Investigative Assignments. Investigative Assignments (“Investigative Assignments”) require a formal and systematic inquiry, which may include but may not be limited to thorough interviews, inspections, and comprehensive research. A Vendor Staff member who is assigned an Investigative Assignment shall be capable of and responsible for independently developing and pursuing investigative leads that include, but may not be limited to, the following: 3.4.1.1. use of advanced fact gathering techniques; 3.4.1.2. use of specialized knowledge and demonstrative experience in the area of commercial and personal lines Property Insurance investigations, including but not limited to the following areas: a. fire loss investigations where an arson for profit is suspected; b. burglary/theft and vandalism claims; c. homeowner’s Liability Claims involving injury and/or damage to property; d. homeowner’s application fraud and/or underwriting misrepresentation; e. non-weather water claims, such as plumbing pipe breaks, air conditioner leaking; and, f. weather-related claims (roof); such as losses resulting from hurricane and tornadoes; 3.4.1.3. reviewing information that is pertinent to the an insurance claim file, including notes, estimates, claims history reports, and photographs; 3.4.1.4. conducting comprehensive online research of open source systems; 3.4.1.5. contributing towards an Investigative Work Plan in coordination with Citizens staff based upon the facts and circumstances unique to each claim; 3.4.1.6. setting appointments and conduct face to face interviews with insureds, witnesses, and law enforcement; 3.4.1.7. conducting telephonic interviews with insureds, claimants, and other witnesses material to the investigation; 3.4.1.8. site research of official records, including retrieval of police reports, fire suppression reports, permits from local, county, or state agencies; 3.4.1.9. inspecting, photographing, and diagraming loss sites; 3.4.1.10. ensuring compliance to required time lines; 3.4.1.11. attending EUOs; 3.4.1.12. being called upon to be deposed by Citizens; and, 3.4.1.13. preparing investigative notes and detailed reports.
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Samples: Special Investigative Services Agreement, Contingent Agreement for Special Investigative Services, Contingent Agreement for Special Investigative Services
Investigative Assignments. Investigative Assignments (“Investigative Assignments”) require a formal and systematic inquiry, which may include but may not be limited to thorough interviews, inspections, and comprehensive research. A Vendor Staff member who is assigned an Investigative Assignment shall be capable of and responsible for Effective 4/27/15 – Revised 2/28/17 _ independently developing and pursuing investigative leads that include, but may not be limited to, the following:
3.4.1.1. use of advanced fact gathering techniques;
3.4.1.2. use of specialized knowledge and demonstrative experience in the area of commercial and personal lines Property Insurance investigations, including but not limited to the following areas:
a. fire loss investigations where an arson for profit is suspected;
b. burglary/theft and vandalism claims;
c. homeowner’s Liability Claims involving injury and/or damage to property;
d. homeowner’s application fraud and/or underwriting misrepresentation;
e. non-weather water claims, such as plumbing pipe breaks, air conditioner leaking; and,
f. weather-related claims (roof); such as losses resulting from hurricane and tornadoes;
3.4.1.3. reviewing information that is pertinent to the an insurance claim file, including notes, estimates, claims history reports, and photographs;
3.4.1.4. conducting comprehensive online research of open source systems;
3.4.1.5. contributing towards an Investigative Work Plan in coordination with Citizens staff based upon the facts and circumstances unique to each claim;
3.4.1.6. setting appointments and conduct face to face interviews with insureds, witnesses, and law enforcement;
3.4.1.7. conducting telephonic interviews with insureds, claimants, and other witnesses material to the investigation;
3.4.1.8. site research of official records, including retrieval of police reports, fire suppression reports, permits from local, county, or state agencies;
3.4.1.9. inspecting, photographing, and diagraming loss sites;
3.4.1.10. ensuring compliance to required time lines;
3.4.1.11. attending EUOs;
3.4.1.12. being called upon to be deposed by Citizens; and,
3.4.1.13. preparing investigative notes and detailed reports.
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Investigative Assignments. Investigative Assignments (“Investigative Assignments”) require a formal and systematic inquiry, which may include but may not be limited to thorough interviews, inspections, and comprehensive research. A Vendor Staff member who is assigned an Investigative Assignment shall be capable of and responsible for independently developing and pursuing investigative leads that include, but may not be limited to, the following:: Effective 4/27/15 – Revised 2/28/17 _
3.4.1.1. use of advanced fact gathering techniques;
3.4.1.2. use of specialized knowledge and demonstrative experience in the area of commercial and personal lines Property Insurance investigations, including but not limited to the following areas:
a. fire loss investigations where an arson for profit is suspected;
b. burglary/theft and vandalism claims;
c. homeowner’s Liability Claims involving injury and/or damage to property;
d. homeowner’s application fraud and/or underwriting misrepresentation;
e. non-weather water claims, such as plumbing pipe breaks, air conditioner leaking; and,
f. weather-related claims (roof); such as losses resulting from hurricane and tornadoes;
3.4.1.3. reviewing information that is pertinent to the an insurance claim file, including notes, estimates, claims history reports, and photographs;
3.4.1.4. conducting comprehensive online research of open source systems;
3.4.1.5. contributing towards an Investigative Work Plan in coordination with Citizens staff based upon the facts and circumstances unique to each claim;
3.4.1.6. setting appointments and conduct face to face interviews with insureds, witnesses, and law enforcement;
3.4.1.7. conducting telephonic interviews with insureds, claimants, and other witnesses material to the investigation;
3.4.1.8. site research of official records, including retrieval of police reports, fire suppression reports, permits from local, county, or state agencies;
3.4.1.9. inspecting, photographing, and diagraming loss sites;
3.4.1.10. ensuring compliance to required time lines;
3.4.1.11. attending EUOs;
3.4.1.12. being called upon to be deposed by Citizens; and,
3.4.1.13. preparing investigative notes and detailed reports.
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