34 Claim trends Coverage denials based Increase in time to review coverage and provide coverage evaluation on application review Applications can become a part of the As coverages become more complex and insureds In addition, insureds can be prepared for the 昀椀rst phone call with an insurance contract and are increasingly struggle with gathering necessary information to adjuster by having collected: being used to review what an insured provide to their insurance company about a loss, attested to when they procured the coverage positions from carriers are taking longer • certain pieces of information such as incident reports, coverage and what was in place when to obtain. What this means to insureds is that they • copies of contracts and email correspondence regarding the loss, the loss occurred. If those two scenarios may have to address the claim at hand without • details on the sale of a product, the bene昀椀t of their carrier’s direction until they are di昀昀erent, there is the possibility of • communication with the person claiming the loss, coverage issues. Insureds can help to can con昀椀rm coverage. This can be frustrating to ensure there is no ambiguity by carefully insureds because they have a duty to involve their • copies of invoices, and reviewing all applications and making carrier but the carrier is not engaging at that point. sure responses are completed by the This is especially a concern when litigation has • any other relevant information related to the incident. individuals with the most knowledge in been 昀椀led and the insured must respond within These materials are often helpful for the adjuster to understand the that area of the business. certain timeframes or risk a default judgment. parties involved in a loss, how the loss occurred, what the loss is, who Assumptions, outdated information, or Insureds can help themselves in this situation su昀昀ered the loss, where the loss occurred, (who, what, where, when, responses that do not truly depict the by reviewing notice provisions in their policies why) which can all impact coverage. current state of operations are often at and provide a loss notice in compliance with the By having this information early, it reduces the chance that the adjuster the root of coverage denial issues. policy requirements. If there is any ability for an will have to keep coming back for additional information to review insured to estimate the potential loss amount, this is helpful as the carriers will look at that when coverage in their policy. Ultimately, the better they understand the deciding the level of an adjuster to be assigned. claimed loss, the better chance there is for a quicker coverage position.