Written Communication

Question 1

Reservation of Rights Letter should include?

Answer 1

• Name of insured
• Policy
• Describe the claim
• Relevant policy provisions
• Convey that the letter is not a denial of coverage
• Any actions taken by the insurer do not constitute a waiver of rights or admission of coverage
• Reserve the right to add to or modify the insurer’s coverage position based on additional coverage issues that may arise

Question 2

Denial Letter

Answer 2

may be based on lack of liability, lack of coverage, or breach of a policy condition

Question 3

File Status Notes

Answer 3

• claim handled in a timely manner
• investigation was fair and balanced
• thorough investigation and in good faith