2012 CAT Manual With Forms Library
2012 CAT Manual With Forms Library
ClaimManual
1535N.CogswellStreet
SuiteB8
Rockledge,FL32955
(321)6847018Office
(877)5760061TollFree
(321)3382920Fax
www.ncpclaims.com
1
INDEX
Section1
STAFFINGatNationalCatastrophePartnersandContactInfo
Section2
STORMOFFICE
A. Location
B. OfficeHours
C. I/AMeetings
Page
Section3
FIELDADJUSTERS
A. ExperienceLevels
B. DressCode
C. ReportforTemporaryStormAssignment
D. CheckinProcedure/TemporaryLicense
E. Employment/CompensationAgreement
F. FeeSchedules
G. PayPeriods
H. Advances
I. Holdback&PaymentofHoldback
J. ChargeBackstoI/A
K. ExitProcedures
TemporaryLeave
PermanentLeave
L. RequiredTools/Equipment
M. MethodsofCommunication
Section4
CLAIMHANDLINGPROCEDURESANDEXPECTATIONS
1. ClaimDistribution
Settingupemail
FileTrac
2. ContactInsured/Insurer/Agent
PurifyLoss
ControllingSchedule
DocumentingFileTrac
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3. AppointmentforInspections
Cancellation/RescheduleAppointment
4. InspectionsandScopeofProperty
Photographs
RoofInspection
ExteriorInspection
InteriorInspection
5. RulesforXactimateEstimate
6. PreparationofProofofLoss(POL)andStatementofLoss(SOL)
ProofofLoss
o RCVProof
o ACVProof
7. PreparationofLettertoInsuredandReport
8. UploadingDocumentsintoFileTrac
9. UpdateRCV/ACVinFileTrac
10. ReceiptofFileAcceptanceorRequestforCorrection
11. ReOpenClaims
12. SalesTax
13. PriceLists
14. PropertyLossesinExcessof$100,000
15. UseofExperts
16. LossofBusinessIncome
17. CondominiumClaims
18. CodeUpgrade/CivilAuthorityIssues
19. ContentsClaims
20. ALEClaims
21. ReportingRequirements
22. ClosureRatio
Section5
FileTrac
A. ManageClaims
1. SearchClaimsorViewClaims
2. UploadFilestoClaims
3. UpdateRCVandACVinFiles
4. EmailinFileTrac
B. Alerts
1. InternalNotes
C. Reports
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ScreenPrintsofXactimateSettings
PhotoLibrary
FormsLibrary
Section1
STAFFINGatNationalCatastrophePartners
Owner
DavidH.String
dstring@ncpclaims.com
3216847013office
8032062304cell
Management
CATManager,KeithSchmelling
kschmelling@ncpclaims.com
3216847601office
7155813736cell
CATManager,DaveString
dvstring@ncpclaims.com
3216847017office
3522338966cell
CATAdministrationManager,KarenMarconi
kmarconi@ncpclaims.com
3216847014office
3216158517cell
AdministrativeStaff
ElaineRivera
erivera@ncpclaims.com
3216846695office
TeamLeads
IndependentContractAdjusters
NCP will also employ proper staffing during a CAT through temporary staffing agencies to
adequatelystafftheoffice,withminimalneedforanyovertime.Anoutsidevendorwillemploy
alltemporarystaff.
Section2
STORMOFFICEInformation&Hours
A. Location
NCPshomeofficeislocatedinRockledge,FLandwillalwaysbeopenduringaCAT
Whenrequired,NCPwillestablishasatelliteofficeatthelocationofaCATdeployment.
NCPwilldeterminethebestsuitableofficelocationandprovidethefieldadjustersthe
current physical location of the office at the time of initial contact for assignment or
whenthelocationhasbeensecured.
B. OfficeHoursHomeandSatellite
Normalofficehourswillbe8amto8pmESTatthehomeofficeand8amto8pmlocal
standard time for the satellite office. Office hours are subject to change during the
courseofthestorm,baseduponthestaffsabilitytoproperlymanagethependingclaim
volume.Ifofficehourschange,allfieldadjusterswillbenotified.
C. I/A&WebinarMeetings
Meetings will be held during the entire course of the catastrophe to discuss and
disseminate information. The meetings will be open discussions and will review all
material and expectations. These meeting will be nightly in the beginning and then
becomeweekly.
Attendance at all scheduled meetings will be mandatory. Failure to comply may result in
termination.
Section3
FIELDADJUSTERSIndependentContractors
A. ExperienceLevels
CompleteworkingknowledgeofourCATManualandprocedures.
Abilitytopassourcomprehensiveclassroomexamination.
Proficientinmostpersonallinescoveragesandexclusions.
BeabletomobilizetoCATareawithina48hournotice.
Abilitytoproperlyhandle50personallinepropertyclaimsatatime,whileclosing
theseatarateofthree(3)tofour(4)claimsperday.
NopersonallineCATlosseswillbeopeninexcessof(21)calendardaysfromreceipt
oftheloss,unlessthereareextenuatingcircumstances.
Preferaminimumof25yearsofdocumentedpropertyfieldadjustingexperience
AbilitytotraveltheUSandbedeployedforupto6monthsatatime.
DemonstratecompleteknowledgeofallaspectsofXactimateandtheancillary
programs,whichaccompanythem.
Completeworkingknowledgeofpersonalandcommercialinsuranceforms.
Maintainproperadjusterlicenses.
AbilitytowriteallclaimreportsthroughXactimateanduploadthroughFileTracto
theCAToffice
ProficientinMicrosoftWordandExcel
Mustscore85%orbetteronNCPsCATQualityControlProgram,whichincludes:
InitialContactDatescheduledanddocumented
InitialInspectionDatescheduledanddocumented
ProperPhotographsofRisk&Damage
ProperPhotographResolution(DONOTREDUCEtothesmallestsize)
RequiredDiaryEntriesinFileTracEvery15days,visibletoclient
QualityofEstimate
Abilitytospecificallyrecognizedamagefromcoveredperil(s)andbeableto
separatethisdamagefromnoncovereddamage
ApplicationofproperDepreciation
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ToptoBottomwritingofestimate
ClaimTurnAround(Averagedaysopen[14])
NumberofReopenskepttoaminimum
AttendanceatCATtrainingtoincludewebex,certificationseminarsandCAT
seminars.
For those of you who wish to be deployed as Large Loss Adjusters, you must
demonstratealloftheaboveskillsetsplus:
Beproficientincommercialestimating.
Completelyunderstandcommercialcoverage.
Havefullandcompleteunderstandingofproperreportingoflargelosses.
Demonstrateabilitytoproperlyreservelargelosseswithin10percent.
Haveexcellentandeffectivecommunicationskills.
Beabletocalculatealossbusinessincomeclaim.
Maintainacontinuousscoreof85%orhigheronallclaimshandled.
B. DressCode
NCP requires all field adjusters to be well dressed and conduct themselves
professionally. Dress and appearance is very important. Collared shirts, Khaki slacks,
socksandshoesareacceptable.Fatigues,bluejeans,Tshirts,sandals,flipflops,sweat
pants,sweatshirtsorshortsareNOTacceptable.
C. ReportingforTemporaryStormAssignment
Following a catastrophe, which requires the services of NCP, we will contact all
necessaryfieldadjusterstorespondforassignment.TheCATDivisionwillnotifythefield
adjuster of the reporting location. Field adjusters are required to arrive at the
designatedlocationwithin48hoursofinitialcontact.
When a field adjuster is dispatched for deployment, the field adjuster will receive a
specifieddailyratewhenapplicableandprovidedbytheclientpartneruntilclaimsare
distributed to the adjuster. Any delay due to the adjuster not having the proper
equipmentorsoftwarewillnotbecountedtowardstheperdayrate.Thisratemay
varybyclientpartner.
D. CheckInProcedure/TemporaryLicense
All field adjusters are required to provide the following documents, prior to accepting
anynewassignmentsoranydeploymentfromNCP:
I/AAgreement
W9Form
DirectDepositFormWewillnotissuechecks
Current&ValidAdjusterLicense
CurrentAutoInsurancecard
ContactInformationForm
DrugTest,whensubmittingtorandomtesting
Thisinformationwillberequiredinordertosecureatemporarylicenseifheorsheis
notalreadylicensedinthestatewherethecatastropheislocated.
Statelicensewhereyoureside,iflicenserequiredor;
NonResidentLicenseinFloridaor;
NonResidentLicenseinTexas
Any additional forms directed by management must be properly executed before any
claimfilesaredisbursedtoyou.
E. Employment/CompensationAgreement
RefertoyourcurrentI/ACATAgreementwithNCP.
F. FeeSchedules
All fee schedules will be posted in FileTrac and available to all field adjusters at the
time they receive their access to FileTrac. All fee schedules will be thoroughly
discussed by management during weekly meetings so all field adjusters have proper
billinginformation.
G. PayPeriods
PayPeriodsareasfollows:
Invoicescreatedfromthe1stuntilthe15thofanyspecificmonthWillbepaid
thelastdayofthesamemonth
Invoicescreatedfromthe16thuntillastdayofanyspecificmonthWillbepaid
the15thofthefollowingmonth
BillingreportswillbeavailabletotheCATadjusterthroughFileTrac.Theadjusterwillbe
required to monitor and print their individual reports. Field adjusters should retain
these reports so any disputes can be easily corrected prior to the field adjuster being
releasedfromtheCatastropheOfficeorclosureoftheCATOffice.
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H. Advances
Independent Contract Adjusters are only eligible for advances, which deals with
hardshipcases.Ifahardshipadvanceisrequestedandapprovedtobepaidpriortothe
normalbillingcycle,currently,thereisachargeof$72.25.
ThischargeissubjecttochangeasyouwillbebilledNCPsdirectcostfromourvendors
toprocesstheindividualtransaction.Alladvancespaidwillbedeductedfromthenext
commissioncheck.AlladvanceswillbeatthecompletediscretionofDavidH.String.
If you need an advance, please email your Team Lead and request the advance in
writing.
I. Holdback&PaymentofHoldback
NCPwillholdback10%ofallcommissionsfor60daysoruntiltheclienthasaccepted
the work product, whichever is greater. If the claim needs to be reopened and
reassigned, any fees paid to a subsequent adjuster will be charged back to the initial
adjuster.Ifthereareanyreductionsorreallocationsduetopoorworkproductorbilling
mistakes,thecommissionswillbereducedfromtheI/Asnextcheck.However,theI/A
willbeprovidedwrittenexplanation.
Payment of holdback will be paid on the normal pay period following the 60 day
minimumoracceptancefromtheclient,whicheverisgreater.
J. ChargeBackstoFieldAdjuster
IfNCPstaffrejectsthefieldadjustersworkproduct,thefieldadjusterhas24hoursto
correcttheclaimissuesandresubmitthecorrectedworkproductthroughFileTrac.
Failuretoresubmitcorrectionswithin24hourswillresultinachargebacktothefield
adjuster based upon the actual time it takes us to correct the issues. You will be
chargedbackat$80perhour,withaminimumchargeof$20.00.
ThiswillbemeasuredbythedatestampsinFileTrac.
K. ExitProcedures
TemporaryLeave
Weknowfromtimetotime,youwillneedtoreturnhometoseeyourfamilyorhandle
any personal affairs for two or three days. If this is necessary, please send your Team
Leadanemaillettingthemknowatleast7dayspriortoleaving.
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PermanentLeave
When the field adjuster completes all of their assigned claims, the field adjuster can
requestinwritingtheywishtobereleasedfromtheirdeployment.
ThefieldadjustermustsendtheirTeamLeadanemailtwoweeksinadvanceaskingfor
theirreleaseiftheabovehasnotbeensatisfied.ThiswillallowNCPtoeitherreassign
the open claims or make sure no future claims are assigned. The field adjuster will
receivenocompensationonanyofthereassignedlosses.
Theexitprocedureisnotcompleteuntilall assignedclaimsarereassignedorclosed
andFileTracshowsnoopenclaimsoruntilreleasedbyyourCATManager.
IfafieldadjusterleavestheirdeploymentwithoutwrittenapprovalbyNCP,anyopen
claims will be reassigned and the field adjuster will forfeit all commission associated
withthoseclaimsandallholdbackowed.
L. RequiredTools&Equipment
Everyfieldadjuster,whoworksforNCPmusthavethefollowingtoolsand/or
equipment.
LaptoporDesktopComputer
WindowsOperatingSystem
Atleast1GBofRAM
Xactimate
MicrosoftWord
MicrosoftExcel
PDFFactoryand/oranequivalentAdobeAcrobat
PhotographSoftwaretoreduceresolutionofphotos,MicrosoftPowerToysImage
Resizerisfree
DigitalCamerawithatleast8xpowerzoom
Atleastone16Ladder
30TapeMeasure,preferablytwoincaseonefails
PitchMeter
ShingleGaugeprovidedorpurchasedthroughHaag
Chalk
CarpentersBeltorBackpack
CellPhone
EMailAccountprovidedbyNCP
EFaxAccountorOperationalFaxMachine
ColorPrinter/Scanner
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Rope&Harnessequipmentoptional
M. MethodsofCommunication
1. CellPhones/Faxes/EMail
NCPrequirestheuseofcellphones.Assuch,thefieldadjustermustprovideuswith
their current cell number. Each field adjuster should have efax or fax capabilities
andtoreceiveanddisbursefaxtransmittals.Additionally,eachfieldadjusterwillbe
assignedaNCPemailaddressforusewithourclients.Whensendingemails,please
usethefollowingformatforyoursignature:
First&LastName
PropertyAdjusterorNationalGeneralAdjuster
Phone(YourCellNumber)
EMailAddress@ncpclaims.com
2. FileTrac
Eachfieldadjusterwillbeprovidedaccesstoourfilemanagementsystem,FileTrac.
Onallassignedfiles,theadjusterwillbeabletoutilizethefileNotestodocument
allactivitiesonthefile,notifyNCPmanagementandadministrationofanyissuesor
requests,notifytheclientofanissueorrequestforthatspecificfileaswellasemail
all documents to the policyholder. Please see the FileTrac section of manual for
instructionsonhowtouse.
3. VoiceMail
Voice mail boxes will not be assigned, however we ask your personal cell phone
voice mail box be set with clear and professional communication for customers to
leavemessages.
4. IndependentAdjusterContactInformation
Uponarrivalatthedeployedlocation,eachfieldadjustermustemailtheirteamlead
orNCPsupervisortheirdeploymentcontactinformation.NCPwillneedthename
ofyourhotelandroomnumberorthenameandphonenumberofthecampground
youarestayingat.Wewillrequirethisinformationsowecanproperlyassignclaims
keepingyourdrivingdistancestoaminimum.Also,theadditionalphonenumbers
willallowustocontactyouifyourpersonalcellservicequalityispoor.
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Section4
CLAIMHANDLINGPROCEDURESANDEXPECTATIONS
NCPrequiresallofourindependentadjusterstofollowtheNCPclaimhandlingproceduresto
ensure we provide a consistent and high quality work product to all of our clients. These
proceduresareacollaborationofwhatourclientsdesireandourexperienceovermanyyears
to ensure quality and consistency. It also protects our client, our insured, our independent
contractors,andNCPasawaytoevaluateeffectiveness.
AtNCP,werequiretheuseof3majorsoftwareprogramsandeachemployeeandindependent
contractorareexpectedtobeproficientineach.
NCP will provide access to our claim management database called Filetrac. Assigned claims
willbeaccessibletoyouaswellasallowyoutouploadallofthenecessarydocumentationto
handledandcloseyourclaims.Thisiswhereyoucommunicateviaproperdocumentationwith
NCP,yourclientandthepolicyholder.Thiswillalsobewhereyoulogallofyourdiarynotes.
You will be required to purchase and use Xactimate for your estimating, pricing, and most
reportgenerating.
YouwillalsoberequiredtohaveanduseMicrosoftWordandExcel.Theprogramswillbeused
togenerateyourreports,viewestimatesfromcontractors,andothers.
Upondeployment,youwillbeassignedclaimsandtheprocesswillbegin.
1. ClaimDistribution
Initial claims will be assigned along with the field adjusters territory either immediately
upon deployment, during travel to assigned territory, or while waiting on standby at the
catastrophe location. Each adjuster will receive the assignments via email to their NCP
assigned email address. You will also receive your deployment instructions which will
includethetypeofassignmentandcontactinformationforourclient.Youmusthavethis
emailaddresssetuponyourcomputerandsmartphoneinordertoreceive.
Pleaseusethislinktoaccessyouremail:
https://login.secureserver.net/index.php?app=wbe
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At this point, you will also now have access to these files in FileTrac to view contact
information, view policy declaration page, and assignment made by our client. Please be
suretoreviewthesecarefully.NCPrecommendsyousetupashortcuttoFileTraconyour
desktop.
You can do this by pasting this link in your Web Browsers search engine. Once the
FileTrac page comes up, just right click your mouse on the screen and select Create
Shortcuttoyourdesktop.FileTracrecommendstheuseofGoogleChromeandMicrosoft
Outlookforemailservice.
PleaseusethislinktoaccessFileTrac:
https://filetrac.onlinereportinginc.com/system/login.asp?adjCoID=36050
Theseclaimswillnot,underanycircumstance,leavethecare,custodyorcontrolofthe
assignedfieldadjusterorbetransferredinanywaytoanotherfieldadjusterwithoutprior
permissionfromNCP.
Intheeventafieldadjustercannothandleaclaimassignedtohim/herforanyreason,the
claim(s)willbebroughttotheattentionoftheCATManager,TeamLeadorManagerand
assignedtoanotherfieldadjuster.Failuretocomplywiththeseinstructionscouldleadto
terminationand/orforfeitureofallholdbackmoniesgeneratedbythefieldadjuster.
2. ContactInsured/Insurer/Agent
Uponreceiptofclaimassignments,itwillbethefieldadjustersresponsibilitytoreviewthe
individual claims and instructions provided by the client. The assignments will be either
appraisalonlyorfullassignments;however,thismayvarybyclient.Makesureyouread
theassignmentinstructionscarefullyandunderstandthepolicyforms.Thepolicyforms
areinFileTraclistedundereachindividualcompaniesspecialinstructions.ForGrinnell
Mutual, we also have a pdf file we can email, which has the majority of the necessary
policiesandendorsements.
Following review of the assignments, it will be the responsibility of each field adjuster to
make immediate telephone contact with every insured and mark the date of contact and
theinspectiondateinFileTrac.Everyfieldadjustershouldtriagetheclaimfilesinamanner
soastorespondtothemostseverelossesfirst.
a. Purify the loss When discussing the loss with the policyholder, please confirm the
losslocationaddressandconfirmthenumberoflocations.Thisisespeciallyimportant
from a scheduling side so you can allow enough time in between loss locations if you
knowyouhavetogoto3locationsratherthanassumingitisjustonelocation.Ifthe
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insured states there are multiple locations, please review the declaration page of the
policytoconfirmyouhavecoverageoneachlocationbeforeschedulingtoinspectthe
additionallosslocations.Itispossiblethisfilehasalreadybeencreatedandassignedto
youoranotheradjusteroritcouldpossiblymeantheinsuredneedstofileaclaimon
theadditionalproperty.Italsocouldmeaninsuranceiswithanothercarrierandwewill
not be inspecting. Only inspect locations you have been assigned and that have
coverage.
b. YOUMUSTControlyourSchedule.DoNOTletyourSchedulecontrolyou.Eitheryouor
yourschedulerneedtoscheduleoutallyourclaimslettingthepeopleknowthatisyour
nextavailabletime/dateforinspection.Youcanstateifsomethingopensupearlier,I
will contact you. Either you or your scheduler can tell them it is their responsibility
underthepolicytoprotecttheirpropertyfromfurtherdamage.Ifchangesneedtobe
madesuchastreesbeingremovedorstructuralrepairsneedingtobemade,theyneed
to get photos with a digital camera or a disposable camera. Ask them to keep the
receiptofthecameraandtogiveittoyou.Wecanincludethereceiptofthecamerain
theclaimandthecostofdevelopingthephotos.Theycangetphotoswithacellphone
ordigitalcameraandemailthemtoyouortextthemtoyou,whateverworks.
c. This is also a good time to confirm their address. Please ask every insured for their
correctmailingaddressandtheiremailaddress.sectionofFileTrac.
15
Youmustdocumentthescheduledinspectioninyourdiarynotesaswell.Belowisa
screenprintifhowtodothis.
UsetheInitialContact
Clippingandcompletethe
missinginformation.
Lastly,Save
Comment
Insertyoursignature.
ShowAlertinFileTracand
selectyourteamleador
supervisor.
16
Makevisibletoclient.
Ifyouareexperiencingdifficultyestablishingcontact,wesuggestyoucontacttheproducing
agent or send a contact letter(See forms library) to the insured with an email status to the
client. See the Company Assist 1st Contact clipping in the Notes section of FileTrac. This
mustbedoneifcontactisnotmadewithin72hoursoftheclaimassignment.Seescreenprint
below.
UsetheCompanyAssist
Insertyoursignature.
Makevisibletoclient.
st
1 ContactClipping.
Dontsendto
DavidH.String
ShowAlertinFileTracandSendEmail/TextMessageto
ClientCompanyClaimsRepforthisfileandselect
yoursupervisororteamlead,whoevertheymaybe.
17
Lastly,Save
Comment
IMMEDIATELYafterattemptingcontactenterthedateyoucalledInFileTrac.Thisisthesame
placeyouMUSTentertheScheduleddateofinspection.(Todothis,hoveroverthecontacts
notepad and this field will popup, please enter here and be sure to click update). We will
assist and monitor the number of files assigned to each field adjuster to insure contacts and
inspectionsguidelinesarefollowedtoensureserviceandquality.Thesedatesarenecessaryfor
thereportswegivetotheclientcompaniessotheyknowtheirclientsarebeingtakencareofto
their set standards. Byfollowing this procedure, it allowsNCP to defend our adjusters when
questionedbytheclient.
Ifyoucouldonlyleaveavoicemailmessagefortheclaimcontact,enterthatasyourdateoffirst
contactandclickupdate(seebelow).Thenenteraclipping/notethatyouleftamessagefor
theclaimcontactandwilltrycontactagainin24hours.Setareminderforthenextday(see
above).AlwaysclickSaveComment.
3. Appointments/Inspections
If an appointment with an insured has been scheduled for a particular day and time, it is
expectedtheappointmentbekept.Makesureyougivetheinsuredawindowoftimefor
this appointment as you know some inspections and travel times will vary. If you are
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runninglateforyourdesignatedappointmentorcannotmakeit,youarerequiredtomake
contactwiththeinsuredtoreschedule.
1. Cancellation/ReschedulingAppointments
Ifitisnecessarytorescheduleanappointmentduetoanyreason,lackofdaylight,
weather, etc., you are required to make telephone contact with the insured to
reschedule and more importantly add a note in FileTrac for each claim regarding
the rescheduling of the appointment. See the reschedule clipping in the notes
sectionofFileTrac.
Under no circumstances, should you fail to make contact with the insured. If we
receivecomplainttelephonecallsofthisnature,thefieldadjustermaybereleased
fromassignmentand/orfilesreassigned.
In summary of steps 13, you will be assigned the claim, be required to attempt phone
contact within 24 hours and establish contact with the insured within 72 hours of
assignmenttotriagelossandscheduleinspection.Youwillberequiredtodocumentin
FileTracdiarynotesofeachoneoftheseactionsforeachclaim.Wealsorequireyour
inspectiondatebesetandinitialcontactdatebeset.
4. InspectionandScopeofProperty
a. Make contact with insured or the person meeting you at the property. Discuss the
damagesandthepropertyingeneralwiththatperson.Sometimestherearemultiple
buildingsatalocationandonlycoverageonsome.Thisisagoodtimetogetthename
andlocationofbuildingsthatarecoveredsothatyoudontinspectmorebuildingsthan
arecovered.Youcanalsodiscussagoodlocationforyourladderifyouwillbedoing
roofinspections.
b. InspectALLbuildingsthatareinsuredevenifthepolicyholderorcontacttellsyouthey
foundnodamage.WearebeingpaidtodocumentalldamageORLACKOFDAMAGE.
The only way to document the lack of damage is by taking MULTIPLE photographs of
coveredstructuresfromALLsidesandtheroof.
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c. Photographs
Initialphotoofprimaryrisk.Ifitisahomeownerspolicy,pleasephotoafront
view of the home. This organizes your photos on your camera and it also
confirmstousandourclientthatyouwereatthecorrectlocation.If thisisa
farm with dwelling coverage, this photo should be of the dwelling. You must
photo every location you visit to ensure proper compensation on duplicate or
withdrawnclaims.
Ifyoulookatafarmpolicyandithasadwellingand5insuredoutbuildingsand
you only write the dwelling for damage and you find no other damage to the
outbuildings, it is mandatory to photograph every covered building inspected.
You will not be compensated for inspections of NonCovered Buildings. We
require photographs and notes in the estimate and report if required
documentingnovisibledamage.ThisisDOCUMENTINGNODAMAGE.
Unlessotherwiseinstructed,digitalphotographswillbeusedanduploadedinto
Xactimate. However, if an insured provides photographs at the time of
inspection,thesecanbesubmittedalongwithyourphotographstothecompany
toproperlydocumentthelossanddamage.Youcanscananduploadtheseto
FileTracordirectlyintoyourestimate.IfyouputtheminyourXactimatePhoto
Report,Pleaseindicateinthecaption/labelthatthesearephotographstakenby
thepolicyholder/claimcontactorwhomever.
Attachalldigitalphotographstoyourestimateandproperlylabelthemwithadescription
of what is shown. Use good common sense but make sure all damage is properly
photographedanddocumented.Roofphotographsmustbetakenfromtheroof.Anyroof
photographstakenonlyfromthegroundwillberejected.
If there are specific client instructions regarding photographs, these instructions will be
discussedduringmeetings.Excessivephotographsmaynotbeacceptedandwillbereduced
atthediscretionoftheCATclaimmanager.Pleaseusethehighestpossibleresolutionwhen
takingphotosasitpresentstheclearestphotototheclient.Digitalphotographsattached
toeveryestimateshouldturnoutwellat(640X480)resolution.Thisisconsideredsmall
emailresolution.Ifnecessary,pleaseresizeusingavailablereducingsoftware.
d. Inspectroof,exterior,interiordamageandanyoutbuildingscoveredbythepolicythat
insuredclaimsaredamagedorcouldbedamaged.
RoofInspectionRequirements
1. FollowtheSafetyManual
2. Measurementsarerequiredtonearestinch
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3. Onyourwayuptheladdertotheroof,inspectandphotoanydripedge,
fascia, the pitch meter, a shingle gauge, number of layers and for the
presenceofice&watershield.
4. When inspecting hail damage, we require adjuster to mark the 100
square foot test square and circle hail hits while photographing the
overview of all hits on each slope with close up photos of some of the
hits.Thetestsquareshouldalsobelabeledwiththeslopefacedirection.
FAILURETODOTHISWILLREQUIREYOUTOREINSPECTONYOURTIME
ATYOUREXPENSE.
5. Donotsendphotosofcurledshinglesandcallitwindorhaildamageas
we will send this estimate back for adjustment. Do not send photos of
shinglesthatarenotsealeddownandcallitwinddamageaswewillsend
this estimate back for adjustment. Please see photo library at end of
manual.
6. BesuretophotographallslopesasthiswillbeconfirmationtoNCPand
ourclientthatinsuredinfactdidhave14roofventsthatyouarepaying
fororthe2chimneyflashingsyourestimatehasareaccurate.Thiswill
protectyouandNCPfromanE&Oclaim.
7. Photograph the roof for damage if it exists or photograph the roof to
documentyourfindingsofnodamage.
ExteriorInspectionRequirements
1. SidingMeasurementsarerequiredtonearestinch.
2. Whencalculatingsidingquantities,NCPdoesnotdeductforwindowand
door openings, unless the opening is in excess of 32 square feet.
However, some clients require all openings, regardless of size be
deducted.Itisimportanttoreviewclientinstructions.
3. Guttersanddownspoutsaremeasuredtothenearestinch.
4. Windowsareexactmeasurements.
InteriorInspectionRequirements
1. Wallmeasurementsarerequiredtothenearestinch.
2. Whencalculatingdrywallorwallpanelquantities,NCPdoesnotdeduct
for window and door openings, unless the opening is in excess of 32
square feet. However, some clients require all openings, regardless of
sizebededucted.Itisimportanttoreviewclientinstructions.However,
allmissingwallswillbedeductedregardlessofthesize.
3. Flooring will be measured to the nearest inch to calculate the total
squarefootage.
4. Base/Crownwillbemeasuredtothenearestinch.
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5. Cabinetsandcountertopsshouldbemeasuredtothenearestinch
increment.
6. If there is severe interior damage, please complete an interior diagram,
asthiswouldbeofbenefittothecompany.
OutbuildingInspection
Fences/Trees/andDebris
1. Photographandmeasurefencedamage.
2. Insomecases,measurethedistanceofthefencefromthedwellingasit
maynotbecovered.
3. Treesshouldbemeasuredbybasediameterwhenestimatingthecostof
removal.
YoumustdocumentyourinspectioninFileTrac
Makeitvisibletotheclientby
checkingthisbox.
ShowanalertinFileTractothe
recipientselectedinthebottom
box.
Insertyoursignature.
Selectyourteamleador
supervisor.
MakesureyouSaveyourcomment!!!
e. Reviewscopeofdamageswithinsuredandcometoagreementatrisk.Thiswillsave
you a lot of time later as there will be fewer supplements and fewer changes to
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estimatesduemissingitemsorrepairprocesses.Iftheinsuredorcontactpersonisnot
availableattheinspection,youmustcontactinsuredtocometoanagreedscope.
5. RulestofollowwhenpreparingXactimateEstimate
NCPs published Xactimate global settings must be in place prior to starting any new
estimate.Pleaseseesetinstructionsonpage51.
a. Begin an estimate by hitting Add from the Projects tab. You must use the NCP
assigned file number in FileTrac as your Project name in Xactimate. Do not use the
clientassignedclaimnumber.
b. Completeyoursketchofallroofsthathavedamages.Makesuretheyarealllabeledto
matchthepolicydeclarationpagesotheclientandinsuredcanfollow.
c. All estimates will follow the following structure or tree. This makes it easier for our
insuredandclienttofollow.
1. Roof
2. Exterior
i. Siding
ii. Gutters
iii. Fascia
iv. Windows
v. Windowwrap
3. B/R#1
4. B/R#2
5. Kitchen
6. Bathroom,Etc
7. GeneralItems
i. ElectricalItems
ii. PlumbingItems
iii. HVACItems
8. TemporaryRepairs
i. TemporaryWeatherproofingofRoof
9. TreeRemoval
10. DebrisRemoval
11. ContentItemsafterallbuildings
d. Alloutbuildings/farmbuildingswillbelabeledexactlyasthepolicyhasthemlabeledand
inthesameorder.IfpolicycallsitaPoleBarnbutitlookslikeaMachineShed,youwill
call it Pole Barn in your estimate to also allow the insured and client to follow the
damagesproperly.
23
e. HeightandSteepCharges,shouldbetheexactnumberofsquareontheroof.Nowaste
forheightandsteep,itisacostforadditionaltimeittakestoaccessandmovearounda
steep and high roof including additional safety equipment. There is no waste factor
needed.
f. IfaddingIce&Water,pleasedeductamountofI&Wfromfelt.
g. DO NOT write in your estimate Bid Items at the Dollar amount provided on the
bidYOUneedtowriteupyourownscopeandfigureforthedamageanduploadthe
contractors bid or Estimate or invoice if you have it or have taken a photo of it
(PutthephotoofthedocumentinyourphotoreportinXactimate).
h. Please be sure you are applying proper depreciation. You can utilize the age of
improvements in the policy declarations page, but its condition is also important.
Example Multiple layers of shingles under a 5 year old 3tab shingle roof should be
depreciated more than 25%. Please remember to apply depreciation to labor &
materials.
i. When entering your line items in estimate, make sure each is coded with the correct
buildingsothatyourrecapiscorrect.
j. Labelanduploadallphotosintoyourestimate.Pleaselabelphotoswiththeexposure
direction. Example Front of house faces norththe label for siding is North
Exposure,whilethebackofhomeisSouthExposure.
k. Ifyourphotodoesnotshowthedamagetotheitem,WEWILLSENDITBACKtoyouand
makeyouremoveitfromyourscopeandfigure(estimate).Example,Iwassentphotos
ofoutdoorfurnitureanditdidnotlookdamagedandtherewerenoadditionalphotos
ofdamagetothefurniture.
l. UnderstandourclientspositiononOH&P.OntheGrinnellMutualContractwedoNOT
include OH&P regardless of how many Trades you have on the estimate. We will
consider adding it if the policyholder documents to us that they hired a General
Contractor with a GC License and there is more than three trades and the cost was
actuallyincurred.
m. YourEstimatedoesnothavetobeperfectbutyoudoneedtohaveCoveragecorrect.
ACV/RCV,LimitsonBuildings,correctformnumbers,etcYoumustbeabletoExplain
yourestimateandlogictotheMutualandthepolicyholder.IftheyhavequestionsIwill
referthemtoyou.Youcanworkonanagreedscopeandfigurewiththepolicyholder
prior to having me approve your estimate/file. HOWEVER, you will want to make it
perfectlyclear,tothepolicyholderthatitisNOTapprovedbutyouwillsubmitthisscope
andfigureforapproval.
n. Fences & Antenna's Check your policy. These are typically NonRecoverable
DepreciationevenwhenCoverageB(APS)isRCV.
6. PreparationofProofofLoss(POL)andStatementofLoss(SOL)
a. First,checkyourLossRecapandlookforanyoddities.Itcouldbeametalroofonan
outbuildingonlyshows$3000indamages,butyouaresurethereplacementmetalwas
wellover$3000.Youwillhavetolookbackintoyourestimateandmakesureallline
24
itemsarecodedwiththeproperbuildingcoverage.Checktherecapforrecoverableor
nonrecoverabledepreciation.Ifbotharepresent,inonecoveredstructure,yourline
codesmaynotbecorrect.
SelecttheLossRecapbuttonfrom
thetopofyourestimate.Itisfound
on the Claim Info tab.
ToPrintyour
SOL
b. If all entry items are correct and your recap looks in order, you will print the SOL by
usingthePrintbuttonintheupperrighthandcornerinXactimate.AClaimReports
popupwillappearwith5tabs.PleaseselecttheClaimReportstabandscrolldownto
findStatementofLossReport.HighlightthisdocumentandselectViewsothatyou
canreviewthedocumentforaccuracy.Youcannowprinttoyourpdfwriterandsaveto
yourdesignatedlocation.YoucanalsoSaveasapdf.
First,selectthetabClaim
Reports.
Next,scrolldownand
selectStatementofLoss
Report
25
c. ProofofLoss
There are 2 types of POLs that NCP will require you to create. One is a POL with
recoverable depreciation and another without. We will call them RCV Proof and ACV
Proof respectively. You should have previously viewed your Loss Recap for possible
problemsandshouldbereadytoprepareyourProof.RightnexttotheLossRecaptab
inXactimateisyourClaimReporttab.Youwillneedtoselectthedocumentcalledthe
ProofofLossReportfromthattab.
FromtheClaimInfotab,youwillhavetoselect
theClaimReportsbutton,scrolldownand
selectProofofLossReport.
YouwillalwayshavetoenterinformationontheRiskInformationtabandthenselect
thecorrecttabforthetypeofProofofLossyouarecreating.
1. RiskInformationYouwillneedtoverifythattheTo:sectionreflectsthecorrect
mutualorclientcompanyweareworkingfor.YouwillneedtoenterThecauseof
thesaidloss:withXXXXDamageatriskhandledunderNCPClaim#xxxxxxx.You
will need to enter the occupancy and any interests such as the mortgage holders.
Also, if you are using Xactimate version 27.3, you will want to check the notary
button.
26
Makesurethe
companylistedhere
isthecorrectclient
company.
EntertheCauseof
thesaidlossalong
withNCPfilenumber
here.
EntertheOccupancy
here.EitherFarm,
Residential,Rental,or
Commercial.
PressDisclaimerandconfirm
yourslookslikethescreenbelow.
EntertheStatefor
theNotaryhere.
EntertheMortgage
Holdershere.
Pleasemakesure
yourdisclaimeron
yourProofofLoss
Reportmatches
theStateinwhich
thelossoccurred.
Youmustsaveand
alsosavetextas
defaultforyour
futureProofsof
Lossthatyou
createforthis
client.NCPwill
providewhenyou
aredeployed.
27
2. RCVProofThisproofoflosshassomedamagesthathaverecoverabledepreciation
andthiscanbeviewedonyourLossRecap.Youmustviewandwritedownthetotal
recoverable depreciation as you will need to enter this in your RCV Proof. Now,
from the Proof of Loss Report you have already entered the Risk Information and
willneedtoselecttheRCtab.Thiswillbringupthefollowingscreen.
Youwillneedtoinput
thenumberofdaysfor
theSupplementalClaim
filingandtheamountof
depreciationthatis
recoverable.Please
checkyourpolicyclosely.
Youwillneedtoenterthenumberofdaysasupplementcanbefiledwithinandthe
amountofrecoverabledepreciationtheinsuredcouldpotentiallyclaim.Thenselect
View in the bottom left hand corner and make sure the proof is accurate and
matches the loss recap. You can then print to a pdf writer and save in your
designatedlocation.
3. ACVProofThisproofoflosshasnorecoverabledepreciation.Youwillselectthe
ACV Tab after entering the Risk Information. This screen will only require you to
remove the check in the box labeled Print NFIP Header found in the lower left
hand corner. See screen print below. Please view the ACV Proof numbers as
comparedtotheLossRecaptoconfirmalldamageswereincludedinthedocument.
ThereisaglitchinsomeXactimateSoftwarethatweareawareofanddonotyet
havearesolutionto.Ifalldamagesarenotincluded,youwillhavetomodifythe
LossRecap.Tomodifythelossrecapyouwillhavetoremovethecheckfromthe
box labeled Auto update from estimate. Once you do this you can enter your
totals from the bottom of the recap into the coverage that your proof is pulling
from. You will have to adjust the specific building coverage limit as well. See
screenprintsbelow.
28
Pleasemake
surethese
numbers
matchthe
totalsonthe
lossrecap.If
notyouwill
haveto
manipulate
theoutcome.
4.
Makesureyouuncheckthisbox.
OnceyouhaveviewedthePOLanditisaccurate,youcanthenprinttoapdfwriter
andsaveinyourdesignatedlocation.
7. PreparationofLettertoInsuredandReport
WewillprovidefieldadjustersourShortFormReport,ReserveReportandCaptionReport
andthesemustbefollowed.Deviationfromthisformatisunacceptable.Itisnecessaryfor
allreportscontainsimilarfactualinformationandhavethesamelook.Theacceptedfontis
TrebuchetMS12point.
NCP will provide each I/A an Xactimate Form Template for these items prior to
deployment so that the I/A has the most recent edition. If you do not have these
documents,pleasecallDaveStringat3216847017.
Alllossesinexcessof$50,000.00orFullAdjustmentassignmentsrequireCaptionReports,
unlessotherwiserequestedbytheclient.
29
8. UploadDocumentsintoFileTrac
Onceyouhavecompleted,reviewed,andsavedyourdocumentsrequiredforeachfile,you
willneedtouploadtheseintoFileTrac.
Youwillhittheuploadbuttonlocatedunderthefilenumberandthe
windowbelowwillappear.
Selectthetypeofreport
here.
Browseyourcomputerfor
thecorrectdocuments.
Checkthisboxforall
uploads.
Afterdoingthe3steps
above,pressUpload
Report
We expect you to use the following order when uploading so that the documents are
correctly positioned for bundling and emailing to our client. The order of upload is as
follows:
Anysupportingdocumentation,i.e.contractorsestimate,notesfrominsured/agent
TheLettertoInsuredifrequired
StatementofLoss
ProofofLoss
EstimatewithPhotos
ClaimReportifrequired
30
Thisisanexampleofa
correctlyuploadedfileand
howyourfileshouldlook
afterupload.
AfteruploadingallclaimdocumentsintoFileTrac,youarerequiredtonotateinyourDiary
Alldocumentsuploadedforreviewandhavenotifiedsupervisor.Seescreenprintbelow.
Makeitvisibletotheclient
bycheckingthisbox.
ShowtheAlertin
FileTrac.
Selectyourrecipient.This
wouldbeyourCAT
Managerinmostcases.
Selectyourclipping.
Insertyoursignature.
Makesuretosaveyour
comment.
At this point, you have completed everything and have requested review and approval
from your supervisor or team lead. You will need to send the Field Adjuster Billing
Worksheet.Seescreenprintbelow.
31
DONOTmakethisvisible
toclient.
ShowAlertinFileTrac.
Sendtoyourteamleador
supervisor.
MakeSuretosaveyour
Youwillneedtoinputallof
yourbillingrequirements
afterselectingtheclipping
forFieldAdjusterBilling
Worksheet.Besureto
enterthecorrectfee
schedulepolicytype.
ExampleFarmorHome
comment.
9. UpdateRCV/ACVinFileTrac
Onceyourfileiscomplete,youwillalwaysinputthefinalRCV/ACVintothepopupboxseen
below.
Youwillhoveryourmouse
overthisandpopupwill
appear.
YouMUSTentertheRCV
andACVineveryfile.
BesuretoclickUpdate
32
Pleasemakesurethese
havebeenupdatedfrom
earlier.
10. ReceiptofTeamLeadorSupervisorAcceptanceorRequestforCorrection
YouwilltypicallyreceiveaFileTracnotificationfromyoursupervisororteamleadwithin
48hours,eitherapprovingyourworkorrequestingcorrections.
a. CorrectionsRequested
Ifcorrectionsarerequired,adjusterwillhave24hourstoupdatethefileforrequested
corrections.IffilesareupdatedbyNCPstaff,wewillchargebacktothefieldadjuster
basedupontheactualtimeittakesustocorrecttheissues.Youwillbechargedbackat
$80perhour,withaminimumchargeof$20.00forhour.
Ifcorrectionsrequirearevisittotheproperty,thefilewillneedtoberesubmittedwhen
thoseissueshavebeenresolved.
b. ApprovalofFile
If Supervisor/Team Lead approves your work, you will receive the following FileTrac
notification.
These are only received if you have a Full Assignment. If you are working on Appraisal
Only Assignments and no corrections are requested, your supervisor or team lead will
submittheclosingpackagedirectlytoourclientandinvoiceasrequested.Yourassignment
wouldbeclosed.
OnceapprovalisreceivedforFullAssignment,youwillberequiredtoeitheremailormail
the Letter to Insured, Estimate, POL, and SOL to the insured. NCP will mail or email all
documentstotheinsuredandwillnotateinFileTracwhenthishasbeencompleted.
33
11. ReOpenClaim:
Onlyourclientpartnercanauthorizeaclosedfiletobereopened.
Ifthehandlingfieldadjusterisstillonassignment,thefilewillbeassignedbacktothisfield
adjuster,unlessotherwiseinstructed.Iftheinitialfieldadjusterisnolongeronassignment
with the CAT Office, then the Team Lead will reassign the claim to a new field adjuster.
Make sure to change the name of adjuster in FileTrac to properly reflect the new field
adjuster.MakecertainareopendateappearsinFileTrac.Inaddition,allchangesmust
beshownintheNotesofFileTrac.
12. SalesTax:
Unless the insured is exempt from paying sales tax, (Governmental Entity, Schools,
Churches,etc.aretypicallyexcluded)propersalestaxisapplicableonallestimates.During
yourCATmeetings,youwillbeinstructedontheproperuseofsalestax.Pleasecheckyour
estimatestomakesureproperuseofsalestaxisfollowed.Pleasegotowww.zip2tax.com
foradditionalassistance.AnothersalestaxsourceisAvalara.Gotowww.avalara.com.
13. PriceList:
A reference price list of major trade items will be provided during the meetings. These
pricesmustbeusedbyallfieldadjustersonthemajorityofitems.Deviationfromthisprice
listmustbeexplainedintheclaimsreport.
Allestimatesmustshowreplacementcost(RCV),depreciationandactualcashvalue(ACV)
ofthedamage.Depreciationshouldonlyapplytowearablesurfaceitems,suchasroofing,
paint,countertops,floorcoveringsandfinishes,etc.
14. PropertyLossesinExcessof$100,000:
Manyofourclientswanttoimmediatelyknowwhentheyhaveaclaimofhighexposure.As
such, upon learning the property loss you are handling will have combined reserves or
damageinexcessof$100,000,pleaseimmediatelynotifytheteamLeadviaaFileTracNote
withtheappropriateinformation.Wewillinturn,notifytherespectiveclientofthesame
viaemail.
15. UseofExperts:
Theuseofexperts,withoutwrittenauthorizationandemailconfirmationfromourclient
partnerisstrictlyprohibited.Wehavenoauthority,eitherexpressedorimpliedtorequest
orsecuretheservicesofanyexpert,toincludebutnotlimitedtoengineers,construction
consultants,moldorwaterexperts,roofingconsultants,forensicaccountants,etc.
34
16. LossBusinessIncomeClaims:
ThehandlingofalllossbusinessincomeclaimswillbecentralizedwithintheCATDivision.
WewilldevelopaLossBusinessIncomeTeamtohandletheseclaims.
When a field adjuster receives a new claim, which has loss of business income, the field
adjusterwillimmediatelysendaFileTracNotetotheTeamLeadandsupplyhim/herwith
thenameoftheinsured,ourclaimnumber,nameofourclientandtheirclaimnumber.
The Team Lead will then contact the client and request permission to set up a new LBI
claim.Afterreceivingpermissionfromtheclient,anewclaimfilewillbesetupinFileTrac
andtheLBIadjusterassignedtothelosswillbetotallyresponsibleandaccountableforthe
completehandlingoftheLBIportionoftheclaim.
However; the field adjuster will have to assist the LBI adjuster with any information or
documentation the LBI adjuster requests. The field adjuster will have to provide the LBI
adjuster with an accurate reconstruction period timeframe to assist the LBI adjuster to
properly complete the LBI claim. It is the field adjusters sole responsibility to properly
document the period of restoration. The LBI adjuster must update the clients file with a
formal interim report every 15 days with factual information regarding the LBI claim until
theclaimhasbeenconcluded.Emailreportsaresufficientanddoconstituteasareportto
theclient.
17. CondominiumClaims:
The handling of condominium losses varies by each state. It is important that the field
adjuster research each state to determine if there is any specific statue regarding these
typesofpolicies.ThefieldadjusterwillbeadvisedattheCATsiteofalloftheseparticular
lawsandstatues.
However, it is most important the field adjuster secure, at minimum, the following
documentsatthetimeoftheirinitialinspection.Thesedocumentstypicallyspelloutwhatis
covered by the HO6 Policy and what is covered by the (we need to spell out what HOA
standsfor)HOAPolicy.
It is also important the field adjuster determine the contact name of the management
companyandthepointofcontactattheHOABoardofDirectors,usuallythePresident.The
documentsneededtohandletheseclaimsare:
CompletecopyoftheMasterDeed.
CopyoftheByLaws,whichoutlinesthemaintenanceandinsurancesections.
The field adjuster must determine if wind is excluded and any applicable
deductibles.
35
The field adjuster must determine if the policy of insurance has any ordinance
coverageforCodeupgrades.
18. CodeUpgrade/CivilAuthorityIssues:
CodeUpgradeand/orCivilAuthoritycoveragepresentadditionalproblemsandconcernsfor
theCATadjuster.TheCATadjustermustpayparticularattentionwhenhandlingthelarge
commerciallosses.
ItiscriticalandnecessaryforallCATadjusterstofullyunderstandtheimpactCodeUpgrade
coveragepresentsinthehandlingofCATlosses.
Hereareacoupleofrulestofollow.First,checkyourpolicytomakesurethereiscoverage
forcodeupgradesand/orcivilauthority.Next,securedocumentation,whichoutlineswhich
code upgrades will be enforced. Lastly, all code upgrades or civil authority enforcements
must be incurred. Please read your policy form because if a code is not enforced then it
maynotbecovered.
19. ContentsClaims:
Based upon certain client agreements, the field adjuster may be required to assist the
policyholderinpreparationontheircontentsinventorydocumentation.However,wemay
employtheassistanceonaContentsInventorySpecialist,iftheclaimwarrantsthistypeof
handling.
PleasenotifyyourTeamLeadanytimeyoufeelthereisacontentsclaim,whichwillbein
excess of $5,000.00 or is a claim which involves original paintings, specialty items or is a
claimwithunusualcircumstances.TheTeamLeadwillreviewthefileanddetermineifthe
field adjuster should continue handling or if it will be reassigned to a Contents Inventory
Specialists.
If the contents claim remains with the field adjuster, the field adjuster will complete a
Content Inventory Forms in the presence of the insured with their assistance. The field
adjusterwillneverleaveblankinventoryformsfortheinsuredtocompletethemselves.
All inventory items will be fully described by brand, make and model. Please include the
serial numbers on major appliances along with photos of the ID plate. Adequate
photographs should be secured and should clearly depict the damaged items. Proper
depreciation should be noted and in most cases, proper sales tax should be added at the
rate, where the policyholder resides. Please note on the inventory form why an item is
beingreplaced.
36
20. ALEClaims:
TheremaybeinstanceswhereAdditionalLivingExpensesareinvolvedinaCATclaim.We
will provide specific handling instructions from each client. If our client does not have
specific handling instructions our field adjuster will be required to complete our ALE
worksheet,foreachlosshandled.(SeetheFormssectionofthismanual)
This worksheet outlines the insureds normal expenses and further outlines additional
expenses incurred by the insured. Remember, the insured is only entitled to additional
expensesoverandabovetheirnormalexpensestheyincurasaresultofacoveredloss.
21. ReportingRequirements
Onpersonallineclaims,followingreceiptofanassignment(s),fieldadjustersarerequiredto
submit a closing or interim report within fifteen (15) days of receipt of the loss. Then
subsequentfilenotesonstatuseveryfifteen(15)days,untiltheclaimisconcluded.
Oncommerciallinesclaims,eachfieldadjustermustsubmitaReserveReporttoourclient
withinfive(5)ofthedateofinspection.ACaptionReportmustbesubmittedwithinfifteen
(15)daysofthedateoftheReserveReportandeveryfifteen(15)daysthereafteruntilthe
lossisconcluded.
IftheClientPartnerhasdifferentreportingguidelines,theseguidelineswillbediscussedat
weeklymeetingsanddisseminatedtothestaff.
22. ClosureRatio
Closure ratios for full assignments will be required to be 15 days on average and for
appraisal assignments to be 10 days on average. These will be managed by claim
distribution.Youwillnotbeassignedmoreclaimsthanyoucanturnin15daysor10days,
respectively.
Failuretocloseclaimsatthisratecouldresultinthefollowing:
Claimsbeingreassignedtoanotheradjuster
Nomoreclaimsassignedtoyou
Terminationofservices
Additional claims will only be assigned to those field adjusters who follow the above
procedure.
37
Section5
FileTrac
NCP is fortunate to partner with Online Reporting. FileTrac is a robust internet claims
managementdatabasecapableofhandlingalloftheneedsandrequirementsofourclients
whilestillallowingtheCATadjustertoworkoffsiteduringastorm.AllCATclientswillhave
accesstotheirclaimsthroughthissystemandyouwillbeprovidedaloginandpasscodefor
your assigned files. Please email your team lead or supervisor if you have not been
providedthisinformation.
PleaseusethislinktoaccessFileTracforNCP:
https://filetrac.onlinereportinginc.com/system/login.asp?adjCoID=36050
We recommend you enter this into your web browser and then when the login screen
appears, rightclick your mouse and select Create Shortcut sending this link to your
desktop.
Onceyoulogin,youwillseethescreenbelow:
Instructions on how to use each of the above lettered functions will follow below. The
letterscorrespondtotheappropriatechapterofthisSection.
38
A. MANAGECLAIMS
ThisistheareaofFileTracwhereallofyourassignedclaimswillbelocated.Youcan
eitherselectManageClaimsatthetopofthemainscreenoryoucanselecttosearch
foraspecificclaim.
1. SearchClaimsorViewClaim
Selectthisone
orusethesearchlocatedintheupperrighthandcornerlikethis.
Youwillneedtousethedropdownboxtodeterminehowyouwillsearchforaspecific
fileorfiles.YoucanuseFile#(Exact)oranyoftheavailablesearchoptions.Hitsearch
andwaitforFileTractoretrieveyourrequest.
IfyouselectedManageClaims,youwillseeallassignedandopenclaim
filesinnumericalorder.Youcanreorganizeyourviewbyselectinganyof
thecolumnheaders.Pleasenote,whenyouorgainzetheseyouwillpull
allofyouropenfilesintothefields.Remembertochangeyoursearch
optiontoClosedClaimsifyouaresearchingforclosedclaims.
If you select one specific file to search for and you have entered the information
accurately,youshouldbeabletoviewitaloneorwithminimalchoices.Itwilllooklike
this.
39
Now, you are working your specific claim and will operate all functions regarding this
claim from this location. You can hover your cursor over some of these specific data
fields and receive more information. For example, if you hover your cursor over the
Company/Rep field you will receive more detailed information on your particular
company.Intheabovescreenprint,yourcursorwouldneedtobeoverthePioneer
MutualIns.Association.IfyouhoverovertheRepfieldrightbelow,inthiscaseScott
Arenohlz, you will get his direct contact information. Same can be said for the
insuredsname.
2. UploadFilestoClaims
Onceyouhavecompleted,reviewed,andsavedyourdocumentsrequiredforeachfile,you
willneedtouploadtheseintoFileTrac.
Youwillhittheuploadbuttonlocatedunderthefilenumberandthe
windowbelowwillappear.
40
Selectthetypeofreport
here.
Browseyourcomputerfor
thecorrectdocuments.
Checkthisboxforall
uploads.
Afterdoingthe3steps
above,pressUpload
Report
We expect you to use the following order when uploading so that the documents are
correctly positioned for bundling and emailing to our client. The order of upload is as
follows:
Anysupportingdocumentation,i.e.contractorsestimate,notesfrominsured/agent
TheLettertoInsuredifrequired
StatementofLoss
ProofofLoss
EstimatewithPhotos
ClaimReportifrequired
Thisisanexampleofa
correctlyuploadedfileand
howyourfileshouldlook
afterupload.
AfteruploadingallclaimdocumentsintoFileTrac,youarerequiredtonotateinyourDiary
Alldocumentsuploadedforreviewandhavenotifiedsupervisor.Seescreenprintbelow.
41
Makeitvisibletotheclient
bycheckingthisbox.
ShowtheAlertin
FileTrac.
Selectyourrecipient.This
wouldbeyourteamleadin
mostcases.
Selectyourclipping.
Insertyoursignature.
42
Makesuretosaveyour
comment.
Atthispoint,youhavecompletedeverythingandhaverequestedreviewandapprovalfrom
yoursupervisororteamlead.YouwillneedtosendtheFieldAdjusterBillingWorksheet.
Seescreenprintbelow.
DONOTmakethisvisible
toclient.
ShowAlertinFileTrac.
Sendtoyourteamleador
supervisor.
Youwillneedtoinputallof
yourbillingrequirements
afterselectingtheclipping
forFieldAdjusterBilling
Worksheet.
MakeSuretosaveyour
comment.
43
3. UpdateRCVandACVinFiles
Onceyourfileiscomplete,youwillalwaysinputthefinalRCV/ACVintothepopupboxseen
below.
Youwillhoveryourmouse
overthisandthispopup
willappear.
YouMUSTentertheRCV
andACVineveryfile.
Pleasemakesurethese
havebeenupdatedfrom
earlier.
BesuretoclickUpdate
4. EmailinFileTrac
In order to properly document all activity on our files, NCP will require all
correspondence to be logged in the diary notes of the claim. Understanding and
utilizingthistoolinFileTracwillsaveyou,theadjustertimeasyouwillnothaveto
cutandcopythesethingsintothenotesaftertheyhavebeensent.Youcancreate
emailsandyoucanemaildocumentsfromthefileasattachmentsinanemail.
CreatinganEmail
Youwillsimplyselectyournotesinthespecificfileyouareworking.
44
Thescreenbelowwillappear.
ENTERYOUREMAIL
MESSAGEHERE.
BESURETOENTERYOUR
SIGNATUREBELOW.
Selectyour
communicationmethod
asSendEmail/Text
Message
45
Then,selectwhoyou
areemailing.Ifyouare
emailingarecipient
outsideofNCPorour
clientcompany,youwill
selectthisspotand
entertheemailaddress
oftherecipient.
EmailDocumentsasAttachments
YoucanhoveryourmouseovertheEyeballnexttoReportsontheManageFilescreen
andthefollowingpopupwillappear.
TosendoutMULTIPLEDOCUMENTS
selectCreatePDFBundlelocatedat
thetop.SeepageXXXforthenext
step.
46
SendingaSINGLEDOCUMENT
requiresyoutosimplyselectEmail
outtotherightofthedocument.See
belowfornextstep.
SingleDocumentScreen
Makesuretoinputthe
correctemailrecipient
here.
Enteranyemailmessage
youwanthere.Youcan
alsocreateandutilize
clippingstosaveyou
time.
Selecttheattachment
fromyourreportsand
youcanalsoupload
otherdocsorphotos
below.
SendEmail.Thiswilllog
allintoyourdiarynotes
thiscommunication.
B. ALERTS
TheAlertsonFileTracareveryimportanttoyourdailywork.Theseareutilizedbythe
staff here at NCP and your team leads to notify you of items related to your specific
files. YOU MUST CHECK YOUR ALERTS DAILY. In the past, we have utilized an alert
systeminFileTracaswellassentemails.Thiswillnothappenmovingforwardaswe
foundthefileswerenotproperlydocumentedforusandourclientbecausetheemails
weresentoutsideofthisdatabase.Youwillhavetosendinternalnotesandexternal
notesrelatedtothefilethroughthissystem.
47
1. InternalNotes
Thesearethenotesdocumentingthefilebyyou,NCP,orourClient.Allthree
partieshaveaccesstothefileandcanmakenotations,askquestions,respondto
requests,anddocumentreceiptofcertainpertinentinformation.
Whennotatingyourfiles,youwillonlysendthealertsviaFileTrac.Seebelow:
Yourmessageor
Youwillalwaysenter
Ifyournoteisfordiscussionbetweenyouand
notewillbe
yoursignatureafter
NCP,thenyouwillnotcheckvisibletoclient.
enteredhere.
notingfile.
Allothernoteswillbevisibletoclient.
Thisiswhereyou
selectShowAlertin
FileTrac.Youwillnot
SendEmail/Text
Messageinternally
unlessitisURGENT.
Youwillneedtoutilize
yourReminders
locatedhereasadiary
system.
48
First,selecttheControl
Centertabonyour
Xactimatemainpage.
Next,selecttheUser
Preferencestabrightbelow.
Thiswillmakeallyourlineitems
setwiththistypeofdepreciation.
MakesuretoselectZip/Postal
CodeMatchingbutton.
Max
depreciationat
75%unlessa
clientspecifies
differently.
Makesurealldepreciation
optionsareselectedunless
otherwiseinstructed.
SelectCompanyHeaderand
seebelowonpage50.
SelectClaimRepandsee
belowonpage51.
SelectReferenceandsee
belowonpage52.
49
SelectAddand
theboxbelowwill
popup.
InputNCPcorrectmailingaddress
andcontactinformationasseenhere.
Entercompanynameandcodeas
seenhere.
Youwillneedtoimportthislogofrom
thelocationitisstoredonyour
computer.Pleaseemail
kmarconi@ncpclaims.comifyoudo
nothavethis.
50
SelectAddifyouare
notalreadyinthis
areaorEditifyou
alreadyhavea
profile.
Thefollowingscreenwillappearwhenyoueditoraddyourprofile.
NCPrequiresalladjustersorestimatorstohaveataminimumthefollowinginformation.
1. YourNameDONOTUSEALLUPPERCASE
2. YourCellPhoneNumber
3. YourNCPAssignedEmailAddress
51
Reference Set Up
Youwillonlysetthisupinyourglobalsettingsifyouareworkingforoneclient.Ifyou
areworkingformorethanoneclient,youwillonlycreatethereferencebutnotselect
themhere.Youwillselectthemoneachindividualfileyoucreate.
SelectAddtosetup
anewreference.This
wouldbetheclient
companyyouwillbe
workingfor.
IfyouselectAdd,thisscreenwillpopup:
Pleaseenterthefollowing:
NameofCompany
AddressofCompany PhoneNumberofCompany
EmailofCompany(ifprovided)
YouwillhaveallofthisinyourInitialDeploymentInstructions
52
PhotoLibrary
53
CurledShinglesarenottypicallywind
damaged.
Ruffledshinglesarenottypically
winddamaged.
Thisisnotwinddamage.
Thisisnotwinddamage,rather
improperinstallation.
54
LooseShingles
Looseshinglesnotwinddamage
shingles.
DebrisisNOTbeyondthesealstrip.
Improperinstallation.Nailstoohigh
andortoodeep.
55
Notwinddamage.Recentlyunsealed
notbywind.
Winddamagedshingles
Ruffledshinglesarenottypically
winddamage.
LooseShinglesthatAREwind
damaged.
56
FormsLibrary
57
Temporary Address
Insureds Occupation
Wife's Occupation
Bus Phone
No. Rooms
ACV
Forms No.(s)
Contents $
As Agreed