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

1.3 Fraud
1.3.1 Fraud can present itself in a number of ways:
1.3.1.1 The fraudulent crea on of a claim 1.3.1.2 Overstatement of the claimed amount 1.3.1.3 Misrepresenta on to get cover
1.3.1.4 Insider fraud
1.3.2 There are three stages at which fraud can enter the claims process:
1.3.2.1 The event
1.3.2.2 The quan ca on of the loss
1.3.2.3 The informa on of evidence suppor ng the claim
2. CLAIMS TO BE REPORTED TO HOLLARD
All claims will be administered by the Hollard partner according to the delegated authority and mandate agreement. The Claims mandate will be agreed, and therefore, as soon as the claim is, for example, R50 000 ( y thousand Rand) or above (inclusive of VAT and prior to excess deduc on, recovery or salvage money) the claim needs to be reported to Hollard.
2.1 2.2
Claims that exceed the Claims Mandate may therefore NOT be authorised by the partner without Hollard's authorisa on. Authorisa on will be provided by Hollard once all the claim documenta on has been received and reviewed.
Claims over (outside) Mandate
When a claim is outside of the scope of your Broker mandate agreement with Hollard
The following are claims that are considered to be outside of your claims mandate: 2.2.1 Over the value of R50 000 ( y thousand Rand) (as stated above), for example:
2.2.1.1 (Authorisa on required for you to proceed)
All re claims, irrespec ve of the quantum, are to be referred to Hollard PRIOR to any loss adjusters/assessors being appointed.
Any claims where drunken driving is suspected must be referred to Hollard immediately. Any claims where fraud is suspected must be referred to Hollard immediately.
2.2.2 Late no ca on – Claims older than 45 days
2.2.2.1 (Authorisa on required for you to proceed)
2.2.3 Liability (except General Motor)
2.2.3.1 (These claims will be dealt with by Hollard)
2.2.4 Any Sta claim (including HBM sta )
2.2.4.1 (Authorisa on required for you to proceed)
2.2.5 Ex gra a claims
2.2.5.1 (Request with reasons to be forwarded for approval)
2.2.6 Sasria There are various speci c Sasria requirements – Any Sasria claims should be reported to Hollard on receipt.
2.2.6.1 (These claims will be dealt with by Hollard)
2.2.7 FG claims and D & O
2.2.8 PA Claims
2.2.9 Engineering claims
General Procedures
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Binder Claims Mandates and Guidelines – 2015/2016