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...ehicles left in his care. Primary garage keepers was not in place to respond, .... 3. Coordinates risk to products (coverage system). 4. Approaches the marke...

... likely that the insured did get a surprise. Here's another example, involving a Commercial Lines claim. The insured cement contractor was pouring a concrete driveway at a home in a new subdivision. As nightfall approached, he inadvertently caused cement to be splattered on a nearby garage door, necessitating its replacement at a cost of $827.69. The owner of the home made a claim for his negligence. The insured received a letter from his CGL carrier's Senior Claim Representative denying coverage, citing Exclusions 2.j.(5 ) and 2.j. ... two-thirds! Everybody wins! We argued that because the insured foresaw that the door could fall on him, it was an act of self-defense, triggering the exception. We also cited the state's bad faith settlement provision that's triggered when a claim isn't paid even though. liability has become reasonably clear. Although we provided 39 pages of authoritative documentation to support coverage, the carrier still refused to pay this $827.69 claim. At that point, the agent turned our file over to the insurance department. Their investigator telephoned the company on April ... I jointly developed a seminar with a faculty member called How to Win Friends..and Influence Adjusters. The seminar focuses on policy gray areas and, through case studies (actual claims and court cases), applies a methodology to convince the adjuster that the insured's/agent's interpretation for coverage is just as valid as the adjuster's initial basis for claim denial. However, sometimes a claim denial arises that defies logic and reason. Here's a Personal Lines example of such a claim that another faculty member passed along recently: An insured who was moving loaded ...

...ment to be splattered on a nearby garage door, necessitating its replacement a...horitative documentation to support coverage, the carrier still refused to pay...

... the higher price since he was in the business of servicing Mercedes, Rolls Royce, Jags, BMWs, and other expensive toys. Vandalism occurred over the weekend, and the insured was forced to spend thousand of dollars repairing 11 vehicles left in his care. Primary garage keepers was not in place to respond, but you can guess what was: the agency E&O policy. Failure to obtain any coverage represents 20% of the claims logged by E&O carriers. The cases just cited demonstrate the need for education ... items. Award for the plaintiff (insured) . If that sounds like a simple mistake, take a look at this error in obtaining the proper coverage: Case No.2: Failure to Obtain Proper Coverage To maintain his business relationships with clients, the insured required general liability and other coverages. A certificate of insurance was issued indicating that the insured had all the proper coverages to meet the standards of contracts required by the client. The client, a general contractor, reported a loss arising from the work of the insured. The ... insurance agency's the most common practices that lead to Errors and Omission actions filed in court. Our information comes from our experience as principals in an agency and as consultants retained to review actions filed against fellow agents. As principals, we are familiar with early-morning anxieties about coverage questions. Without that history of nausea, we'd have no credence in our consulting efforts in the face of E&O allegations. As consultants retained by E&O carriers, we are charged with the discovery of What actually happened? ' Attorneys for plaintiff ...