Claims Pages
claimspages

Adjuster Status Report

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

Insurance Designation List

A list of accreditations associated with the insurance industry.
  PDF (54KB) General Reference

Recorded Statement Analysis

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


Medical Terminology Chart

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

Digital Photo Sheet 2

Form for digital photo documentation for an adjuster's file.
  DOC (28KB) Forms Property & Casualty

Request For Contact

Form letter requesting claimant to contact adjuster.
  DOC (17KB) Letters

Request For Medical Docs/Bills From Dr.

A form letter requesting medical documents and bills from a physician providing treatment to a claimant, sent with a medical authorization.
  DOC (17KB) Letters


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) Statement Guides


Workers' Compensation Accident - Witness

Statement guideline for interviewing a witness to a workers' compensaton injury. Includes initial questions and follow up questions based on responses given.
  PDF (17KB) Statement Guides

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) 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) Forms Property & Casualty

Claim Register Sheet

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