Sample Insurance Letter Approving a Claim by kes54058

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									                                              TABLE OF CONTENTS
I. HANDLING THE CASE ................................................................................................. 1-1
          A. Interview ............................................................................................................... 1-1
                  New Case Memorandum ............................................................................... 1-7
                  Police Report Code Sheets ........................................................................... 1-13
                  Lawsuit Threshold Information.................................................................... 1-17
                  Lawsuit Threshold Letter to Client .............................................................. 1-21
                  Unsatisfied Claim and Judgment Fund Information to Client ..................... 1-23
                  Diary Explanation for Client ....................................................................... 1-25
                  Client Instructions ....................................................................................... 1-27
                  Notice of Intention to Make Claim .............................................................. 1-31
                  Affidavit of No Insurance ........................................................................... 1-33
                  Authorization for Medical Information ....................................................... 1-35
                  Letters of Protection Authorization ............................................................. 1-37
                  Wage information Authorization ................................................................. 1-39
                  Legal Fee Agreement .................................................................................. 1-41
                  Report Requests Sheet ................................................................................. 1-43
                  Medical Specials Table ................................................................................ 1-45
                  File Costs Sheet ........................................................................................... 1-47
                  Letters of Protection Sheet .......................................................................... 1-49
                  Adjusters Contact Sheet .............................................................................. 1-51
                  Settlement Progress Sheet ........................................................................... 1-53
                  Complaint and Demand for Jury Trial ......................................................... 1-55
                  Notice of Motion for an Order Approving Settlement................................. 1-65
                  Certification in Support of Motion (Plaintiff).............................................. 1-67
                  Certification in Support of Motion (Attorney)............................................. 1-71
                  Order Approving Settlement ........................................................................ 1-75
                  Proof of Mailing........................................................................................... 1-79


II. CLAIMS........................................................................................................................... 2-1
          A. Statute of Limitations ........................................................................................... 2-1
               Sample Personal Injury Worklist of Cases............................................................ 2-3
          B. Claim Notices ....................................................................................................... 2-5
          C. Letters of Representation and Record Requests................................................... 2-5
          Enclosures:
                 Work Record Request .................................................................................... 2-9
                 PIP/Secondary Insurance Information ........................................................ 2-13
                 Medical Records........................................................................................... 2-15
                 Outpatient Records....................................................................................... 2-17
                 Emergency Room Records........................................................................... 2-19
                 Patient Accounts .......................................................................................... 2-21


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                   Narrative Medical Report Request .............................................................. 2-23
                   License Plate Check..................................................................................... 2-25
                   Abstract Request ......................................................................................... 2-27
                   Driver License Info Request ....................................................................... 2-29
                   Letters of Representation
                           Township ......................................................................................... 2-31
                           Defendant ........................................................................................ 2-33
                           Defendant’s Insurance ..................................................................... 2-35
                           Plaintiff PIP Carrier ........................................................................ 2-37
                   Disposition of Summons.............................................................................. 2-39
                   Police Report Request ................................................................................. 2-41
                   Weather Report Request ............................................................................. 2-43


III. FILE PREPARATION ................................................................................................ 3-1
         A. Sections of the File............................................................................................... 3-1
IV. MONITORING PROCEDURES ................................................................................ 4-1
         A. Monitoring the File .............................................................................................. 4-1
         B. PIP Independent Medical Examination................................................................ 4-9
         C. The Demand ........................................................................................................ 4-25
         Enclosures:
                Letters of Protection....................................................................................... 4-5
                PIP Scheduled Independent Medical Examination Explanation ................... 4-9
                PIP Scheduled Independent Medical Examination Letter ........................... 4-11
                Termination Explanation ............................................................................. 4-13
                Termination of Benefits ............................................................................... 4-15
                Object to Termination .................................................................................. 4-17
                Complaint with Trial by Jury for PIP Coverage .......................................... 4-19
                Civil Case Information Statement ............................................................... 4-23
                Demand Explanation.................................................................................... 4-25
                Demand for Arbitration ............................................................................... 4-27
                “Rova Farm” Statement of Law Letter........................................................ 4-29
                Demand Letter ............................................................................................ 4-33
                2nd Demand Letter ....................................................................................... 4-37
                Accept Offer................................................................................................. 4-39
                Release ........................................................................................................ 4-41


V. EVALUATING THE CLAIM ...................................................................................... 5-1
         Enclosures:
                Evaluation Plan .............................................................................................. 5-5
                Insurance Plan................................................................................................ 5-9
                Schedule of Automobile Insurance Eligibility Points.................................. 5-17


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VI. FILING THE SUIT ....................................................................................................... 6-1
          A. The Complaint...................................................................................................... 6-1
          B. Summons and Service .......................................................................................... 6-1
          C. Answers and Separate Defenses........................................................................... 6-1
          D. Proof Hearings ................................................................................................... 6-21

          E. Offer of Judgment............................................................................................... 6-25
          Enclosures:
                 Complaint with Jury Demand (husband/wife status; servant status) ............. 6-5
                 Civil Case Information Statement ................................................................. 6-9
                 Answer and Separate Defenses .................................................................... 6-11
                 Demand for Answers to Interrogatories....................................................... 6-15
                 Demand for Statement of Damages Claimed............................................... 6-16
                 Civil Case Information Statement ............................................................... 6-17
                 Proof Hearings ............................................................................................. 6-19
                 Request and Affidavit to Enter Default ....................................................... 6-21
                 Offer of Judgment Explanation.................................................................... 6-23
                 Proposed Offer to Judgment......................................................................... 6-25
                 Complaint for Administration as Prosequendum ........................................ 6-27


VII. DISCOVERY............................................................................................................... 7-1
          A. Written.................................................................................................................. 7-1
          B. Medical Examinations .......................................................................................... 7-2
          Enclosures:
                 X-Letter for Enclosures.................................................................................. 7-5
                 Interrogatories Letter ..................................................................................... 7-7
                 Interrogatories Plaintiff to Defendant ............................................................ 7-9
                 Acknowledgement of Service ...................................................................... 7-11
                 Supplemental Interrogatories ....................................................................... 7-13
                 Form C and Form C(1) Interrogatories ........................................................ 7-17
                 Instructions for Interrogatories..................................................................... 7-19
                 Uniform C Interrogatories with Certification ............................................. 7-21
                 Form C(1) Uniform Interrogatories ............................................................ 7-25
                 Request for Admissions ............................................................................... 7-29
                 Request for Production of Documents ........................................................ 7-31
                 Demand for Insurance Discovery ............................................................... 7-35
                 Certification ................................................................................................ 7-37


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                     Letter to Client Notifying of Defense Independent Medical Examination.. 7-39
                     Preservation of Evidence Letter .................................................................. 7-41


VIII. ARBITRATION ........................................................................................................ 8-1
          A. Mandatory ............................................................................................................ 8-1
          B. Format .................................................................................................................. 8-1
          C. The Arbitration Award ....................................................................................... 8-11
          Enclosures:
                 Arbitration Statement Letter .......................................................................... 8-5
                 Uniform Arbitration Statement of Facts ....................................................... 8-7
                 Arbitration Award........................................................................................ 8-11
                 Notice of Motion for an Order to Confirm Award of Arbitrator with
                 Certification (Svc)........................................................................................ 8-13
                 Certification ................................................................................................. 8-17
                 Order to Confirm Award of Arbitrator ........................................................ 8-19
                 Rejection of Arbitration Award and Request for Trial De Novo................. 8-21
                 Demand for Arbitration................................................................................ 8-23

IX. UNINSURED/UNDERINSURED ARBITRATION ................................................. 9-1
          Enclosures:
                 Zirger Letter ................................................................................................... 9-5
                 Longworth Letter .......................................................................................... 9-7
                 Arbitrator Notification Letter......................................................................... 9-9
                 Order to Show Cause to Appoint an Arbitrator with Sample Verified
                 Complaint..................................................................................................... 9-11
                 Notice of Order to Show Cause ................................................................... 9-13
                 Certification of Service ............................................................................... 9-15
                 Certification of Counsel .............................................................................. 9-17
                 X-Letter for Enclosures................................................................................ 9-19
                 Verified Complaint with Demand for Trial Jury ........................................ 9-21
                 Affidavit of Plaintiff ................................................................................... 9-29
                 Verified Complaint and Demand for Trial by Jury to Compel the Insurance
                 Company to Appoint Arbitrators, Compel Arbitration or alternatively, tender
                 policy ........................................................................................................... 9-31

X. FIRST PARTY BENEFITS (PIP) .............................................................................. 10-1
          Enclosures:
                 Application for Benefits PIP........................................................................ 10-5
                 New Jersey State Disability Form ............................................................... 10-7
                 Complaint with Demand for Trial by Jury................................................. 10-13
                 Civil Case Information Statement.............................................................. 10-17
                 PIP Arbitration Demand Form................................................................... 10-19


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XI. CLOSING OUT THE CASE ..................................................................................... 11-1

           Enclosures:
                  General Release............................................................................................ 11-5
                  Release and Trust Agreement ..................................................................... 11-7
                  Disbursement Letter ..................................................................................... 11-9
                  Stipulation of Dismissal ............................................................................. 11-13
                  Order to Release Funds .............................................................................. 11-15


INDEX....................................................................................................................................I-1




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