Podcast
Questions and Answers
What is the main purpose of the ISO (Insurance Services Office)?
What is the main purpose of the ISO (Insurance Services Office)?
- To assist in processing insurance payments
- To collect client personal information
- To provide a list of insurance agents
- To have visibility on all previous claims (correct)
In Personal Injury (PI) cases, why is it important to consider previous claims?
In Personal Injury (PI) cases, why is it important to consider previous claims?
- They may indicate a pattern of fraudulent claims. (correct)
- They help to identify the insurer's preferences.
- They are used solely for statistical analysis.
- They increase the total compensation amount.
What should be included in the email when requesting an ISO?
What should be included in the email when requesting an ISO?
- A list of all previous insurers
- Details about the insurance officer
- Client’s personal information and case details (correct)
- A summary of the case outcome
Which step is NOT part of the FLF steps for requesting an ISO?
Which step is NOT part of the FLF steps for requesting an ISO?
What should you not forget to input after reviewing an ISO?
What should you not forget to input after reviewing an ISO?
Why is it advisable to request an ISO in all C+ cases?
Why is it advisable to request an ISO in all C+ cases?
What type of claims should you ask about during the call with the client after receiving an ISO?
What type of claims should you ask about during the call with the client after receiving an ISO?
What should you do after identifying issues in the ISO?
What should you do after identifying issues in the ISO?
Since when do we need to talk to the client about prior claims/prior injury history?
Since when do we need to talk to the client about prior claims/prior injury history?
What should you do if your client gets injured on the same body part after DOL?
What should you do if your client gets injured on the same body part after DOL?
Study Notes
ISO 101 Overview
- ISO stands for Insurance Services Office
- ClaimSearch is a tool accessing previous property/injury claims
- Key points to consider for Personal Injury (PI) cases:
- Multiple claims raise questions about current claim credibility
- Anticipate potential weaknesses (prior claims)
- Request ISO in all C+ cases
How to Request an ISO
- Send an email to [email protected]
- Include case details and client information (name, DOB, address)
- Attach a TCR (if available)
How to Read An ISO
- Example shows multiple matching records, including date of loss, time of loss, type of policy, location of loss, etc.
- Information on involved parties (insured and/or claimant) is included, along with their names, addresses, dates of birth, and other details.
- ISO reports can contain prior claim history.
FLF (File Level Form) Steps
- Request ISO via USA Express
- Input expenses ( "expenses" tab in filevine)
- Request payment via check
- Contact client and investigate details of the case to obtain details of insurance claims, injuries, damages, facility information, and WC law firm
- Request reports from treatment facilities
- Identify red flags and document the findings.
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