Finance Highlights 2006 1004 - Laserfiche WebLink

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· When a decision cannot be made within 10 business days from receipt of the claim, a claim notes update stating an action plan to reach a decision is immediately due. · Claims involving extensive damages require an onsite investigation for the purpose of obtaining pictures, diagrams, police reports and expert opinions on causation and damages. · Subrogation, salvage and claims penetrating excess coverage require investigation and follow up for recovery, as appropriate. · Insurance Services Office (ISO) Claims Index for bodily injury claims upon receipt and every six months thereafter. We graded this component based upon the following criteria: Grade 4 3 Criteria Investigation activities are completed timely. Investigation activities are completed untimely, but follow up will resolve required investigation without increased costs. Investigation activities are delayed for prolonged period and immediate action is needed to avoid increased costs. Investigation activities will be difficult to complete due to prolonged delays and information necessary to defend claim may not be attainable resulting in increased costs. 2 Two exceptions are noted in Table II-5. Performance is assessed as Superior. Table 11-5 Investigation Exceptions 1 2003010 12/26/2002 Trees Evenflow Plumbing's estimate totaling $19,395 is unsupported by purchase orders or receipts ($3,989 for repair of the 8 x 4 broken main fitting, $9,389 to install 40' cast iron pipe with two way cleanout and $5,882 to install 32' HOPE plastic sewer pipe replacing old clay sewer pipe). Deposition transcript for deposition of owner is not in file. Repair required 3 hours of in-house labor per claimant. 12 ARM' Tee h