The Creation of a Scope, Statement, and Proof of Loss

This course explains that the scope of loss, statement of loss and proof of loss are essential to the investigation and settlement of a first-party property claim. These are the documents that are essential to every claims investigation. The claim starts with the agreed scope of loss and ends with the adjuster’s preparation of the statement of loss, which allows him or her to agree with the insured as to the amount to be stated on the proof of loss.

The course covers the following:

1. How a claim is adjusted.
2. The obligations of the insured to the insurer to agree on a scope of loss.
3. The obligation of the adjuster to take the scope of loss and value all of the damage.
4. The obligation of the insurer to review and analyze relevant documents.
5. The need for the adjuster to prepare a statement of loss to summarize the findings about coverage and the extent of loss.
6. The use of the statement of loss to reach agreement with the insured as to the amount of loss and claim.
7. That after agreement is reached a sworn proof of loss is prepared for the signature of the insure after which payment follows.