· Stage 1, Investigation - The first step is the analysis of policy provisions, endorsements and stipulations as they relate to your loss. This in-depth review is used to determine the coverage, limits, exclusions, and other forms that may apply to your particular loss. In investigating and planning for the loss and damages documentation and presentation, one must have an understanding of recent court cases; decisions from the Insurance Commissioner's office, industry technical articles and opinions, and other factors that influence the standard printed insurance forms. Often the printed policy forms are contradictory to the current practices and procedures of insurance adjusting in your area. Further, insurance policies and claimants are subject to legal rules and requirements that are not addressed in their policy(ies). In the case of an existing claim, the investigation stage will include an analysis of communications to, and from, the insurer.
· Stage 2, Documentation of the Claim - The insured is required under the insurance policy to conform to the "Your Duties After A Loss" provision of the policy. This can be an involved and detailed process requiring time and expense to meet the requirements. assura will create an exact picture of your property to reflect its pre-loss value and condition to conform to the forms and policy language. This process includes 1) detailed construction estimates with supporting engineering documents if necessary; 2) detailed and verified inventory and contents schedules with correct valuation and supporting documentation; 3) if applicable; in-depth business interruption coverage analysis which includes projections, forecasts and accountings; and 4) the required technical and supporting documentation showing the current industry publications and authoritative papers supporting the position taken in the claim adjustment process.
· Stage 3, Presentation of the Claim - After the full scope of loss and damage has been determined and documented, the schedule of losses is prepared and undergoes a complete litigation analysis*. The claim is then segregated into the separate categories, which conform to the various policy provisions as they apply. A thorough review of the documents is made with the client and, with final approval, the claim is submitted to the insurance carrier for negotiations.
* [While we are not a law firm and do not provide legal advice, every aspect of the loss, it's conditions and any useful basis in law for recovery, is scrutinized and documented. Losses handled by assura very rarely become the subject of litigation. However, it is better to be entirely prepared for the possibility. In any case, you are immediately poised for a persuasive, successful and markedly less time consuming recovery. Be very sure that the Insurer is well aware of the same].
· Stage 4, Negotiations and Settlement - Upon approval and submission, negotiations begin. A credible, well-defined and professionally documented position gains the respect of insurance company representatives, which, along with our expertise and reputation, helps guarantee a successful conclusion to your complete recovery. Our sole ambition is to back your claim with the most comprehensive, credible and persuasive documentation. No claim is settled without approval from our client.
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