Rankin Manufacturing Limited is a small company based in Coventry manufacturing vehicle component parts and is covered by an ARPI policy with Industrial Risks Limited. On 5 August the claims manager of Industrial received a phone call from a director of the company indicating that the premises had burnt down that evening. What does the claims manager do? - Normally the first step for the insurer, unless he retains his own in-house...more
If litigation does subsequently take place, after the close of pleadings each party must disclose all documents relevant to the issues in question. There are various exceptions to that rule, particularly relating to privilege. The involvement of the solicitor is imperative as, first, all communications between the insurer and his solicitor will be privileged provided they are confidential and they are written to or by the solicitor...more
If solicitors are to be instructed at an early date, the insurer will probably have the best chance of maintaining privilege at a later date. The involvement of the solicitor in cases of potential fraud is also critical in that he will have the clearest view of the evidence needed to prove the elements of fraud if the matter is litigated. It should be the solicitor who takes the statements from the witnesses, including the police, the fire brigade and any factual witnesses whether or not they have anything specific to say. In cases of fraud, memories are often refreshed at a later stage and witnesses may well remember circumstances which might dramatically differ from their earlier recollection. So many fraud cases are based upon circumstantial evidence that the tiniest change can be critical. It is imperative that the statements be signed quickly before witnesses either change their minds or leave the location. Similarly, the forensic scientists and the loss adjusters should also be requested to put their opinions in writing as soon as possible. The solicitor should hear the opinions orally first to enable him to assist in the structuring of the reports. In...more
As part of this investigation it is also important to investigate the past history and habits of the directors of the company. For example, have any of the directors been involved in bankruptcy or insolvency? Do they have criminal convictions or even any particular personal expenses to be funded? Whilst a lot of the routine work can...more
As soon as the evidence has been gathered the claims manager should call a meeting of his team to decide whether the evidence justifies rejecting the claim (which has already been made by Rankin Manufacturing Ltd.) or whether, despite the strong indications of arson, there is insufficient evidence to confirm the loss as self-induced....more
Safety is still not an assurance even with the availability of travel insurance coverage in travelling out of a province, according to an industry representative. The medical facility you are transacting with may or may not accept payments directly from the insurance company in situations like this while you're in one of your travels, based on a travel agent. Whether how much the senior's travel insurance limit is, it has to be carefully analyzed by the senior citizens if they are planning on a trip which is to be reimbursed by their companies. Most seniors are very much troubled if they travel without pocket money, according to him. The insurance covers the medical claims, he added, but on some policies the traveler has to pay for some of the costs himself, and then is later reimbursed by the insurance company. The travelers shared to us their sad experiences and horrific stories during their trips. One includes the selling of an aspirin to someone at $10. According to the official's recommendation, senior travelers should be aware in instances like this and should also carefully plan to avoid maddening situations. Carefully monitoring the prices of other medical items and...more
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All people that work within any type of car industry need to make sure that they are fully covered in the event of an accident. Taking out the right trader's policy could potentially end up saving your business from being ruined in the...more