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... these factors and actual claim occurrence. Consider these examples: ...kers see genuine investment in their health and safety rather than just claims...

... a loss. These types of circular definitions don't hold up well in court. This alone is enough to warrant redrafting the contract. The key word is accidental. Was this accidental, ' as defined by the policy? Was this a sudden, unexpected, and unintended' occurrence? It's unlikely that the insured intended to burn a hole in her car seat — which means the damage was probably unexpected. That leaves sudden. Because the loss took place over a period of time, perhaps the adjuster interpreted it as not sudden. However, most ... 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 ... Merriam-Webster) . In other words, sudden' means unexpected or unforeseen, a surprise — and it appears 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 ...

...den, unexpected, and unintended occurrence.' The policy defines a 'loss' to in...horitative documentation to support coverage, the carrier still refused to pay...

...alespeople tell us that certain occurrences propel individuals to consider Lif...he customer define the policies and coverages they should purchase, any more t...

...mage resulting from an array of occurrences. Your policy will cover the cost o... you review your options and tailor coverage that best meets your needs. ...

... the best way to acquire a policy database, it's not yet available for every line of business, nor from every company. When this is the case, you can fall back on manual data entry. Two methods of manual entry are used by most agencies: occurrence and crash loading. OCCURRENCE LOADING is the entering of all policy information for an existing account at any time, or for new business during the quotation/application process. Occurrence loading of data should always be handled by agency personnel (it's usually handled by the ... entered into the system in detail. Claims. Whenever a claim is reported to the agency, all policies in the customer's account are entered into the system in detail. Service. When an account file is pulled for any service activity, such as an endorsement or coverage question, all policies in the account are entered into the system in detail. Occurrence loading has advantages and disadvantages, which must be weighed before you can settle on the best method. The advantages are: Training. Your staff is trained gradually, and all ... your agency can use the information. A company might not include information you need for underwriting, prospecting, marketing, or management. For example, information on a customer might include only mailing data, whereas you want spouse names, occupations, dates of birth, home/office telephone numbers, information on other family members besides the named insured, and references to other policies you provide the customer. A company might also be unable to download all the lines of business you write for that company. You would therefore have to ...

...ntry are used by most agencies: occurrence and crash loading. OCCURRENCE LOADING is the entering of all poli... result: We wrote over $50,000 in new Homeowners premiums in the community dir...

...orth between “claims made” and “occurrence” policies can also be a problem, es...ts to cover a situation in which no coverage exists because the agency made a mistake in binding or arranging coverage. The problem you solve and the “f...