Common use of Fast Track Adjusting Services Clause in Contracts

Fast Track Adjusting Services. For each Fast Track Claim, Adjusters will be responsible for preparing a completed Xactimate estimate with full scope of all damages in accordance with Best Claims Practices & Estimating Guidelines, (a “Completed Package”), including: 3.2.1.1. all contents itemized and priced in Xactimate; 3.2.1.2. any and all ALE/FRV and evacuation costs; 3.2.1.3. full documentation in Xactimate notes regarding scope of damage to all coverage lines; 3.2.1.4. full documentation in Xactimate notes regarding potential for SIU, Subrogation or Salvage; and, 3.2.1.5. confirmation of lienholders and additional parties to the loss. The Adjuster will be responsible for all aspects of preparing the Completed Package. This includes making first contact with the policyholder, reviewing applicable policy information, verifying any mortgage companies or additional interests, writing the estimate pursuant to discussions with the policyholder, completing all file notes, and submitting the Completed Package back to Citizens. Citizens will be responsible for updating reserves, written communications to policyholders, and processing and issuing payments. The Parties acknowledge and agree that Fast Track Adjusting Services are only intended for claims that are reasonably suited for investigation, scoping, estimation, and settlement over the phone without the need for physical inspections, (a “Fast Track Claim”). The criteria for a Fast Track Claim is subject to further operational directives from Citizens, but a claim will generally meet this criteria if it meets the criteria for a Severity 1 or 2 rating as listed below. A claim will rarely meet the necessary criteria for a Fast Track Claim if the claim is represented by a public adjuster or attorney, or if it meets the criteria of a Severity 3 to 5 rating as listed below. Citizens will not send an assignment to Vendor unless the claim is believed to meet the criteria of a Fast Track Claim based on information provided to Citizens at first notice of loss. However, in some cases an Adjuster may discover circumstances that indicate that a claim does not meet the criteria for a Fast Track Claim. In that event, Vendor must promptly return the assignment to Citizens for further handling. Citizens reserves the right to send the assignment back to Vendor for preparation of a Completed Package if Citizens determines that Vendor’s return of the assignment was not warranted.

Appears in 4 contracts

Samples: Fast Track Adjusting Services Agreement, Fast Track Adjusting Services Agreement, Fast Track Adjusting Services Agreement

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Fast Track Adjusting Services. For each Fast Track Claim, Adjusters will be responsible for preparing a completed Xactimate estimate with full scope of all damages in accordance with Best Claims Practices & Estimating Guidelines, (a “Completed Package”), including: 3.2.1.1. all contents itemized and priced in Xactimate; 3.2.1.2. any and all ALE/FRV and evacuation costs; 3.2.1.3. full documentation in Xactimate notes regarding scope of damage to all coverage lines; 3.2.1.4. full documentation in Xactimate notes regarding potential for SIU, Subrogation or Salvage; and, 3.2.1.5. confirmation of lienholders and additional parties to the loss. The Adjuster will be responsible for all aspects of preparing the Completed Package. This includes making first contact with the policyholder, reviewing applicable policy information, verifying any mortgage companies or additional interests, reviewing prior losses, writing the estimate pursuant to discussions with the policyholder, completing all file notes, and submitting the Completed Package back to Citizens. Citizens will be responsible for updating reserves, written communications to policyholders, and processing and issuing payments. The Parties acknowledge and agree that Fast Track Adjusting Services are only intended for claims that are reasonably suited for investigation, scoping, estimation, and settlement over the phone without the need for physical inspections, (a “Fast Track Claim”). The criteria for a Fast Track Claim is subject to further operational directives from Citizens, but a claim will generally meet this criteria if it meets the criteria for a Severity 1 or 2 rating as listed below. A claim will rarely meet the necessary criteria for a Fast Track Claim if the claim is represented by a public adjuster or attorney, or if it meets the criteria of a Severity 3 to 5 rating as listed below. Citizens will not send an assignment to Vendor unless the claim is believed to meet the criteria of a Fast Track Claim based on information provided to Citizens at first notice of loss. However, in some cases an Adjuster may discover circumstances that indicate that a claim does not meet the criteria for a Fast Track Claim. In that event, Vendor must promptly return the assignment to Citizens for further handling. Citizens reserves the right to send the assignment back to Vendor for preparation of a Completed Package if Citizens determines that Vendor’s return of the assignment was not warranted.

Appears in 1 contract

Samples: Agreement for Fast Track Adjusting Services

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