CCP First Notice of Loss Procedures 3

Question 1

An adjuster receives an FNOL for a fire loss at a rental property. Which initial coverage question is unique to rental property claims?

Accepted Answer

Whether the policy covers loss of rental income in addition to structural damage

Answer

Rental property policies may include loss of rental income coverage, which must be identified and reserved for at FNOL.

Question 2

Under most state prompt payment statutes, what is the typical timeframe for an insurer to acknowledge receipt of a claim after FNOL?

Accepted Answer

Within 10 to 15 days

Answer

Most state prompt payment statutes require acknowledgment within 10 to 15 days of receiving notice of a claim.

Question 3

A claimant submits an FNOL via a mobile app and uploads photos of damage. What should the adjuster do with these photos at the FNOL stage?

Accepted Answer

Attach them to the claim file as initial documentation and note their receipt

Answer

Photos submitted at FNOL should be documented in the claim file as initial evidence, though further investigation is typically needed.

Question 4

Which scenario would most likely trigger an immediate referral to the Special Investigations Unit (SIU) at the FNOL stage?

Accepted Answer

A newly issued policy with a large loss reported within days of inception

Answer

A large loss reported shortly after policy inception is a red flag indicator for potential fraud and warrants SIU referral.

Question 5

During FNOL, a claimant mentions they already hired a contractor to begin repairs before the adjuster could inspect. What should the adjuster do?

Accepted Answer

Request that the contractor document all damage with photos before repairs proceed further

Answer

Requesting pre-repair documentation protects the insurer's ability to assess damages even when repairs have already begun.

(CCP) Certified Claims Professional Practice Test