CSAC Excess Insurance Authority California Public Entity Insurance Authority PROPERTY CLAIM REPORTING PROCEDURES

Transcription

1 CSAC Excess Insurance Authority California Public Entity Insurance Authority PROPERTY CLAIM REPORTING PROCEDURES For losses under the property insurance program the following steps apply: CSAC Excess Insurance Authority/CPEIA Member 1. Member to report loss information via telephone, , fax, or mail to the following: Robert Frey Claims Manager 600 Montgomery Street, 9th Floor San Francisco, CA Phone: (415) ext. 445 Fax: (415) And to: Diana Walizada Claims Unit Manager 600 Montgomery Street, 9th Floor San Francisco, CA Phone: (415) ext. 453 Fax: (415)

2 Page 2 of 5 CSAC Excess Insurance Authority/CPEIA Member (continued) 2. Reporting of loss should include the following: Date of the loss Name of member and mailing address Contact person(s) (for loss details) including full name, title, phone numbers, etc. and name of the risk manager who is to receive all correspondence and claim payment Specific location of property damaged Estimated amount of entire loss Name of police or fire department that responded and the report number, if any Description of the incident that caused the damage (fire, theft, water damage, & circumstances of loss, etc.) Mortgagee or Loss Payee name, address, and account number Any additional information (Remember it is the CSAC EIA/CPEIA member s loss to prove. Isolate all expenses including employee overtime.) 1. Upon receipt of loss notice from member, Driver will report the loss to: Chris Stafford 180 Montgomery Street, Suite 2100 San Francisco, CA Phone: (415) FAX: (415) chris.stafford@mclarensyoung.com Phone No. In Case of Emergency: (415) Mike Allen 180 Montgomery Street, Suite 2100 San Francisco, CA Phone: (415) FAX: (415) Mike.allen@mclarensyoung.com Phone No. In Case of Emergency: (415)

3 Page 3 of 5 (continued) 2. Set up file And to: Cathryn O Meara 2465 Campus Drive, Suite 100 Irvine, CA Phone: (888) Fax: (949) Cathryn.OMeara@mclarensyoung.com With Carbon Copy to: Risk Manager or primary contact Larry Kennedy, CSAC EIA MTS Insurance Services JLT Risk Solutions Limited 3. Monitor progress of claim to resolution. 4. Monitor payment of claim to member from carrier. 5. Provide expertise and assistance in the areas of claims coverage and the settlement process. 6. On large losses we will provide the latest version of How to Handle a Large Loss. We will actively participate with Risk Management in setting up procedures to manage the flow of information necessary to prove the loss. Upon receipt of the loss notice, will: 1. Set up file. 2. Assign adjuster who will contact member to complete investigation. 3. Contact member within 24 hours.

4 Page 4 of 5 (continued) 4. Provide assistance in obtaining resource vendors to assist the member in debris removal, site security, salvage, engineering, or other need resources. 5. Forward claim status report every days to member with a copy to Driver Alliant. 6. Participate in claim status meetings with member in order to establish financial and physical needs of the member, answer questions, and help facilitate progress of the claim. 7. At time of settlement make recommendations to member. 8. Submit monthly bordereaux of claims payments and expenses to reinsurers. 9. Monitor progress of claims and retain complete file on claim. 10. Obtain authority from insurer(s) to issue proof of loss on their behalf. 11. Obtain signed/notarized Proof of Loss from member for claims and documentation for same. 12. Remit payment for claim (net of deductible) payable to member within 30 days of receipt of Proof of Loss (or within 30 days of receipt of Proof of Loss by carriers) with copy to Driver Alliant. Loss Adjustment Expenses CSAC / CPEIA Member 1. On any claims known to be under the deductible, the member will handle without notice to or expectation of reimbursement from. (This is for losses that are under the member deductible that have no chance of piercing the deductible.) 2. On large losses, particularly those over $100,000, partial periodic reimbursement may be requested by member at its discretion.

5 Page 5 of 5 Loss Adjustment Expenses (continued) 1. Reimbursement will be made upon closure of the claim to member (excluding large losses as described in #2 above where partial payments may be requested during course of settlement). 2. Settlement payment by check will be made to member along with notification via fax or of which specific claims are being reimbursed. (or upon request wire transfer to member s account along with notification via fax or to member) 3. Any claims questions or any problems with the adjustment of the loss should be directed to member; however, Driver Alliant is always available to intercede and provide assistance whenever necessary.