Question
Congratulations! You have been hired by UP Insurance Company as a claims adjuster and received brand-new claims as follows: Your insured, Jacob, a 22-year-old male,
Congratulations! You have been hired by UP Insurance Company as a claims adjuster and received brand-new claims as follows: Your insured, Jacob, a 22-year-old male, was involved in a significant single motor vehicle accident at approximately 1:00 AM while driving his parent's vehicle. He advised that he lost control of his vehicle, struck a pole, and landed in a ditch. He was the only occupant in the car, returning from a friend's bachelor party. The police, ambulance and fire department attended the scene. He refused to be taken to the hospital and refused a breathalyzer at the scene as there was an odor of alcohol on his breath. Jacob was ultimately charged with driving while intoxicated. Jacob has had prior accidents, and his parents had taken out an endorsement to exclude him from their policy Expressly; he was excluded from driving any of the vehicles in the household under any circumstances. His parents claimed that they had no idea he had taken the car. Complete your assignment to include as a guideline the following items noted below. You will need to consider other issues that may arise in this situation. What information will you expect to see on the notice of loss? How will you commence the investigation? What policy/coverage investigation will you complete How will you protect the insurer while you investigate the loss? Do you think a statement will be necessary, and if so, what are some of the pertinent questions you need to ask Jacob Would you want to interview his parents and why? What information will you request from everyone involved at the scene? Would you need to employ any experts, who and why How will you communicate with Jacob- what skillset will you use, providing examples What expectations will you set while you complete this investigation? If there may be a coverage problem, how will you communicate this to Jacob? and would you pay this claim for damages to the vehicle to Jacob?
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As a claims adjuster at UP Insurance Company the situation involving Jacob requires a thorough investigation to determine the coverage and liability in this claim Here is how I would handle this scena...Get Instant Access to Expert-Tailored Solutions
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