*******AUTHORIZATION SUMMARY*******

Addressable:
Not Addressable:
Denial Reason/Exclusion:
Expected completion date of the repair:
Rental:
Adjusters Note:
  •         - Spoke with
  •         - 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:
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

 

 

Over Limit Auth. Needed Claim # Please & Thank You

 

 

*****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.
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.
09. Any vehicle modifications?
10. Any signs of commercial use?
11. Shop willing to accept LKQ:
12. In-Service date:
13. Limit of Liability per policy:
14. Remaining Limit of Liability: