Page 36 - Personal Underwriting Mandates & Guidelines - Binder product rules & addendums - Version 1

1.6 Quotes:
1.5.2.1 make a separate lis ng on the catastrophe register.
1.5.2.2 provide Hollard with the follow-up informa on on a weekly basis as you may progress through the claim and speci cally when the claim has been nalised in order for the correct se lement amounts to be processed by Hollard (please note you have 3 (three) months from date of loss to advise Hollard of all your catastrophe claims).
1.6.1 Ask the Insured to obtain quotes for items claimed. This will assist with correctly es ma ng the loss and understanding the type and make of item for which client is claiming.
1.6.2 Quotes are generally a requirement on all claims for property loss and will be required to be placed on the claims le for audit purposes. There are various alterna ves available to assist in quan fying a loss besides a wri en quote.
1.7 An Assessor's report MUST contain the following minimum informa on:
1.7.1 A detailed descrip on of the value at risk, to establish whether the Insured is adequately insured.
1.7.2 Details about the risk, for example address, construc on of the house and roof, any other material informa on about the risk.
1.7.3 Circumstances surrounding the loss. Does this correspond with the descrip on on the claim form?
1.7.4 Descrip on of the loss.
1.7.5 Is the loss covered in terms of the policy? Was it caused by an insured event? Recommenda ons.
1.7.6 Cos ng in terms of the claim. The assessor has to con rm that the quote is a fair quote and that the quote is comprehensive.
1.7.7 Photographs depic ng the loss for le purposes.
1.7.8 Remedial ac on to be taken by the Insured should the claim be rejected.
1.7.9 Previous insurance check has to be done.
1.7.10 Dual insurance.
1.8 Proceed with authorisa on of the claim only if the claim does not form part of the criterion as men oned in point 3 of this sec on: for example, outside your claims mandate:
1.8.1 In accordance with the loss adjusters' report, provided that the Insured is not under-insured and premium has been paid on me.
1.8.2 Where there is under-insurance, the assessor calculates the average and then provides us with their se lement recommenda ons. The claim may then be considered to be se led on a cash in lieu se lement basis.
1.8.3 No authorisa on can be given for replacement where the Insured is not adequately insured (for example, where average applies).
Non-motor Claims Procedures
1.4.4 Provide the loss adjuster with the appropriate details of the loss as well as the details of your client.
1.4.4.1 It is most bene cial always to provide the loss adjuster with a copy of:
a) the policy wording applicable
b) policy schedule
c) proposal form.
1.5 The value of the claim should be taken into account with the circumstances of the incident. If subsidence or re is suspected the value is irrelevant. Hollard needs to be advised to enable the correct assessor or engineer to be appointed.
1.5.1 The nature of the claim
1.5.2 If the claim forms a part of a catastrophe claim:
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Binder Claims Mandates and Guidelines – 2015/2016