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)
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Liability
Property
Workers' Compensation
Letters
Adjuster Status Report
Short form for reporting the current status of a claim. Typically used by an independent adjuster.
PDF (30KB)
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Liability
Property
Workers' Compensation
Forms Property & Casualty
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)
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Liability
Property
Workers' Compensation
Forms Property & Casualty
Request For Contact
Form letter requesting claimant to contact adjuster.
DOC (17KB)
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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)
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Liability
Property
Workers' Compensation
Forms Property & Casualty
Insurance Designation List
A list of accreditations associated with the insurance industry.
PDF (54KB)
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Education & Training
Liability
Litigation
Management & Underwriting
General Reference
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
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)
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Liability
Property
Workers' Compensation
Forms Property & Casualty
File Reassignment Letter
Form letter used to notify insured of reassignment of a claims handler.
PDF (26.939KB)
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Liability
Property
Workers' Compensation
Letters
Claim Register Sheet
Basic registry form for logging when claims are received and closed.
PDF (83KB)
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Liability
Property
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)
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Liability
Property
Workers' Compensation
Forms Property & Casualty
Prescription Abbreviations
A list of medical abbreviations commonly found on prescriptions.
PDF (20KB)
Liability
Workers' Compensation
Medical Reference
