with the same carrier. My assignment was  theft of personal property from the auto that was parked in the residence driveway overnight.
     
    The investigation brought out the following. The theft about 0300 hrs. as a new mother 2 houses away saw 2 men in baggy clothes walking down the street and an automobile driving up and down at a very slow speed. They have been working this area and the same description is given to the police. but now arrest has been made. They target vehicles that have electronic door locks. It seems that can enter in a matter of seconds with very little visible damage or alarms sounding.
     
    The husbands vehicle was the one burgarlized and slight door lock damage. The personal property stolen did not exceed the theft deductible on the UPP which was $2400. The auto other than collision ded. was $500. The auto was in the garage and not disturbed. One of the items stolen was a key ring in the console with a spare key to the auto and the house as well as a locked tool box in the bed of the pickup, and some office keys, sports club keys, a gas token that EXON pumps etc.
     
    Question on this simple regular claim. what is coverage A & C under the HO and what is Auto and how many deductibles. I know the answer but you have to work out the total loss on all insured property as the carrier gave you the auto assignment also.
     
    ** scope notes
    1. Change both passage and dead bolt locks on house.
    2. Repair door lock on vehicle 1
    3. cut off and replace 2 pad lock on tool box in PU
    4. Re Key and purchase 2 keys for vehicle 2 approx cost  $709.
    5. Appox coat of UPP in pichup missing $1,000.
    6. New Locks for House $175.00 labor do it your self.
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    HuskerCat
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    04/24/2009 11:00 PM
    Is the witness able to give a "crack" description, or identify the underwear showing above the baggies?

     
    All PP is going to be covered under the HO policy.  Anything attached to/relating to the car (including keys/remote) is going to fall under the auto comp coverage. 
     
    As far as the office keys?  Is the insured also the business owner, or an employee?  That will make a difference, and makes me go "hmmm".
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    Ray Hall
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    04/27/2009 11:56 AM
    Husker you are correct; however the claim has not been written up or adjusted, if you are a professional adjuster.
     
    Coverage A  replace dwelling locks $300.00
    Coverage C Loss of  UPP in vehicle 1 $1,000 acv
    Loss does not exceed Ded. of $2400.
     
    Repair door lock on vehicle # 1 $200
    Loss soes not exceed Ded. of $500
     
    Change locks & purchase 2 keys on vehicle # 2 $709.00
    Less Ded on Vehicle 2 $500.   Net pay              $209.00
     
    Now call the insured and explain the adjustment.
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    Medulus
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    04/27/2009 3:40 PM
    Not so fast, Sir Trader!!!! The State Farm auto policy I worked with back in the day included a $400 allowance for clothing and luggage stolen or damaged by a covered cause of loss to the vehicle. I need to know if any of the UPP taken from the pickup is clothing, especially since your original scenario says "Appox coat of UPP in pichup missing $1,000."
    I don't know if that's a typo or if an expensive coat made from the fur of the dreaded Appox is missing.
    Steve Ebner CPCU AIC AMIM

    "With great power comes great responsibility." (Stanley Martin Lieber, Amazing Fantasy # 15 August 1962)
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    Ray Hall
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    04/27/2009 4:48 PM
    Way to go old pro. I did ask this question. No all was a DVD player and a bunch of tapes @ retail and locks for the tool box. But I was able to tell these folks the correct answer, or ask the right questions to get the answer instead of "i dont know anything about cars I am a catastrophe adjuster only" haha

    On CV and DVD down this way we pay 25% of new cost and the rest when replaced with LKQ.
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    Medulus
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    04/28/2009 3:15 PM
    Actually the State Farm auto policy, if I remember right ( I last worked with that policy professionally 14 years ago), only allowed for clothing and luggage if the entire vehicle was stolen. I guess none of the State Farm auto folks are monitoring this site to call my bluff. That means we can talk about them behind their backs.
     
    Psst!  How many State Farm Auto Adjusters does it take to screw in a lightbulb?  I don't know...how many are there in a team?  They only do things in teams now.
    Steve Ebner CPCU AIC AMIM

    "With great power comes great responsibility." (Stanley Martin Lieber, Amazing Fantasy # 15 August 1962)
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    Ray Hall
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    04/28/2009 8:54 PM
    I can not say enough of good things about the State Darm auto company or the fire company. I have worked for both as an hourly temp many times for many years in a local branch office assit as an IA. I always came away as a better street adjuster for all things I would see on a daily fasis.
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    okclarryd
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    04/28/2009 9:55 PM
    Well, then, Darm It All,..........there you have it
    Larry D Hardin
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    Ray Hall
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    04/28/2009 11:15 PM
    Larry, I always figured State Farm has about a zillion claim more than I and I could learn something. I always did.
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    HuskerCat
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    04/29/2009 3:32 AM
    Hot Darm!!
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    Medulus
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    04/29/2009 10:22 AM
    I worked with some very impressive adjusters when I was at the Farm. My first supervisor there was one of the most astute people I have ever met in this industry. My problems have arisen out of the team approach I have encountered as a State Farm policyholder. I get the concept -- making sure a claim gets handled because there is a whole team working on it. But, in actual practice, I have experienced less sense of ownership by the individuals to whom I talked. One of them didn't even give me her name when I asked for it point blank, just told me to ask for team six.

    I use a team approach as well, but mine looks like this: I assign an independent adjuster to inspect, appraise the damage, and gather information for the rest of the team. I also give the IA a copy of all relevant portions of the policy so they can get an idea about coverage (even though I will make the final decision). I assign a separate person or firm to handle replacement of the contents. I make that assignment at the same time I make the IA assignment so there will be no delay.  If there is a business interruption aspect, I assign a CPA right out of the gate. If there is salvage we also assign a salvage vendor. If there is need for an engineer, I assign an engineer. These are coordinated by the IA, but all report directly to me. I own the file until it is properly closed. The claim file does not belong to my team; it belongs to me.
    Steve Ebner CPCU AIC AMIM

    "With great power comes great responsibility." (Stanley Martin Lieber, Amazing Fantasy # 15 August 1962)
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    HuskerCat
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    04/29/2009 11:37 PM
    That approach works pretty good, Steve...as long as the IA on the structure & the IA (or other vendor) on contents understand their roles and keep them separate.  Sometimes, you get some overlap and it can become a little messy if one is saying clean/repair and the other saying replace.   CPA's, if needed, rarely present a problem since they just count the beans from afar based on history & projections.
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    Medulus
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    04/30/2009 9:33 AM
    I'm not actually using an IA for the contents most of the time. I'm using a replacement vendor like National Vendor. That means they rely on information coming from the IA to complete the inventory. Of course, there are also some of our brethren and sistren out there who specialize in contents and I would love to find an opportunity to use that option as well.
    Steve Ebner CPCU AIC AMIM

    "With great power comes great responsibility." (Stanley Martin Lieber, Amazing Fantasy # 15 August 1962)
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    Tim_Johnson
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    04/30/2009 4:10 PM
    I recently used a contents inventory company, Enservio. They did a wonderful and speedy job. Kinda pricey (around $9,000) for a $200,000 inventory. I do beileve they saved the carrier many thousands of $$ due to the accuracy of their inventory.
    Tim Johnson
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    Medulus
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    05/01/2009 4:33 PM
    Contents inventory companies can be great on certain losses. I haven't tried Enservio, but I know National Vendor also does that work and so does Stoner and Company (which is primarily a salvage firm). I had a claim at a dollar store on one of my assignments. If you can imagine the tedium of compiling an inventory for 45,000 items that wholesale for 20 cents to 71 cents you can imagine how much I appreciated Stoner and Company helping out.
    Steve Ebner CPCU AIC AMIM

    "With great power comes great responsibility." (Stanley Martin Lieber, Amazing Fantasy # 15 August 1962)
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    Roy Estes
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    06/23/2009 9:02 PM

    I agree utilizing a good strong company for larger content losses is worth the money spent.

    "Each of us as human beings has a responsibility to reach out to help our brothers and sisters affected by disasters. One day it may be us or our loved ones needing someone to reach out and help." RC ESTES
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