A first notice of loss scorecard, 100 points.
Points are illustrative, so fit them to your lines of business and the claim handling standards your state regulators set.
| Criterion | Observable behavior | Points |
|---|---|---|
| Recording notice and verification | Gives the recording notice and verifies the policyholder and the policy | 10 |
| Acknowledgment | Acknowledges the loss and checks on safety before the intake questions | 15 |
| Loss facts captured | Records the date, time, location, cause, damage, injuries, and other parties | 25 |
| Mitigation guidance | Advises the policyholder on preventing further damage and keeping receipts | 10 |
| Coverage language | Explains the process and leaves the coverage determination to the adjuster | 15 |
| Claim number and timeline | Provides the claim number and the expected adjuster contact window | 15 |
| Closing | Confirms the contact details and thanks the policyholder | 10 |
| Total | 100 |
Illustrative review flags
- A coverage determination stated or implied before the adjuster has reviewed the file
- Fault admitted or assigned to any party on the first call
- A policyholder discouraged from filing the claim
- The recording notice required by the insurer's approved policy was skipped
