10. Repudiations Flashcards
1
Q
Provide examples of when a claim isn’t covered:
A
- Breach of general condition
- Loss excluded in general exclusions
- DOL happened after policy inception
- Breach of a warranty
- Cause of loss not an insured peril
- Cause of loss is excluded by the peril
- Element of fraud
- Breach of general claims condition
- PH doesn’t apply with condition subsequent
- Item claimed for falls outside of def of property covered under policy
2
Q
What will repudiation depend on:
A
- Your role
- Your authority to repudiate
- Other parties
- Your safety
- Availability to relevant info
- Likely steps to provide better outcome
3
Q
What to tell PH when repudiating:
A
- Explain your understanding of loss and cause of loss
- Limitiation of cover in respect to loss & why it’s not covered
- Supporting evidence (quote from policy)
4
Q
How should you tell a PH their claim is being repudiated?
A
- Verbally if possible, allowing them to put across their opposing argument then follow up in writing
5
Q
How do you signpost a repudation?
A
-Advise may not be covered, however you need to check policy/info/sources further.
- No surprises
