Case Settlement Auditing
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Questions and Answers

What is NOT part of the documents needed when one of your case settles for UM/UIM policy?

  • Release form
  • Waiver of Asset Search (correct)
  • Signed release form
  • Copy of the settlement check

When should the arrival of the settlement check be expected post-release sign up for UM/UIM or Defendant Policy?

  • Within 2 weeks
  • Within 1 year
  • Within 1 month (correct)
  • Within 6 months

What must be done if the "insured" or defendant has "disappeared" and defendant insurance is saying they can't provide a signed copy of the disclosure of no assets/course and scope?

  • Ignore and send release forms signed
  • Call Justin directly
  • Wait 1 month for the adjuster to send the document
  • Escalate to my Secondary or Manager (correct)

There is NO legal issue is we send a signed release form without signed declaration page and Disclosure of Assets and Course and Scope.

<p>False (B)</p> Signup and view all the answers

The possibility of doing an asset search on the Defendant needs to be discussed with the client when an offer for policy limits is presented.

<p>True (A)</p> Signup and view all the answers

What action is advised if a client agrees to an asset search?

<p>Share it, blacking out parts of addresses, numbers, and emails (A)</p> Signup and view all the answers

If a client does not believe we received an offer for policy limits what letter should we send them to sign and review?

<p>Disclosure of Policy Limits letter with copy of signed Declaration Page (D)</p> Signup and view all the answers

What clause can be added to the release forms or what letter can we send to an adjuster to clarify we will take responsibility for the payment of any and all government liens related to a case?

<p>Hold Harmless</p> Signup and view all the answers

We should always audit if there is any Medpay available and request a demand to be sent out.

<p>True (A)</p> Signup and view all the answers

Where should all documents related to the settlement be saved?

<p>In Settlements folder, Case Manager (C)</p> Signup and view all the answers

Flashcards

UM/UIM Settlement - Asset Search Waiver

A waiver of asset search is NOT part of documents needed when a case settles under UM/UIM policies.

Settlement Check Arrival Time (UM/UIM)

Settlement checks for UM/UIM or defendant policies should arrive within one month post-release signup.

Missing Defendant - Insurance Issue

If an insured or defendant disappears and insurance won't provide a signed disclosure of no assets, escalate to secondary or manager.

Release Form - Declaration Page - Legal Issue

Sending a signed release form without a signed declaration page and asset disclosure is NOT legally sound.

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Defendant Asset Search - Client Discussion

Discuss the possibility of an asset search with the client when an offer for policy limits is presented.

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Client's Consent - Asset Search - Action

If a client agrees to an asset search, share it with parts of addresses, numbers, and emails blacked out.

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Policy Limit Offer - Missing Letter

If a client disputes receiving a policy limit offer letter, send the Disclosure of Policy Limits letter, with a copy of the signed declaration page.

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Hold Harmless Clause - Government Liens

Add a hold harmless clause to release forms or send a letter to adjusters to clarify responsibility for government liens.

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MedPay Audit

Audit for available MedPay and request a demand letter whenever possible.

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Settlement Document Storage

All settlement documents should be stored in the Settlements folder, within the Case Manager.

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