Page 6 - Personal Underwriting Mandates & Guidelines - Binder product rules & addendums - Version 1

1. RED FLAG INDICATORS
1.1
Indicators for possible loss investigation referrals to Hollard loss investigation team
1.1.1 Frequent changes of address
1.1.2 Incomplete or vague proposals
1.1.3 A criminal record
1.1.4 Poor credit history
1.1.5 Poor insurance history
1.1.6 Vehicle(s) not registered in policyholder’s name
1.1.7 Driver’s licence endorsements
1.1.8 Undated/unsigned proposals
1.1.9 No previous insurance
1.1.10 Vague occupation details – i.e. ‘businessman’ or ‘ self-employed’
1.1.11 Proposal completed by the broker
1.1.12 Photocopied (possibly altered) valuation certificates
1.1.13 Specific questions left unanswered
1.1.14 Unoccupied situations
1.1.15 Missing engine/chassis/VIN numbers
1.1.16 Physical address not noted – Only postal box (PO Box)
1.1.17 A defined pattern in previous claims history
1.1.18 ‘Emergency’ cover – late Friday afternoon, before long weekend/holidays, etc.
1.1.19 Gaps in periods of insurance
1.1.20 Proposal applications completed in different handwriting
1.1.21 Vehicle number plates not matching province of residence
Claims
1.2.1 Vague description of loss
1.2.2 Vague occupation – for example ‘businessman’ or ‘self-employed’
1.2.3 Item claimed – recently added
1.2.4 Date of loss (DOL) – close to inception of policy
1.2.5 Claim forms not signed
1.2.6 More than one person's handwriting on claim
1.2.7 Single vehicle accident claims – late at night, early morning
1.2.8 Unknown third party claims, third party to claim at later stage
1.2.9 Unclear/illegible photocopies
1.2.10 No physical address
1.2.11 Known multi-claimants
1.2.12 Continuous All Risks type claims
1.2.13 Important questions left unanswered:
1.2.13.1 Date/time of loss 1.2.13.2 SAPS case number 1.2.13.3 Occupation 1.2.13.4 Use of vehicle
1.2
GENERAL PROCEDURES
General Procedures
Page | 4
Full Binder Claims Mandates and Guidelines – V3: 2019