Page 17 - Claims Binders Mandates and Guidelines

General Procedures
10.11.3 any riot, strike or public disorder, or any act or activity which is calculated or directed to bring about a riot, strike, or public disorder
10.11.4 any attempt to perform any act referred to in clause 10.11.1, 10.11.2, or 10.11.3 above
10.11.5 the act of any lawfully established authority in controlling, preventing, suppressing, or in any other way dealing with any occurrence referred to in clause 10.11.1, 10.11.2, 10.11.3, or 10.11.4 above.
NOTE: In this policy, the term "Public Disorder" shall be deemed to include civil commotion, labour disturbances, or lock-outs.
11. UNDERINSURANCE AND CONTRIBUTION
Where the claimant has not adequately insured himself, we will apply average in the event of a claim, as he is deemed to be his own insurer for the balance of the loss proportionately. Average will be calculated as follows:
The claimant’s contribution, whether it be average, or betterment, or dual insurance (other insurer’s contribution), and excesses have to be agreed before the claim is authorised or finalised.
Where the underinsurance factor is 10% (ten percent) or less, Hollard Insure does not apply average as a rule, but will, however, insist that the cover is amended to the increased cover.
Whenever there is a motor salvage recovery, a fairness principle should be applied. The claimant is entitled to a percentage of the recovery, aligned to the Total Loss calculation. It is however important to remember that in exceptional cases, large fees are paid to turn salvage into cash. If in doubt about how to interpret what should be refunded to the claimant, then the Hollard Insure claims specialist should be contacted.
12. POLICE REPORT REQUEST
12.1 Establish from the claim form which police station the accident was reported and whether any criminal action resulted from the event.
12.2 Police reports are requested under the following circumstances:
12.2.1 CR/MR (i.e. criminal report)
12.2.2 AR/BR (accident report – dependent on accident details) 12.2.3 if there is any cause for suspicion.
12.3 Should a police report be required:
12.3.1 advise the claimant that the claim cannot proceed without the police report, and request that the claimant obtains the report and provides it to your offices.
12.3.2 diarise the file for 14 (fourteen) days hence to follow up if the report is not received.
12.4 If a case is pending against the claimant for any reason related to the accident, then diarise the file to re- request the information.
13. RECEIPT OF MONIES BY BINDER HOLDERS
In each case where monies are due to Hollard Insure for payment of salvage, stolen and recovered vehicles, recoveries, etc., the nominated person in the office or claims supervisor should perform the following:
13.1 issue a Hollard Insure tax invoice, where applicable, with a full description of the transaction.
13.2 update the Salvage Register and the Stolen Vehicle Register accordingly.
13.3 reflect the details in 13.1.2 above of an EFT (electronic funds transfer) received and made into the claims account.
Sum insured X adjusted loss Value of risk 1
= claim – excess
= amount payable
Claims Binder Holders Mandates and Guidelines – V6: 2022 Page | 15