Claims Assist Norfolk Ltd
Terms of Business Agreement
Please read this Agreement carefully and ensure that it meets with your requirements:
In this Agreement Claims Assist Norfolk Ltd shall be referred to as the ‘Company’ and the person or persons making the insurance claim shall be referred to as the ‘Policyholder’ and jointly as the ‘Parties’
Claims Assist Norfolk Ltd is an independent firm of loss assessors engaged in the business of providing services to home insurance policyholders in pursuance of home insurance claims. The Company is not affiliated to any insurance provider, insurance broker, loss adjuster or any other party
1. Initial step - upon receipt of the enquiry from the Policyholder the Company will arrange for an initial consultation with the Policyholder at a time and location to be agreed
2. Preliminary information - the Company may at its discretion request access to undertake a physical inspection of any loss or damage which is the subject of the proposed insurance claim - such access not to be unreasonably withheld. The Policyholder shall provide all information reasonably and necessarily required in support of any claim and such information shall include but may not be limited to:
- Full details of the loss or damage including date, time and location
- Original insurance policy document under which the loss is being claimed
- Proof of up-to-date payment of insurance premiums
- Particulars of any Police Crime Report relative to any theft, malicious damage or other actual or suspected criminal activity
- A provisional estimate of the value of the proposed claim
3. Scope of Service - the Parties shall agree upon the services the Company shall perform but this will typically comprise:
- Evaluating the likelihood or otherwise of the claim being accepted
- Assisting the Policyholder in notifying the claim to insurers
- Obtaining insurers’ agreement to act for the Policyholder under a delegated authority (see Clause 4)
- Gathering all information required to prepare the claim and agreeing the content with the Policyholder prior to submission to insurers
- Representing the Policyholder at meetings or discussions with insurers or their appointed loss adjusters or other representatives
- Maintaining a clear and concise dialogue with the Policyholder and reporting progress at all reasonable intervals
- Requesting any interim payments from insurers as the circumstances may warrant
- Discussing and agreeing any proposed insurance settlement offer with the Policyholder prior to acceptance
- Any other relevant requirement the Parties may agree upon including but not limited to disclosure of any previous losses claimed from their insurers
4. Delegated Authority
- The Policyholder shall appoint the Company by signing a delegated authority form authorising the Company to act on the Policyholder’s behalf
5. Fees -
- The Company’s fee shall be agreed between the Parties and shall be based on …% of the claim settlement whether in full or by way of any interim payment and is payable within seven days of settlement by insurers. Late or non-payment of any invoice shall result in the matter being passed to a collection agency
- The fee shall be based on the settlement figure before the application of any policy excess or excesses
- Additional fees for attending meetings with insurers or their appointed representatives may be incurred but the Company shall obtain the Policyholder’s prior approval of such costs
- A nominal deposit of £…. will be payable by the Policyholder on the appointment of the Company. The deposit will be deducted from the Company’s invoice in the event that the settlement figure exceeds such deposit
- Should the Policyholder refuse to accept what is considered to be a fair and reasonable offer from insurers the Company’s fee shall become payable and be calculated on the agreed percentage of the proposed settlement figure
- In the event of cancellation by the Policyholder prior to settlement the Policyholder shall remain liable to the Company for the fee calculated at the agreed percentage of the amount claimed on behalf of the Policyholder
In the event that a claim is repudiated by insurers no fee shall be payable. In addition, the deposit shall be refunded to the Policyholder except to the extent that such repudiation arises from any cause listed in Clause 6.
6. Utmost Good Faith –
- It is the responsibility of the Policyholder not to make any fraudulent statements, misrepresentations (innocent or otherwise) or falsifications in the particulars of the claim. The Company accepts no liability whatsoever for any such fraudulent statements, misrepresentations (innocent or otherwise) or falsifications
7. Conflicts of Interest -
- The Company shall at all times endeavour to avoid any conflicts of interest and shall report to the Policyholder immediately upon discovery of any situation where it is the view of the Company that a conflict does or is likely to exist
8. Consequential Loss -
The Company accepts no liability for any direct or indirect loss of profits, revenue, goodwill and all pure economic loss arising out of or in connection with this Agreement
9. Jurisdiction -
- This Agreement is governed by the laws of England & Wales
Signed
Policyholder:
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Date:
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Company:
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Date:
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