Auto Claims

Training Manual Table of Contents

Module One: Claims Administration
Workshop 1 - The Auto Insurance Market
Claim File Organization    
Exhibit 1.1 - Claim File Organization
Exhibit 1.2 - Activity Log 
Workshop 1.1 - Claim File Organization 
Reserving 

Workshop 1.2 - Features and Reserving 

Module Two: Personal Auto Policy Coverage

Personal Auto Policy 

Exhibit 2.1 - Personal Auto Policy Editions Used in Various States 

Workshop 2.1 - Definitions 

Exhibit 2.2 - Coverage for Damage to Your Auto 

Workshop 2.2 - Collision or Comprehensive? 
Exhibit 2.3 - Liability Coverage 
Workshop 2.3 - Who Is Covered? 
Workshop 2.4 - Liability Coverage Problems 
Reservation of Rights Letters and Nonwaiver Agreements 
Exhibit 2.4 - Coverage and Liability 

Exhibit 2.5 - Sample Reservation of Rights Letter 

Workshop 2.5 - Reservation of Rights Letter 
Exhibit 2.6 - Part B - Medical Payments Coverage 
No Fault and Personal Injury Protection Coverage 
Uninsured/Underinsured Motorist Coverage 
Exhibit 2.7 - Part C - Uninsured Motorist Coverage 
Workshop 2.6 - Medical Payments, No Fault and Uninsured Motorist Coverage 
Module Three: Legal Liability
Civil Liability 
Exhibit 3.1 - Civil Liability - Contracts 
Contractual Liability 
Exhibit 3.2 - Civil Liability - Torts 
Torts 

Tort Defenses 

Exhibit 3.3 - Rules of Negligence Observed in the United States 
Exhibit 3.4 - Statutes of Limitations 

Imputed Liability 

Rules of the Road 
Workshop 3.1 - Automobile Negligence 
Workshop 3.2 - Automobile Accident Case Study 
Loss of Use Claims 
Closing the Claim 
Exhibit 3.5 - Release of All Claims 

Exhibit 3.6 - Property Damage Release 

Exhibit 3.7 - Parent=s Release and Indemnity Agreement
Exhibit 3.8 - Release and Trust Agreement 
Subrogation 
Exhibit 3.9 - Subrogation Relationships 
Exhibit 3.10 - Subrogation Notice Letters and Request for Insurance Information 
Exhibit 3.11 - Inter-Insurer Subrogation Memorandum 
Module Four: Good Faith
Prompt Contact 
Exhibit 4.1 - Opportunities for Customer Misinformation 

Exhibit 4.2 - First Report Acknowledgment Letter

Fair Claim Laws 

Unfair Claims Settlement Practices Model Regulation 

Workshop 4.1 - Fair Claim Laws 

File Documentation 

Denials of Coverage 

Denials of Liability 
Exhibit 4.3 - Denial of Liability Claim Letter 
Exhibit 4.4 - Indicators of Fraud 
Summons and Complaint Initial Handling 
Exhibit 4.5 - Auto Claim Handling Checklist