Writing an Effective Coverage Letter - Analyzing the Facts, the Law and the Insurance Policy

Instructor: Marc Estrella
Product ID: 704553
  • Duration: 60 Min

recorded version

1x Person - Unlimited viewing for 6 Months
(For multiple locations contact Customer Care)
Recorded Link and Ref. material will be available in My CO Section
Last Recorded Date: May-2016

Training CD / USB Drive

One CD/USB is for usage in one location only.
(For multiple locations contact Customer Care)
CD/USB and Ref. material will be shipped within 15 business days

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Read Frequently Asked Questions

In this training program, attendees will understand the necessity of writing a coverage letter. Attendees will understand how to utilize the facts and communicate to the insured the need for more information when there is insufficient information to make a coverage determination. They will also learn to employ state mandated language in the coverage letter.

Why Should You Attend:

One of the most difficult tasks of a claims handler is writing a letter to an insured about coverage. A claims handler cannot just tell an insured that the loss is not covered. Instead, they must analyze the facts and circumstances of the loss, as well as the insurance policy and applicable law to determine if the loss is covered. The claims handler must then compose the letter explaining coverage to the insured in a way the insured can understand.

This webinar will cover what a claims handler needs to know in order to look at the facts, the law, and the insurance policy to make a coverage determination and convey the determination to the insured.

Learning Objectives:

  • Understand the necessity of writing a coverage letter.
  • Understand how to utilize the facts, the law and the insurance policy to make a determination if more information is needed.
  • Communicate to the insured the need for more information when there is insufficient information to make a coverage determination.
  • Determine how state mandated language is written in the coverage letter.
  • Be able to write the coverage letter.
  • Address responses to letters written.

Areas Covered in the Webinar:

  • The need to write a coverage letter
  • How facts are presented
  • How applicable law affects the coverage decision
  • How to apply facts and law to language in the insurance policy
  • How to handle when coverage cannot be determined
  • How to write correspondence to the insured
  • How to respond to insureds

Who Will Benefit:

  • Claims professionals who write letters regarding coverage
  • Brokerage professionals who monitor claims on behalf of their insureds
  • Attorneys and paralegals who work with litigation on the subject
  • Risk managers who manage claims on behalf of their employers
  • Underwriters who use claims history as a factor in decision making

Instructor Profile:

Marc Jorge Estrella is an insurance professional with extensive, interdisciplinary experience in the property and casualty insurance industry. Besides writing and speaking on insurance topics, he has worked in the information technology, claims, policyholder advocacy, operations and marketing areas in both carrier and producer settings. In addition to holding a Master of Science in Insurance Management from Boston University, he holds both the Chartered Property Casualty Underwriter and Certified Insurance Data Manager Professional Designations. He received his Bachelor of Arts in Economics and Business Administration from Trinity University and currently resides in San Francisco, California.

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Refund Policy

Registrants may cancel up to two working days prior to the course start date and will receive a letter of credit to be used towards a future course up to one year from date of issuance. ComplianceOnline would process/provide refund if the Live Webinar has been cancelled. The attendee could choose between the recorded version of the webinar or refund for any cancelled webinar. Refunds will not be given to participants who do not show up for the webinar. On-Demand Recordings can be requested in exchange.

Webinar may be cancelled due to lack of enrolment or unavoidable factors. Registrants will be notified 24hours in advance if a cancellation occurs. Substitutions can happen any time.

If you have any concern about the content of the webinar and not satisfied please contact us at below email or by call mentioning your feedback for resolution of the matter.

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