office of risk management transportation claims my name is al jenkins, i am the claims supervisor of...

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OFFICE OF RISK MANAGEMENT OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management. My contact information: Phone #: 225-342-8446 Fax #: 225-342-4470 or Email [email protected].

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Page 1: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

OFFICE OF RISK MANAGEMENTOFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMSTRANSPORTATION CLAIMS

My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management. My contact information:

Phone #: 225-342-8446 Fax #: 225-342-4470 orEmail [email protected].

Page 2: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

THE ORM THE ORM TRANSPORTATION TRANSPORTATION

STAFFSTAFF

Mindy Brown - Liability Adjuster(225) 342-6038

Susan Davis – Liability Adjuster(225) 219-4429

Jason Evans – APD Adjuster(225)342-8467

Page 3: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

The ORM Transportation Unit The ORM Transportation Unit handles the following types of handles the following types of

claims:claims:

Automobile-liability and physical damage

Marine vessels over 20 feet-liability and hull

Page 4: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

Automobile liability and Automobile liability and physical damage coveragephysical damage coverage

The following vehicles are covered under our policy:

1. State owned vehicles used for State business.

2. Vehicles rented and/or leased-used for State business.

Page 5: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management
Page 6: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

Proof of insurance for State Proof of insurance for State vehiclesvehicles

On our website: www.state.la.us/orm/orm.htm

Two letters at this website as follows:1. From: J. S. Thompson, Jr.2. From: Ray C. Dawson.You should place copies of both letters in

the State vehicle.See attachment #: 1

Page 7: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

USE OF PERSONAL USE OF PERSONAL VECHICLES ON STATE VECHICLES ON STATE

BUSINESS BUSINESS

Insurance Information Notice No. 98-2

Page 8: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

Reimbursement of the collision Reimbursement of the collision deductible up to $1000.00 or deductible up to $1000.00 or If the auto has no collision deductible, If the auto has no collision deductible, we will pay up to a maximum of we will pay up to a maximum of $1000.00 per collision loss. $1000.00 per collision loss. If the other party/carrier pays your If the other party/carrier pays your damages in full then ORM will not damages in full then ORM will not make any paymentmake any payment

Page 9: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

The ORM Automobile policy does not cover comprehensive claims.

See attachment #: 2

Page 10: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

The registered owner’s insurance The registered owner’s insurance coverage is primary on all accidents coverage is primary on all accidents (liability and physical damage). (liability and physical damage).

The insurance follows the vehicle in The insurance follows the vehicle in the State of Louisiana.the State of Louisiana.

The State’s insurance is excess on The State’s insurance is excess on liability coverage only if the employee liability coverage only if the employee is within scope and permission at the is within scope and permission at the time of an accident.time of an accident.

Page 11: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

INFORMATION NEEDED TO PROCESS INFORMATION NEEDED TO PROCESS A TRANSPORTATION CLAIMA TRANSPORTATION CLAIM

Complete the DA 2041 form. Complete the DA 2041 form. Fax or emailed to Al Jenkins within 48 Fax or emailed to Al Jenkins within 48 hours after the accident.hours after the accident.

Mail original (hard copy) of DA 2041 to Mail original (hard copy) of DA 2041 to ORM along with a copy of the police ORM along with a copy of the police crash report.crash report.

Page 12: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

DA 2041 form for reporting DA 2041 form for reporting Auto accidents to ORMAuto accidents to ORM

This form is on our website: www.state.la.us/orm/formsCR.htm. The lines are numbered on this form. It is important that you complete the following

numbers: 1-15, 18-25, 30-37,39-42 and 44-55. Please fax or email this form to (225)342-4470

attn. Al Jenkins. See attachment #: 3

Page 13: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

DA 2041DA 2041

Page 14: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

All claims on State owned vehicles and/or rented /leased vehicles being used on State business.

Employee’s reimbursement collision claims. (write “PERSONAL”) in place of State vehicle information.

Page 15: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

Section 10 - Describe how the accident happened.

Please do not write; “See attached/attachment”. Write description on DA 2041

and if additional space is needed, attach a supplemental sheet. Please do not omit information from Section 10.

Page 16: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

““NO PAY,NO PLAY”NO PAY,NO PLAY”(law effective on 9/6/1998)(law effective on 9/6/1998)

1. See notice #: 99-6 for further details.

2. No State agency and/or their employee is authorized to make any statements to the effect that the State will pay for damages.

See attachment #: 4

Page 17: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

PHYSICAL DAMAGE : FIRST PHYSICAL DAMAGE : FIRST PARTY CLAIMS (Part I)PARTY CLAIMS (Part I)

These are the claims on State owned vehicles and/or a rented/leased vehicle being used on State business.

Claims are reported on the DA 2041 to the Transportation Unit. (Al Jenkins)

The claim is assigned to an adjuster

Page 18: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

PHYSICAL DAMAGE: FIRST PHYSICAL DAMAGE: FIRST PARTY CLAIMS (PART II)PARTY CLAIMS (PART II)

The adjuster will review the DA 2041 for damages to the vehicle. If the damages appear to be minor, then the adjuster will send a letter asking the agency if they wish to make a claim. If so, then the agency can send in two repair estimates and a copy of the police report to this adjuster.

See attachment #: 5

Page 19: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

PHYSICAL DAMAGE: FIRST PHYSICAL DAMAGE: FIRST PARTY CLAIMS (PART III)PARTY CLAIMS (PART III)

If the vehicle is not drivable, ORM will hire an appraiser to inspect the vehicle. If the vehicle is repairable, then the adjuster will send a copy to the agency. If not, the adjuster will advise the agency that the vehicle is deemed a total loss.

Page 20: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

PHYSICAL DAMAGE PHYSICAL DAMAGE SUPPLEMENTAL DAMAGESSUPPLEMENTAL DAMAGESIf there are supplemental damages

after the vehicle is disassembled, then the repairer will contact ORM and/or the appraiser. These additional damages must be agreed upon before they will be paid by ORM. All damages must be from the accident. Any old damages will be deducted.

Page 21: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

PHYSICAL DAMAGE PHYSICAL DAMAGE PAYMENT/SETTLEMENTPAYMENT/SETTLEMENT

If the State vehicle is repairable, then ORM will receive the final invoice and check it for correctness and pay the claim as follows:

Amount of final invoice=$3000.00Less: deductible - 1000.00 Payment amount $ 2000.00

Page 22: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

AUTOMOBILE PHYSICAL AUTOMOBILE PHYSICAL DAMAGE TOTAL LOSSDAMAGE TOTAL LOSS

See the attached new total loss letter for State vehicles deemed as a total loss.

The agency will send all needed paperwork directly to LPAA on all total losses.

ORM will subtract the high salvage bid and the agency will receive the salvage proceeds from LPAA after the sale of the salvage.

See attachment #: 6

Page 23: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

SUBROGATIONSUBROGATION

If the other party (adverse party) is liable 100% for the accident, then we will turn

this matter over to the our Subrogation Unit to recover the money. It is imperative that all agencies cooperate by sending in their claims and having their vehicles repaired in a timely manner. The prescription period for recovery is one year from the date of loss.

Page 24: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

GUIDELINES FOR INHOUSE GUIDELINES FOR INHOUSE REPAIRS TO STATE REPAIRS TO STATE

VEHICLESVEHICLES

Page 25: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

Attached is a copy of these guidelines dated May 29, 2003.

If your agency is capable of doing repairs as outlined in this guide, please contact me before you start repairing your State vehicles.

ORM may choose to inspect your facility and gather some information on your employees who will be doing these repairs.

See attachment #: 7

Page 26: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

AUTOMOBILES LIABILITY : AUTOMOBILES LIABILITY : THIRD PARTY CLAIMSTHIRD PARTY CLAIMS

Page 27: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

The agency will forward the completed DA2041 form to ORM by fax or email.

The Supervisor will assign the claim to an adjuster. The adjuster will verify whether the claimant

has liability insurance at the time of the accident.

The adjuster will send out a form letter to the claimant(s).

If any injuries are involved, then ORM will assign the claim to an independent adjuster to handle.

Page 28: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

WINDSHIELD CLAIMSWINDSHIELD CLAIMS

Page 29: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management
Page 30: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

Attached are two questionnaires sent out by ORM on these types of claims to the agencies.

1. Form #: T-1 is for State vehicles (not sweepers)

2. Form #: T-2 is for State sweepers only.See attachment numbers: 8 and 9

Page 31: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

WET MARINE AND WET MARINE AND AIRCRAFT CLAIMSAIRCRAFT CLAIMS

Please call me at 225-342-8446 and we can discuss these coverages.

Page 32: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

LAWSUITSLAWSUITS

If an agency and /or employee receives a lawsuit on an automobile accident, they should forward it to Al Jenkins as soon as possible.

Page 33: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

AUTOMOBILE LIABILITY: AUTOMOBILE LIABILITY: THIRD PARTY CLAIMSTHIRD PARTY CLAIMS

The ORM adjuster will review the claim and decide whether there is any liability on our driver. If so, then the damages will be paid based on the percentage of liability on our driver. If no liability, then the claim will be denied.

Page 34: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

INSURANCE INFORMAITON INSURANCE INFORMAITON NOTICESNOTICES

Attached are the notices relating to licensed automobiles.

Please see your handouts.

Page 35: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

CHANGE OF ORM’S CHANGE OF ORM’S MAILING ADDRESSMAILING ADDRESS

See notice #: 2004-1 (effective 2/1/2004)

Office of Risk ManagementP. O. Box 91106Baton Rouge, LA 70821-9106See attachment #: 10

Page 36: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

NEW DEDUCTIBLES NEW DEDUCTIBLES EFFECTIVE ON 11/1/2002EFFECTIVE ON 11/1/2002

The deductibles are as follows:1. Collision-$1000.00 per occurrence.2. Comprehensive-$1000.00

(includes all windshield claims) per occurrence.

See notice #: 2003-2 for further details.

See attachment #: 11

Page 37: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

REDUCTION OF REDUCTION OF AUTOMOBILE LIABILITY AUTOMOBILE LIABILITY

LIMITLIMITEmployee not on State business

at time of an accident.Limits: 10/20/10.See notice #: 2002-1See attachment #: 12

Page 38: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

RENTED MOTOR VEHICLE RENTED MOTOR VEHICLE AND/OR COURTESY AND/OR COURTESY

VEHICLESVEHICLES

1. Rented Motor Vehicles2. Courtesy VehiclesSee notice #: 2001-2See attachment #: 13

Page 39: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

INSPECTION OF RENTAL INSPECTION OF RENTAL VEHICLESVEHICLES

See notice #: 97-2Need to inspect all rental vehicles

before and after using them for any damages.

You will need to show the rental agency person any damages to the vehicles so he/she can make a notation on the rental agreement.

See attachment #: 14

Page 40: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

TOWING OF STATE TOWING OF STATE VEHICLESVEHICLES

See notice #: 97-1.Please avoid towing the State vehicle

to a wrecker yard where storage fees will be charged. If possible, tow the vehicle to your office premises.

Please list the location of the state vehicle on the DA 2041 and the phone number of a contact person.

See attachment #: 15

Page 41: OFFICE OF RISK MANAGEMENT TRANSPORTATION CLAIMS My name is Al Jenkins, I am the Claims Supervisor of the Transportation Unit for the Office of Risk Management

The most dangerous part of the workday for any employee is the time they spend in their vehicle

Every 5 seconds a crash occurs.Every 7 seconds a property damage crash occurs.Every 10 seconds there is a traffic-related injury.

Every 12 minutes in the U.S. someone dies in a traffic crash.

NHTSA [2001].