Page 50 - Personal Underwriting Mandates & Guidelines - Binder product rules & addendums - Version 1

4.2
On receipt of the claim form:
4.2.1 4.2.2
Open a new claims file.
Place the following into the file:
4.2.2.1 4.2.2.2
a claims checklist an action sheet
Recoveries and Third Party Procedures
3.4 Documents required on insured third party claims:
3.4.1 Letter of demand
3.4.2 Sketch and description
3.4.3 Photographs/witness statements
3.4.4 Assessor’s report
3.4.5 Final tax invoice in respect of repairs
3.4.6 Towing and storage invoice
3.4.7 Car hire invoice
3.4.8 Salvage invoice.
3.5 When deciding to either refute or make an offer of settlement to a third party or accept a settlement offer from a third party, the file handler must carefully consider the merits of each matter with due regard to the applicable case law, legislation and service level agreement (where applicable).
3.6 All reasonable measures must be taken to pursue recoveries and save on third party liabilities. This must be done with due consideration for the cost and risk of litigation and the use of external service providers, for example contingency agents, attorneys, etc.
3.7 The broker partner must ensure that they fully understand and adhere to the standards and procedures set out in the SAIA Code of Conduct with regards to handling third party claims and recoveries.
3.8 In general, the broker partner must act in good faith, and third party claims and/or recoveries must be dealt with judiciously and expeditiously, and in a transparent fashion.
3.9 In appointing service providers and making payments the broker partner must adhere to the claims payment and procurement procedure, in particular:
3.9.1 make use of service providers as per the agreed panel;
3.9.2 ensure that the necessary documentary proof is available for all payments made to service providers, third parties and the insured, for example invoices, settlement releases, proof of banking details, etc.
3.9.3 ensure that they adhere to the correct treatment of VAT when making payments, for example Section 8(8) VAT and output VAT, etc.
4. THIRD PARTY CLAIM AGAINST HOLLARD (if mandated to handle on behalf of Hollard) NOTE: Estimate for third party must be raised immediately where our client appears to be at fault. NO OWN DAMAGE EXISTS/NO OWN DAMAGE CLAIM SUBMITTED
4.1 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, check to see whether a valid claim document has been submitted and, if not, advise the client to submit a completed claim form and supporting documents (for example a driver’s licence).
4.1.1 The incident MUST still be reported to the SAPS.
4.1.2 Even if there is no damage to the insured vehicle, the section II excess is still payable and the client must be advised of this, at the initial notification of the claim.
4.1.3 Once liability has been admitted by Hollard, the broker will be responsible for collecting this excess from the insured.
NOTE: If the section II excess applies, the knock-for-knock is not applicable.
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Full Binder Claims Mandates and Guidelines – V3: 2019