sch.4-sec.3Claims procedures generally

sch.4-sec.3 Claims procedures generally

An insurer must deal as quickly as possible with claims. An insurer must ensure that its procedures for dealing with claims are efficient and cost-effective. An insurer must— have an office in the State for dealing with claims with a staff who are competent and authorised to deal with claims on the insurer’s behalf; and process all claims in the State, other than claims arising out of motor vehicle accidents happening outside the State or in which a person who is not resident in the State is injured; and keep a record of— each notice of claim the insurer receives under section 37 of the Act and the date when the insurer received it; and each waiver or order affecting a claim under section 39 of the Act , the terms of the waiver or order, and the date when it was given or made; and each offer or counteroffer of settlement made by or on behalf of a claimant, the terms of the offer or counteroffer, and the date when the insurer received it; and keep all other records necessary to enable the commission to monitor the insurer’s compliance with obligations under part 4 of the Act . sch 4 s 3 amd 2019 No. 36 s 32 sch 1 (sch.4-sec.3-ssec.1) An insurer must deal as quickly as possible with claims. (sch.4-sec.3-ssec.2) An insurer must ensure that its procedures for dealing with claims are efficient and cost-effective. (sch.4-sec.3-ssec.3) An insurer must— have an office in the State for dealing with claims with a staff who are competent and authorised to deal with claims on the insurer’s behalf; and process all claims in the State, other than claims arising out of motor vehicle accidents happening outside the State or in which a person who is not resident in the State is injured; and keep a record of— each notice of claim the insurer receives under section 37 of the Act and the date when the insurer received it; and each waiver or order affecting a claim under section 39 of the Act , the terms of the waiver or order, and the date when it was given or made; and each offer or counteroffer of settlement made by or on behalf of a claimant, the terms of the offer or counteroffer, and the date when the insurer received it; and keep all other records necessary to enable the commission to monitor the insurer’s compliance with obligations under part 4 of the Act .

• (a) have an office in the State for dealing with claims with a staff who are competent and authorised to deal with claims on the insurer’s behalf; and
• (b) process all claims in the State, other than claims arising out of motor vehicle accidents happening outside the State or in which a person who is not resident in the State is injured; and
• (c) keep a record of— (i) each notice of claim the insurer receives under section 37 of the Act and the date when the insurer received it; and (ii) each waiver or order affecting a claim under section 39 of the Act , the terms of the waiver or order, and the date when it was given or made; and (iii) each offer or counteroffer of settlement made by or on behalf of a claimant, the terms of the offer or counteroffer, and the date when the insurer received it; and