This article explores several coverage issues as they relate to a claim involving your insured automobile.
I Had a Nightmare
It started when I, an insurance adjuster, visited an insured who had been involved in an automobile accident. It became clear as I
took statements and gathered facts of the loss that the accident had been very stressful to the insured’s family. They were like
many California families, the father worked full time and the mother worked part time when she wasn’t busy taking care of the
household and their two children. They lived paycheck to paycheck and missing work to deal with this claim on top of the
additional cost of alternate transportation was going to be difficult.
To make matters worse their teenage daughter Sarah, who was the driver in the accident, had not been added to their policy.
Fortunately, she was not injured and if all the facts checked out they should eventually be able to collect from the other driver’s
insurance policy. The delay in collecting and uncertainty about the payment could have been avoided if the insureds had added
Sarah on their policy. Since their policy included property damage, we would have quickly paid our insured for the loss and then
taken responsibility for filing a claim for reimbursement with the other driver’s insurance company.
The accident investigation would take some time and I knew the few dollars they saved by not including Sarah on their policy was
not worth the added delay. The next bit of news would not help. The damage to our insured’s car was extensive, yet the other
driver’s policy had only a $5,000 PD limit. That meant that a large portion of the damage to our insured’s vehicle would not be
covered by the other policy. Our insured would have to attempt to get the other party to pay a portion of the loss out of his own
pocket. Good luck I thought as I had noticed the other party was listed as unemployed and it seemed unlikely he had any assets
to contribute towards the loss settlement. Our insured was lucky that there was any insurance at all.
Our insured had over-extended himself when he purchased this SUV and now it sat in a tow yard, needing time and some
expensive repairs to just make it road worthy again. I was still wondering how our insured would cope with only a portion of the
repairs getting reimbursed when my dream turned into a nightmare. I was notified by an underwriter for the other driver that he
had not made his premium payment. He had no coverage at all. I was faced with telling my insured that things were only getting
worse. Not only was their entire vehicle claim going to be denied, their only option for any reimbursement would be costly
litigation against the other driver with a doubtful outcome. If Sarah had been on the policy and the policy included Uninsured
Motorist Property Damage coverage it would have been a huge help at this point and both our insured and I could have slept
much better.
After delivering the bad news to my insured I turned to leave thinking – at least no one was hurt. As I walked away I heard Sarah
call to her father, “Dad, my legs are trembling . . .” I was jolted out of bed by my alarm and after a moment of disorientation
realized it was only a bad dream. Fortunately, I was soon off to work to issue checks and help a few people overcome some
difficult situations. If only everyone in my nightmare family was included on the policy and the coverage was broad – this is my
dream.
Believe it or not, claims adjusters do not like to deny claims. It is much easier and more enjoyable to be able to help out people
who have experienced losses than to deny their claims. Please make sure you have all the coverage you need, make your Payments on time and drive carefully.
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