Adjuster Status Report

Short form for reporting the current status of a claim. Typically used by an independent adjuster.
  PDF (30KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Acknowledgement Of Representation

This is an MS Word template letter to acknowledge notification of legal representation of a claimant. Most commonly used in PIP or bodily injury claims, where there is a potential for coverage dispute litigation.
  DOC (17KB) Auto Liability Property Workers' Compensation Letters

Insurance Designation List

A list of accreditations associated with the insurance industry.
  PDF (54KB) Auto Education & Training Liability Litigation Management & Underwriting General Reference

ACORD Forms

A list of ACORD forms used by insurance agents, with a link to purchase documents including personal property applications, schedules, loss notices, workers compensation forms, excess and surplus lines sections, and policy change requests.
  PDF (0KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Request For Contact

Form letter requesting claimant to contact adjuster.
  DOC (17KB) Auto Liability Property Workers' Compensation Letters

Medical Terminology Chart

A chart of common medical terms and their meanings.
  PDF (20KB) Liability Workers' Compensation Medical Reference

Recorded Statement Analysis

A written observation describing behavior of a person making a recorded statement.
  PDF (54KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Non-Waiver Agreement / Reservation Of Rights

The non-waiver agreement is signed by the policyholder; its purpose is to protect the insurer. Insurer reserves all of its rights under the policy to investigate and defend a claim without admission of any liability for loss.
  PDF (36KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Claim Register Sheet

Basic registry form for logging when claims are received and closed.
  PDF (83KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Workers' Compensation Accident - Employer

Statement guideline for interviewing the employer in a claim for workers' compensaton. Includes initial questions and follow up questions based on responses given.
  PDF (16KB) Workers' Compensation Statement Guides

Employment, Wage & Med. Authorization

An employee authorization form allowing release of employment, wage and medical information to another party.
  PDF (17KB) Liability Workers' Compensation Forms Property & Casualty

Adjuster's File Invoice

An invoice form used by independent adjusting firms that lists claims investigation expenses billable to the client insurance company.
  PDF (48KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

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