Page 7 - MPRC Collateral (8.5 × 11 in)
P. 7

Rights and Responsibilities


                       of Both the Insurer and Insured During the

                                              Claims Process






  Investigate Cause and Coverage




                       Insurer                                                          Insured

      Determine if the cause is a covered loss                              If the Insurer determines that the cause is NOT
      Provide a coverage position                                           covered, complete their own investigation






 Adjustment Phase




                       Insurer                                                           Insured


      Assess & estimate damages to contents/stock                              Assess & estimate damages to contents/stock
      and dwelling/buildings                                                   and dwelling/buildings
      Takes a position on ALE/LOI indemnity period                             Clearly documents timelines to accurately
      Value position on the amount of loss                                     reflect the indeminity period
                                                                               Value position on the amount of loss via POL.





 Appraisal Phase





                         Insurer                                                               Insured


        Prepare and present evidence on the amount of                         Prepare and present evidence on the value of
        loss position in the adjusmtnet phase                                 the amount as outlined in the POL






  Litigation Phase







                                             Addresses diagreements over coverage and other
                                                         issues of contention
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