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Claims Commandment III - Thou Shall Communicate Often With The Third Party Insured and the Claimant
\\nInsurance claims is a service business. The claims person \\u2013 whether acting for the insurer or the insured \\u2013 provides a service to the insured and the insurer. Communication is essential to providing the service promised by the insurance policy. In some states, like California, communications are required by regulation: Every insurer shall disclose to a first party claimant or beneficiary, all benefits, coverage, time limits or other provisions of any insurance policy issued by that insurer that may apply to the claim presented by the claimant. When additional benefits might reasonably be payable under an insured\\u2019s policy upon receipt of additional proofs of claim, the insurer shall immediately communicate this fact to the insured and cooperate with and assist the insured in determining the extent of the insurer\\u2019s additional liability. [10 CCR 2695.4 (a)]
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