- Documented all CCC's reported & labor and parts requested.
- I asked and repair facility reports no signs of modifications, collision damage, towing beyond capacity or signs of commercial use including ride services.
- Verified labor times per account guidelines in
- Allowed diagnostic time per Assurant's Diagnostic Time SOP.
- Parts pricing verified in
- Verified failures not covered under any Powertrain or CPO Warranty, Manufacturer Recalls or repairer's warranty for a previously approved claim.
- Labor, parts and repairs within account guidelines & addressable per account holder's agreement terms & conditions.
- Repair facility will call back if anything else is needed.
Authorization provided to:
Approved Totals:
*******DENIED SUMMARY*******
Component Denied:
-
Denial Reason / Exclusion:
-
Adjuster's Note:
- Spoke with at the repair facility, documented all CCC's reported & labor and parts requested.
- I asked and repair facility reports no signs of modifications, collision damage, towing beyond capacity or signs of commercial use including ride services.
- Verified repairs and parts are not covered on the account holder's agreement per exclusions listed above.
- Repair facility will call back if anything else is needed.
Denial Reviewed by:
Explained to: @ RF
*****PENDING SUMMARY*****
Who called:
What was their inquiry:
What was advised to caller:
What is needed:
Who takes next step:
Expected time frame:
Over Limit Auth. Needed Claim # Please & Thank You
- Amount of Claim Before:
- Within LoL
- No other warranties
- Comment Already in System
Over Limit Auth. Needed Claim # Please & Thank You
- Amount of Claim Before:
- Amount of Claim Now:
- Does not exceed 10% limit for Review
- Within LoL
- No other warranties
- Comment Already in System
*****PENDING SUMMARY*****
What is completed on claim: Spoke with at the repair facility calling in to check claim status. I reviewed claim comments/notes and explained that the Claim is still being reviewed.
What is needed: Claim to be reviewed by the review team - sent to review team via FE adjuster queue Claim documented was sent for review on .
Who takes next step: Review team
Expected Time frame: 24 - 48 hours
*****PENDING SUMMARY*****
What is completed on claim: Spoke with at the repair facility, documented all CCC's reported & labor and parts requested.
- I asked and repair facility reports no signs of modifications, collision damage, towing beyond capacity or signs of commercial use including ride services.
- Verified labor time per account guidelines in Alldata
- Verified Parts in C&K
- Allowed diagnostic time per Assurant's Diagnostic Time SOP.
- Verified failures not covered under any Powertrain or CPO Warranty, Manufacturer Recalls or repairer's warranty for a previously approved claim.
- Labor, parts and repairs within account guidelines & addressable per AH agreement terms.
- What is needed: Claim to be reviewed by the review team due to
Who takes next step:
Expected Time frame: - explained if they have not heard back from us by then, to please give us a call back.
********CLOSED BUT NOT DENIED SUMMARY*******
Why claim was closed: Tieback Applies - per google maps, current RF is miles from selling dealer.
What’s completed: Documented CCC's, verified NO MCCT, verified parts/labor would be addressable per the customer's agreement.
Who takes next step: The Account Holder. -- I advised of tieback. The account holder is to take the unit back to selling dealer to have repairs completed.
Is the vehicle at the shop:
******REPORTED ENGINE, TRANSMISSION, TRANSFER CASE, DIFFERENTIAL FAILURE TEMPLATE*****
01. Engine size / Type of transmission:
02. Extent of diagnoses:
03. DTC codes and definitions:
-
04. Any noises:
05. Fluid levels and condition:
06. Leaks verified:
07. Maintenance interval per Alldata or MOD:
08. Request of Maintenance Records and Previous Shop History.