Page 49 - Personal Underwriting Mandates & Guidelines - Binder product rules & addendums - Version 1

Recoveries and Third Party Procedures
RECOVERIES AND THIRD PARTY PROCEDURES
1. RECOVERY AND THIRD PARTY CLAIMS TO BE REPORTED TO HOLLARD
All recovery and third party claims will be administered by you per the delegated authority and mandate agreement. The mandate will be agreed, and therefore, as soon as a claim falls outside of the mandate it must be referred to Hollard.
1.1 Recovery and third party claims outside of the mandate may therefore NOT be attended to by the partner.
1.2 Claims outside of broker mandate will include:
1.2.1 claims over the agreed mandate value (own damage and third party liability combined)
1.2.2 claims that fall within the personal or public liability section of the policy (including defective workmanship and product liability).
2. THIRD PARTY CLAIM AGAINST INSURED (if broker mandated to handle on behalf of Hollard)
NOTE: Estimate for the third party claim must be raised immediately on receipt of a third party demand.
If the insured has notified the broker of a potential claim, even if no own damage exists, or damage is less than the applicable excess, the insured must submit a completed claim form and supporting documents.
2.1 The insured must further report the incident to the SAPS.
2.2 Even if there is no damage to the insured vehicle, the section II excess is still payable and the insured must be advised of this, at the initial notification of the claim.
2.3 Once liability has been admitted by Hollard or the broker subject to their mandate, the broker will be responsible for collecting the section II excess from the insured.
3. GENERAL RECOVERY AND THIRD PARTY PROCEDURES
3.1 The file handler must establish what type of matter is being dealt with, i.e. whether the matter is a recovery or liability, and be familiar with the procedures to follow for that type of matter.
3.2 Preliminary assessment:
3.2.1 Ensure that the own damage claim has been validated.
3.2.2 Verify that the client has the appropriate cover for the type of claim submitted.
3.2.3 Ensure that all the required documents are on file. If any documents are missing, take steps to obtain them. Documents should preferably be requested by letter/email and a copy of the letter/ email kept on file.
3.2.4 Ensure that estimates are correct and updated as necessary.
3.2.5 Ensure that the loss type codes are correct and updated as necessary.
3.2.6 Ensure that the matter has been registered on the claims system, and that all the required information is completed and that the system is updated as necessary.
3.3 For the purposes of doing a merit assessment and before any third party claim is settled the following must be checked for all classes of business:
3.3.1 Documents required for uninsured third party claims:
3.3.3.1 Registration certificate
3.3.3.2 Affidavit of no insurance/no claim letter
3.3.3.3 ID/driver’s licence
3.3.3.4 Duly completed claim pack (claim form/s, witness statement/s, accident report, etc.)
3.3.3.5 Quotations for the repairs to the third party vehicle
3.3.3.6 Rates and tax billing in respect of damages to third party property.
Full Binder Claims Mandates and Guidelines – V3: 2019 Page | 47