ࡱ>  ]lN  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry:tO`uBCompObjs 112uBuB 212PVuBPVuBSummaryInformation(DocumentSummaryInformation8pProps12CV_iew ;PVuBPVuB  "#$+-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQSTUVWXY[\]^_`abcdefghilmnopqrsuwxyz{|}~4 @512,0,6423,1000@512,0,6423,1000@6@5Insurance claim processing@5@5 Q@ R@S@ T@U@V@W@ X@Y@ Z@[@\@@5@5@5@5  @5Wesley_Summers՜.+,D՜.+, X`lx    Mon 1/1/07 Tue 1/30/0721.44d537.5h$0.000%0% StartFinish DurationWorkCost % Complete% Work Complete X#3CS k % CompleteCost DurationFinishStartWork% Work Complete _TemplateID % CompleteCost DurationFinishStartWork% Work CompleteTC100919071033Oh+'0xx  $0 L X dp0Property & Casualty Insurance Claim ProcessingInsurance claim processingWesley_Summers1Microsoft Project@[@bdB@bdB :tOMicrosoft Project 12.0MSProject.MPP12MSProject.Project.99qHH0@CFilter7`}uB`}uBCTable3`}uB`}uBCReport /`}uB`}uBCUdm  +`}uB`}uBCEdl '`}uB`}uBCCommandBar#`}uB`}uBCMap `}uB`}uBCVba `}uB`}uBCGrouping`}uB`}uBTBkndTaskauBuBTBkndRscZ0uB0uBTBkndCalS@/uB@/uBTBkndAssnL@/uB@/uBTBkndConsFPVuBPVuBTBkndOutlCode?PVuBPVuBProps  HProps _FixedMeta$VarMeta0FixedData__4|@TBkndTask,TBkndRsc,TBkndCal,TBkndAssn,TBkndCons,TBkndOutlCode@@@ @ @@@<$@<$`@Property & Casualty Insurance Claim Processing @8 @Insurance claim processing @ @@Standard@@$@@@@@@@@@@@@@@` @  @ !@'$@%@&@'@(@)@xU5KqK߇*@+@,@-@.@/@0@1@2@3@4@5@6@7@8@9@:@;@<@=@>@?@A@B@C@D@E@F@G@K@M@N@O@P@Q@ R@S@ T@U@V@W@ X@Y@ Z@[@\@]@^@ @ &@ @ti@@@@@x` ` ` x` ` ` x` ` ` x` ` ` x` ` ` @@@@~ˠ*mC@@@@@@@@@@@@@@@@@@@@@@@@@@@@<$@@@@@@@@ @USD@,@,@ @ @ @ @@ F@ Q@ R@ [@ @ , @ @ l @ *@ d@ @@ V]"2BIIf(Left([MSPJ188743694],6)="Invoic" Or Left([MSPJ188743694],6)="invoic","Y","N")Invoice upon completion8 8 8 IIf(InStr([MSPJ188743694],"Invoic") Or InStr([MSPJ188743694],"invoic"),"Y","N").pIIf([MSPJ188744339] And [MSPJ188743712]<100 And ProjDurValue([MSPJ188743715]-Date())<1,1,IIf([MSPJ188744339] And [MSPJ188743712]<100 And ProjDurValue([MSPJ188743715]-Date())<5 And ProjDurValue([MSPJ188743715]-Date())>0,2,3))2?@@?@@?@@VIIf([MSPJ188743685]=0,0,IIf([MSPJ188743685]<([MSPJ188743686]*1.2),IIf([MSPJ188743685]<([MSPJ188743686]*1.05),0,1),2))}?@?@?@ttttPIIf(IsDate([MSPJ188743724]+0)=0,4,IIf(([MSPJ188743716]-[MSPJ188743724])<10,IIf(([MSPJ188743716]-[MSPJ188743724])<5,IIf(([MSPJ188743716]-[MSPJ188743724])<-5,3,0),1),2))?@@@?@@@?@@@-$0 - Not availalbe for charging1 - Charge Item2 - Charge Only ItemM0$$$$$$$$$$$$$$DDDDDDD[MSPJ37748805]$$$$$$f?@@VIIf([MSPJ188743685]=0,0,IIf([MSPJ188743685]<([MSPJ188743686]*1.2),IIf([MSPJ188743685]<([MSPJ188743686]*1.05),0,1),2))J?@?@?@ttttPIIf(IsDate([MSPJ188743724]+0)=0,4,IIf(([MSPJ188743716]-[MSPJ188743724])<10,IIf(([MSPJ188743716]-[MSPJ188743724])<5,IIf(([MSPJ188743716]-[MSPJ188743724])<-5,3,0),1),2))?@@@?@@@?@@@-$*::::Bruce JohnsonGreg BaileyJim PattersonKarla FergusonKris AtheyLou BacchiPatti JansenRose Blackburn   -$0^^^^Boris BazantBrian KennemerBrian MusgraveBruce JohnsonChad WilsonCristian FilipCrystal TrevinoErin McShaneGenie PeshkovaHerman GainesKarla FergusonKatie StewartKris AtheyLaurie DawkinsLou BacchiPatti JansenRobert BowmanRose BlackburnRuss YoungScott FootlikSteve DrevonTania StanchevaTony Blackburn   -$xCrystal TrevinoGreg BaileyJim Patterson-$h1 - Single CN2 - Multiple CN3 - Company Admin Project4 - Department Admin Project5 - Not open to charging6 - Single with Progress7 - Multi-CN with ProgressSingle Charge NumberMultiple Charge NumbersCompany Admin ProjectDepartment Admin ProjectNot open to chargingSingle CN with ProgressMulti-CN with Progress@@@@@nA<Б(@@@@@@9F3@! V@  @ @ d@ (db@ d@ (d@ "d"@ (d@ (d@ "d \@ d@@ d@ (d@ (dG@ (d @ "d @ (d @ (d@ (dR@ (d@ (d @ "d@ dm@ (dx@ "d @ d@@ (d@ d @ (d @ (d @ (d }@ "d@ d@ (d@ (d ~@ "d@@ d@ d@ (dy@ "dz@ "d@ (d@ (d {@ "d@|@ "d @ (d &@ " '@ " d@ * c@ * @ " @ " @ "$ @ ( @ * @ (, @ (. @ 2 @ 6 @ (: @ (< @ (@ @ (B @ (F @ (J @ (N @ (P @ (R @ (V @ (X #@ (\ $@ (` )@ hd *@ hh +@ hl ,@ hp @ (t e@ (x @ (z @ (| !@ (~ @ ( @ ( ]@  @  q@  r@  @ ` %@ " (@ " @ ( @  @ h @ (e @ (e @ (e @ (e @ (e @ (e @ (e @ e @ (e @ e @ e @ (e@ @ @ e@ e@ e@ e@ e@  @  @ J @  p@  @ 3@ 6@ 9@ <@ ?@ B@ C@ D@ E@ F@ 4@ 5@ 7@ 8@ :@ ;@ =@ >@  @@ !A@ "@ #@ $@ %@ &@ '@ ( @ )!@ *"@ +#@ ,s@ -W@ .X@ /Y@ 0Z@ 1[@ 2.@ 3/@ 40@ 51@ 62@ 7g@ 8@ 9h@ :@ ;i@ <@ =@ >Q@ ?@ @R@ A@ BS@ C@ DT@ E@ FU@ G@ HV@ I@ JW@ K|@  L@ LM@ Nv@ O@ P @ Q @ R @ S @ T @ U@ V@ W@ X@ Y@ Z=@ [>@ \?@ ]@@ ^A@ _B@ `C@ aD@ bE@ cF@ dG@ eH@ fI@ gJ@ hK@ iL@ jM@ kN@ lO@ mP@ n3@ o4@ p5@ q6@ r7@ s8@ t9@ u:@ v;@ w<@ xu@ y@ z@ {@ |@ }@ ~@ @ @ @ @ @ @ H@ I@ J@ K@  L@ @M@ N@ O@ P@  Q@  $@  %@  &@  @'@ (@ )@ *@ +@ ,@ -@ @  @  @  @   @  @@  @  @  @   @   @   @   @   @@  @  @  @  @  @  @  @ j@ ek@ el@ e@ e@ e@ e@ e@ e@ e@ e@ @ X@ Y@ Z@ [@ \@ i@ j@ k@ l@ m@ @ @ ^@ @ @ @ @ e V@  @ @ d@ (db@ d@ (d@ "d"@ (d@ (d@ "d \@ d@@ d@ (d@ (dG@ (d @ "d @ (d @ (d@ (dR@ (d@ (d @ "d@ dm@ (dx@ "d @ d@@ (d@ d @ (d @ (d @ (d }@ "d@ d@ (d@ (d ~@ "d@@ d@ d@ (dy@ "dz@ "d@ (d@ (d {@ "d@|@ "d @ (d &@ " '@ " d@ * c@ * @ " @ " @ "$ @ ( @ * @ (, @ (. @ 2 @ 6 @ (: @ (< @ (@ @ (B @ (F @ (J @ (N @ (P @ (R @ (V @ (X #@ (\ $@ (` )@ hd *@ hh +@ hl ,@ hp @ (t e@ (x @ (z @ (| !@ (~ @ ( @ ( ]@  @  q@  r@  @ ` %@ " (@ " @ ( @  @ h @ (e @ (e @ (e @ (e @ (e @ (e @ (e @ e @ (e @ e @ e @ (e@ @ @ e@ e@ e@ e@ e@  @  @ J @  p@  @ 3@ 6@ 9@ <@ ?@ B@ C@ D@ E@ F@ 4@ 5@ 7@ 8@ :@ ;@ =@ >@  @@ !A@ "@ #@ $@ %@ &@ '@ ( @ )!@ *"@ +#@ ,s@ -W@ .X@ /Y@ 0Z@ 1[@ 2.@ 3/@ 40@ 51@ 62@ 7g@ 8@ 9h@ :@ ;i@ <@ =@ >Q@ ?@ @R@ A@ BS@ C@ DT@ E@ FU@ G@ HV@ I@ JW@ K|@  L@ LM@ Nv@ O@ P @ Q @ R @ S @ T @ U@ V@ W@ X@ Y@ Z=@ [>@ \?@ ]@@ ^A@ _B@ `C@ aD@ bE@ cF@ dG@ eH@ fI@ gJ@ hK@ iL@ jM@ kN@ lO@ mP@ n3@ o4@ p5@ q6@ r7@ s8@ t9@ u:@ v;@ w<@ xu@ y@ z@ {@ |@ }@ ~@ @ @ @ @ @ @ H@ I@ J@ K@  L@ @M@ N@ O@ P@  Q@  $@  %@  &@  @'@ (@ )@ *@ +@ ,@ -@ @  @  @  @   @  @@  @  @  @   @   @   @   @   @@  @  @  @  @  @  @  @ j@ ek@ el@ e@ e@ e@ e@ e@ e@ e@ e@ @ X@ Y@ Z@ [@ \@ i@ j@ k@ l@ m@ @ @ ^@ @ @ @ @  w@ H y@ ( @ (H( ~@ (, @ (. @ 2 @ "@ @ @ @ e@ e@ @ @ e@ ʀ@ ʀ@ ʀ@ @ @ e@ e@ @ @ e@ ʀ@ ʀ@ ʀ@ @ @ e@ e@ @ @ e@ ʀ@ ʀ@ ʀ@ @ @ e@ e@  @  @ e @ ʀ @ ʀ @ ʀ@ @ @ e@ e@ @ @ e@ ʀ@ ʀ@ ʀ @ !@ "@ e#@ e%@ &@ '@ e(@ ʀ)@ ʀ*@ ʀ+@ ,@ -@ e.@ e0@ 1@ 2@ e3@ ʀ4@ ʀ5@ ʀ6@ 7@ 8@ e9@ e;@ <@ =@ e>@ ʀ?@ ʀ@@ ʀA@ B@ C@ eD@ eF@ G@ H@ eI@ ʀJ@ ʀK@ ʀL@ M@ N@ eO@ eQ@ R@ S@ eT@ ʀU@ ʀV@ ʀW@ e X@ e Y@ e Z@ e [@ e \@ e]@ e^@ e_@ e`@ ea@ b@ c@ d@ e@ f@ g@ h@ i@ j@ k@ l@ m@ n@  o@ !p@ "q@ #r@ $s@ %t@ &u@ 'v@ (w@ )x@ *y@ +z@ ,{@ -|@ .}@ /~@ 0@ 1@ 2@ 3@ 4@ 5@ 6@ 7@ 8@ 9@ :@ ;@ <@ =@ >@ ?@ @@ A@ B@ C@ @ @ @ @  @ @@ @ @ @  @  @  @  @  @@ @ @ @ @ @ @ @  @  @  @   @  @@  @  @  @   @   @   @   @   @@  @  @  @  @  @  @  D@ E@ F@ G@ H@ I@ J@ K@ L@ M@ N@ O@ P@ Q@ R@ S@ T@ U@ V@ W@ X@ Y@ Z@ [@ \@ ]@ ^@ _@ `@ a@ b@ c@ d@ e@ f@ g@ h@ i@ j@ k@ l@ ʠm@ ʠn@ ʠo@ ʠp@ ʠq@ ʠr@ ʠs@ ʠt@ ʠu@ ʠv@ ʠw@ ʠx@ ʠy@ ʠz@ ʠ{@ ʠ|@ ʠ}@ ʠ~@ ʠ @ ʠ @ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʀ @ ʀ!@ ʀ"@ ʀ#@ ʀ$@ ʀ%@ ʀ&@ ʀ'@ ʀ(@ ʀ)@ ʀ*@ ʀ+@ ʀ,@ ʀ-@ ʀ.@ ʀ/@ ʀ0@ ʀ1@ ʀ2@ ʀ3@ ʀ4@ ʀ5@ ʀ6@ ʀ7@ ʀ8@ ʀ9@ ʀ:@ ʀ;@ ʀ<@ ʀ=@ ʀ>@ ʀ?@ ʀ@@ ʀA@ ʀB@ ʀC@ ʀD@ ʀE@ ʀF@ ʀQ@ eR@ eS@ eT@ eU@ eV@ eW@ eX@ eY@ eZ@ e[@ \@ ]@ ^@ _@ `@ a@ b@ c@ d@ e@ f@ g@ h@ i@ j@ k@ l@ m@ n@ o@ p@ q@ r@ s@ t@ u@ v@ w@ x@ y@ z@ {@ |@ }@ ~@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ @ ʠ @ ʠ @ ʠ@ @ @ @  @ @@ @ @ @  @  @  @  @  @@ @ @ @ @ @ @ @  @  @  @   @  @@  @  @  @   @   @   @   @   @@  @  @  @  @  @  @   @  @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @  @ !@ "@ #@ $ @ % @ & @ ' @ ( @ )@ *@ +@ ,@ -@ .@ /@ 0@ 1@ 2@ 3@ 4@ ʀ5@ ʀ6@ ʀ7@ ʀ8@ ʀ9@ ʀ:@ ʀ; @ ʀ<!@ ʀ="@ ʀ>#@ ʀ?$@ ʀ@%@ ʀA&@ ʀB'@ ʀC(@ ʀD)@ ʀE*@ ʀF+@ ʀG,@ ʀH-@ ʀI.@ ʀJ/@ ʀK0@ ʀL1@ 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@ >@  ?@  @@  A@   B@  @C@  D@  E@  F@   =@   G@   H@   I@   @J@  K@  L@  M@  N@  O@  P@  {@ |@ }{@ e~|@ e}@ e@ e@ e@ e@ e@ e@ e@ e=@ >@ ?@ @@ A@ D@ E@ @ D< @  @ Q@ d@ (d"@ d@ dR@ (d]@ (d ;@ (d*@ (dT@ d@ d@ (d<@ (d Q@ (d@S@ (d F@ ( G@ 8 @ ( @ ( 8@  9@ h :@ h @ 8$ @ 8, @ (f4 @ e< @ eD @ (eL @ eT @ 8e\ @ ed &@ el '@ et (@ e| @ f @ 0e @ 0e @ 8e @ 0e /@ 0e 0@ 0e 1@ 0e@ U@ @ @  @ #@ @ +@  7@  @   @  @  @  @ a@ b@ c@ d@ e@ @ @ @ @ @ @ @ @ @ @ @ @  @ !@ "@ #@ $@ %@ &@ '@ (f@ )g@ *h@ +i@ ,j@ -@ .@ /@ 0@ 1@ 2k@ 3l@ 4m@ 5n@ 6o@ 7@ 8@ 9@ :@ ;@ <p@ =q@ >r@ ?s@ @t@ A@ B@ C@ D@ E@ F@ G@ H@ I@ J@ K@ L@ M@ N@ O@ Pu@ Qv@ Rw@ S@ T@ U@ V@ W@ X@ Y@ Zx@ [y@ \z@ ]@ ^@ _@ `@ a@ b@ c@ d@ heW@ f@ g@ h@ i@ j@ k@ l@ m@ n@ o@ p@ q@ r@ s@ t@ u@ v!@ w#@ x%@ y'@ z)@ ~@ @ @ @  @ @@ @ @ @  @  @  @  @  @@ @ @ @ @ @ @ >@  ?@  @@  A@   B@  @C@  D@  E@  F@   =@   G@   H@   I@   @J@  K@  L@  M@  N@  O@  P@  {@ |@ }{@ e~|@ e}@ e@ e@ e@ e@ e@ e@ e@ e=@ >@ ?@ @@ A@ D@ E@ @  @ H @ (@ (d@@ "d@ (d@ (d @ HU@ @ e@ e@ e@ e@ e@ e@ e@ e@ e@ e@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @  @ @@ @ @ @  @  @  @  @  @@ @  @  @  @  @  @ @  @  @  @   @  @@  @  @  @   @   @   @   @   @@  @  @  @  @   @  !@  "@ #@ $@ %@ &@ '@ (@ )@ *@ +@ ,@ -@ .@ /@ 0@ 1@ 2@ 3@ 4@ 5@ 6@ 7@ 8@ 9@ :@ ;@ <@ =@ >@ ?@ @@ A@ B@ C@ D@ E@ F@ G@ H@ I@ K@ ʠM@ ʠO@ ʠQ@ ʠS@ ʠU@ ʠW@ ʠY@ ʠ[@ ʠ]@ ʠ_@ ʠa@ ʠc@ ʠe@ ʠg@ ʠi@ ʠk@ ʠm@ ʠo@ ʠq@ ʠs@ ʠ u@ ʠ w@ ʠ y@ ʠ {@ ʠ }@ ʠ@ ʠ@ ʠ@ ʠ@ ʠ@ ʀ@ ʀ@ ʀ@ ʀ@ ʀ@ ʀ@ ʀ@ ʀ@ ʀ@ ʀ@ ʀ@ ʀ@ ʀ@ ʀ @ ʀ!@ ʀ"@ ʀ#@ ʀ$@ ʀ%@ ʀ&@ ʀ'@ ʀ(@ ʀ)@ ʀ*@ ʀ+@ ʀ,@ ʀ-@ ʀ.@ ʀ/@ ʀ0@ ʀ1@ ʀ2@ ʀ3@ ʀ4@ ʀ5@ ʀ6@ ʀ7@ ʀ8@ ʀ9@ ʀ@ :@ ;@ <@ =@ >@ ?@ @@ A@ B@ C@ D@ E@ eF@ eG@ HH@ HI@ eJ@ eK@ eL@ eM@ ʐN@ ʐO@ eP@ eQ@ ʐR@ ʐS@ eT@ eU@ ʐV@ ʐW@ eX@ eY@ ʐZ@ ʐ[@ e\@ e]@ ʐ^@ ʐ_@ e` @ ea @ ʐb @ ʐc @ ed @ ee@ ʐf@ ʐg@ eh@ ei@ ʐj@ ʐk@ el@ em@ ʐn@ ʐo@ ep@ eq@ ʐr@ ʐs@ et@ eu@ ʐv@ ʐ @ w!@ xV@ eyW@ ez^@ {_@ |`@ e}a@ e~h@ i@ j@ ek@ er@ s@ t@ eu@ e|@ }@ ~@ e@ e@ @ @ e@ e@ @ @ e@ e@ @ @ e@ e@ @ @ e@ e@ @ @ e@ e@ @ @ @ @  @ 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This includes legal statements to the effect that this is a "final" resolution.\par } @@@2Case identifier assigned@@@*Adjuster is assigned@@@2Estimator reviews damage @@@<Estimate reviewed by adjuster @@@NIf Estimate Does Not Exceed Deductible '@@@ZEnter Originating Customer Claim into System '  {\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 5.50.99.2010;}\viewkind4\uc1\pard\f0\fs16 This is the customer's originating claim. In a incident involving multiple people, the customer claim may not be reported first, but an incident will be created even if the customer is not the first to report it. Further action cannot occur until the customer is contacted and files a claim.\par } @@@6Claim information is taken {\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}{\f1\fnil\fcharset2 Symbol;}} {\*\generator Riched20 12.0.3417.1003;}\viewkind4\uc1\pard\f0\fs16 Example of information taken:\par \pard{\pntext\f1\'B7\tab}{\*\pn\pnlvlblt\pnf1\pnindent0{\pntxtb\'B7}}\fi-256\li256 Date of the incident\par {\pntext\f1\'B7\tab}Details of the incident\par {\pntext\f1\'B7\tab}If other parties are involved, their identification information\par {\pntext\f1\'B7\tab}Police report if one was filed or it is available\par {\pntext\f1\'B7\tab}Whether or not the incident involved injury (or potential injury) to any party\par } @@@XAdjuster suggests possible repair locations7{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.3417.1003;}\viewkind4\uc1\pard\f0\fs16 The repair locations are just suggestions, as the customer is responsible for all payment obligations.\par \par } @@@Claim information and estimate is registered with "unrepaired damage" group '{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.3417.1003;}\viewkind4\uc1\pard\f0\fs16 An "unrepaired damage company" is usually an external entity that tracks existing claims and repairs in case a subsequent incident(s) occurs before repairs have been completed on the first incident. These firms reconcile the information to ensure that payment isn't made twice for the original damages.\par } @@@pIssue amount (less the deductible) less salvage revenueDs{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.4407.1001;}\viewkind4\uc1\pard\f0\fs16 If salvage revenue is received directly by the insurance company, the salvage yard is notified for pickup/purchase and then the issued amount is not reduced by revenues from the salvage sale. \par \par \par } @@@Repair complete information is registered with "unrepaired damage" groupA@@@~Customer billed for (and pays) any remainder on the deductible<@@@dCustomer [repair] claim on the incident is closed@@@>If Estimate Exceeds Deductible ' @@@LIf Auto Is Considered "Unrecoverable" '@@@lIf Repairs Are Performed (That Exceed the Deductible) '<@@@NReceive repair invoice (from repairer)@@@XRepair performed (and paid for by customer)D@@@lCustomer notifies us of repairs complete (and amount)@@@XAdjuster checks "unrepaired damage" history;@@@"Repair performed @@@NReceive repair invoice (from repairer)"@@@Pay repairer#{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.3417.1003;}\viewkind4\uc1\pard\f0\fs16 When the payment goes out is dependent on individual insurance company business practices.\par \par } @@@DFinalize incident entry in system$@@@HThis claimant [repair] claim closed%{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.3417.1003;}\viewkind4\uc1\pard\f0\fs16 This does not close any injury claim made.\par \par } @@@HThis claimant [injury] claim closed {\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.3417.1003;}\viewkind4\uc1\pard\f0\fs16 The injury claim does not close the incident for this claim unless the repair claim is also closed.\par \par } @@@DIncident/Originating Claim ClosedI@@@^For Each Claimant (If Multi-Claimant Incident) '; b{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.3417.1003;}\viewkind4\uc1\pard\f0\fs16 Multiple claimants can register against the originating customer incident.\par This process and all tasks under it are open until the last claimant submission is complete and closed.\par \par } @@@XAdjuster checks "unrepaired damage" history @@@2Estimator reviews damage@@@@NEstimate reviewed/approved by adjuster '6@@@2If Claim Involves Injury 5 :9@@@If this is a 'No Fault' state or there is a medical rider, pay up to injury amountq{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.4407.1001;}\viewkind4\uc1\pard\f0\fs16 Customer is also notified of "approved medical facilities."\par (Note: There can be potential litigation even in a "No Fault" state if the medical claims exceed the state's price cap on personal injury.)\par } @@@If "Fault" state, and customer injured external claimant, flag for receipt of potential litigation@@@*Claimant files claim @@@$Repairs performedD@@@:Customer injury claim closed9@@@2Customer [Repair] closed@@@8Customer [Repairs] Complete@@@HCustomer delivers auto to estimator5{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.3417.1003;}\viewkind4\uc1\pard\f0\fs16 This may be paid for by insurance as well. This can be by tow truck.\par Note: In many cases, the adjuster is the estimator for the insurance company. The body shop will also have an estimator that the adjuster works with.\par \par } @@@TAdjuster approves payment to the repairerH{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.3417.1003;}\viewkind4\uc1\pard\f0\fs16 In the event of "hidden damage" (damage that was not detected when the estimate was generated) it is up to the adjuster and the repairer to negotiate an agreement.\par } @@@FIf "Hidden Damage" Is Encountered 'C@@@6Repairer notifies adjuster@@@nAdjuster determines if new estimate exceeds deductibleC"{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.3417.1003;}\viewkind4\uc1\pard\f0\fs16 If new estimate exceeds the deductible (and adjuster concurs) then action continues with "If repair exceeds deductible" line.\par } @@@Read the note for an explanation of the purpose of this template 'g{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.4407.1001;}\viewkind4\uc1\pard\f0\fs16 This template walks through the process from the point of view of the insurance company.\par It was worked up with an automobile insurance mindset, but the processes for homeowner's insurance are similar.\par \par Terminology:\par Customer = The person insured by us (we are the insurance company)\par Claimant = The person whose property was damaged by our customer\par (Note: This could be an injured party or their legal representation)\par Agent = Our local agent or a representative on the claims phone line\par Estimator = This can be an internal "drive in claims" office or a body shop or windshield repair specialist\par Adjustor = Internal person who manages the claim after an estimation has been performed\par Auditor = Member of our internal review - performs random checks\par Repairer = Shop performing the repair\par Salvage Yard = Pays for unrecoverable vehicles\par \par \par } @@@tExamine the case for applicability of subrogation processC{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 5.50.99.2010;}\viewkind4\uc1\pard\f0\fs16 In the case of an uninsured party at fault, this may also include ordering a credit report on the party involved to determine if subrogation is even worthwhile.\par } @@@*Subrogation Analysis 'G}{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.4407.1001;}\viewkind4\uc1\pard\f0\fs16 Subrogation refers to the process an insurance company uses to seek reimbursement from the responsible party (or their insurance company) for a claim it has already paid.\par The applicability of subrogation in any individual case depends on the circumstances surrounding the incident, the laws in the applicable state, and the policy provisions.\par \par The insured is obligated to cooperate with the insurance company in the investigation phase of the claim process. This includes helping to establish important facts, preserving evidence, and anything that may be deemed to speed up the recovery process. It is important for the insured not to take any action that may waive rights to recovery.\par \par Also note that there is frequently shared responsibility, (called "comparable negligence," which means that multiple insurance companies may be involved from different aspects. We can be the "initiator" of subrogation and at the same time be the "target" of subrogation.\par } @@@vIf subrogation is applicable, initiate subrogation processGm{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Arial;}} {\*\generator Riched20 12.0.3417.1003;}\viewkind4\uc1\pard\f0\fs16 This is a whole process. 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