MIAI/NAMIC Property Loss Adjustment Fundamentals School, August 5-7, Des Moines, Iowa

last updated on March 24, 2008

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2008 Property Loss Adjustment Fundamentals School

Presented jointly by NAMIC and MIAI

Agenda

Subject to change without notice

Tuesday, August 5

12:00 - 1:00 p.m.

Registration

1:00 - 2:15 p.m.

Adjuster’s Duties & Responsibilities

  • Policy and Coverage Analysis
  • Loss Investigation
  • Policy Conditions
  • Policy Exclusions
  • Negotiation and Settlement

Bad Faith

  • State statutes that affect the adjustment process
  • How to avoid Bad Faith and Fair Claims Practices Act violations
  • Show the commonalities of successful Bad Faith cases
  • Addressing the State Insurance Department complaints
  • How to avoid and handle complaints.

2:15 - 2:30 p.m.

Break

2:30 - 5:00 p.m.

The Policy

  • Anatomy of the Policy
  • Incidental Coverages
  • The Perils
  • The Exclusions
  • The Conditions
  • Common Endorsements
  • Terminology & Glossary

5:00 - 6:00 p.m.

Reception

Wednesday, August 6

7:00 - 8:00 a.m.

Continental Breakfast

8:00 - 9:15 a.m.

The Adjusting Process

  • Documentation and Photos
  • Coverage Verification
  • Reservation of Rights and Non Waiver
  • Investigation
  • Reserving
  • Time restrictions in the policy and statutes
  • Use of experts
  • Advanced payments
  • Insured duties
    • Notice
    • Inventory
    • Proof of loss
    • Examination under Oath
  • Negotiation and Settlement

Tools for the Adjusters

  • Presentation about PLRB, FC&S, Westlaw, etc…
  • Show audience what is available to find help
  • Discussion of costs and effectiveness
  • Show features and how to utilize the products
  • Internet

9:15 - 9:30 a.m.

Break

9:30 - 10:45 a.m.

Communication & Documentation

  • Proper file documentation
  • How to document phone conversations
  • Keys to proper claims letter writing
  • Sample letters
  • Sample Proofs and forms

Claims Forms

  • Non Waivers
  • Reservation of Rights
  • Consent forms
  • Questionnaires
  • Personal Property loss lists
  • Proof of loss

10:45 - 11:00 a.m.

Break

11:00 a.m. - 12:15 p.m.

Measurement of Loss

  • ACV, RC, Broad Evidence
  • Depreciation
  • Deductible application
  • Coinsurance
  • Valued policy laws

Appraisal Clause

  • When it should and should not be used
  • The company can request it as well
  • Steps in making the process work for both parties

Guiding Principles (Handout)

12:15 - 1:15 p.m.

Lunch

1:15 - 2:30 p.m.

Denying a claim the correct way

  • What is proper investigation?
  • What documentation is needed?
  • How to write the correct denial letter
  • Being prepared for the challenge.

Taking written and recorded statements

  • Why do we get them?
  • When a statement is advisable
  • How to get a solid statement
  • Checklists

How to use Experts efficiently

  • When you need them and when you don’t
  • How much do you need them to do
  • How to control costs

2:30 - 2:45 p.m.

Break

2:45 - 5:00 p.m.

Roundtable Discussion

Thursday, August 7

7:00 - 8:00 a.m.

Continental Breakfast

8:00 - 9:15 a.m.

Fraud and Misrepresentation

  • What constitutes Fraud?
  • What is Material Misrepresentation?
  • Detection
  • Techniques to handling
  • Prevention

Subrogation

  • Legal explanation
  • Key components to successful subrogation
  • Techniques
  • Sample Letters

9:15 - 9:30 a.m.

Break

9:30 - 10:45 a.m.

Case Studies
In this session, we will review a variety of case studies to practice what has been taught in the general sessions. We will also use this time for a review of key points and answer questions.

10:45 - 11:00 a.m.

Break

11:00 a.m. - 12:15 p.m.

Case Studies

12:15 p.m.

Adjournment

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Additional Information

Accommodations:In accordance with Title III of the Americans with Disabilities Act, we invite all registrants to advise us of any disability and any requests for accommodation to that disability. Please submit your request as far as possible in advance of the program.

Cancellations: All registration cancellations and transfers MUST be made in writing. Cancellation notices sent 10 or more working days prior to the start of the seminar are 100 percent refundable. Any refund due will be issued within 15 business days after receipt of the cancellation notice. Cancellation notices sent fewer than 10 working days prior to the start of the seminar are 50 percent refundable. These refunds will be processed after the event occurs. No refunds are available after Thursday, July 31, 2008. You may substitute a participant at no additional charge. Please forward all requests to registrar@namic.org or fax to (317) 876-6213.

Confirmation: You will receive a detailed e-mail confirmation upon successful completion of the registration process for this event; please make sure to enter a valid e-mail address on the registration form. If you have any questions regarding your registration, please e-mail registrar@namic.org or call (800) 336-2642.

Questions: If you have any questions regarding your registration, e-mail registrar@namic.org or call (800) 336-2642, ext. 1032. If you have any questions regarding the seminar, e-mail tmilzarek@namic.org or call (800) 336-2642 ext. 1082.

What to wear: The suggested dress code for the meeting portion of this event is business casual.