F.W.U.A.
Condominium and Commercial Large Loss
Program

• Goals
  • All Condominium and Commercial Large Losses assigned to a select group of experienced adjusters.
  • Claims reviewed and payments processed by a select group of examiners.
  • Streamline process for complex claims
  • Improve service to policyholders

• Basics
  • Losses are pre-sorted
  • Condo building and all unitowners assigned to one adjuster
  • Large commercial losses assigned to designated adjuster
  • Claims Teams

• Team Concept
  • Examiners, adjusters, re-inspectors and supervisors form team
  • Familiarity - claim, work product, expectations

• Firm's Role
  • Provide a list of all adjusters who will be receiving assignments
  • Report changes in locations and contact numbers
  • Assign all Condominium and Commercial Losses to pre-selected group of adjusters
  • Provide daily acknowledgment of assignments
  • Maintain & monitor diary for every assignment
  • Provide on-site supervisor when 500 or more claims are assigned

• Supervisor's Role
  • Supervisors must review and sign off on all adjusters' reports
  • Complete review and note all problem areas before returning file to adjuster

• Adjuster's Role
  • Handle all assignments in accordance with FWUA guidelines
  • Refer to FWUA Consolidated Claims Guidelines
  • Work with FWIJA re-inspectors (G.A.'s)
  • Utilize time wisely
  • Scope all the damage
  • Split damage between master policy & unitowners accordingly
  • Timely reports and reserves
  • Return phone calls

• Re-inspector's Role
  • Routine re-inspections for quality and accuracy
  • Free advice for I/A's, as needed
  • Assist with special issue resolutions

• Examiner Role
  • Review claims and process payments promptly
  • Resolve issues without returning file to field, when possible

• Penalties
  • Non-compliance with FWUA procedures can result in:
  • New assignments halted
  • Reduction in service bills
  • Reassignment of claim

• Benefits
  • Attract higher caliber of adjusters
  • Consistency
  • Only one set of Condo Docs!
  • Multiple claims at one location
  • Expedited process
  • Quicker payments and closed files

• Conclusion
  • Adjuster Candidates
    • Names
    • Level of expertise
    • Years of claims experience
    • Home state
    • FWUA certified
    • NFIP certified
    • Most recent hurricane CAT experience
    • Other languages
    • Any other pertinent information you believe is beneficial
    • Paragraph outlining background (including construction experience, experience with your firm, as well as other claims experience)