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The “Business Interruption: Mercantile Businesses” course instructs adjusters and insurance professionals on how to proceed through a claim for a business income loss, from the initial assessment and telephone calls, through the site inspection and fact gathering, to the loss calculation and settlement of the claim. The module is presented by Adam Eggleston, National General Adjuster at VeriClaim, Inc., and Jason Uloswceh, CPA, CVA, CFF, Partner at Matson, Driscoll & Damico LLP. The module begins with a review of the purposes of business income coverage, and reviews several aspects of typical policies, such as the methods of calculation, fixed vs. variable expenses, deductibles, and co-insurance. The presenters then review how to investigate the incident and facts through telephone calls and site inspections. Next, the course shows adjusters what information and documents to gather once the initial investigation is completed. The presenters discuss the best way to communicate relevant facts with all parties. Then, the course performs a detailed review of the calculation method, and finally walks through a detailed case study.

After completing the course, the attendee will be able to understand the differences between the major policy forms; review their policy to determine the deductibles and co-insurance provisions which may apply; ask the right questions during an initial telephone call with the insured; know what to look for and what photographs to take during the initial site inspection; request the correct documents from sophisticated insureds, unsophisticated insureds, and third parties; recognize what information should be shared with the insured, the carrier, and the experts; perform a business income loss calculation; and understand how to work with an insured to resolve a claim.

What CE Credit is available?

Note: To qualify for credit, you must submit completion (including a passed final exam if required) within five days of completing the last quiz. No partial credits will be awarded.

State:
Adjuster General CE Hours:
Adjuster Ethics CE Hours:
Attorney General CLE Hours:
State's Course ID:
NH 2.0 482056
TX (classroom equivalent) 1.0 108361
NC 2.0 207058
FL * ( Provider Number: 364169 ) 2.0 Optional 1195342
IL 2.0 546252
WY 2.0 27929
OK 2.0 1028351

* This course has been approved by the Florida Department of Financial Services for insurance continuing education credit.

Course Content

Lesson Content
  1. Introduction
  2. Roadmap
  3. Roadmap for Section I
  4. Part 1: Purpose of Business Income Coverage
    1. Definition
    2. Coverage
      1. Period of Restoration
      2. Lost Profit
      3. Ongoing Expenses
  5. Part 2: Policy Forms: Calculation Methods
    1. Policy Forms
    2. Wording of Business Interruption
    3. Gross Earnings
    4. Gross Profits
  6. Part 3: Policy Forms: Fixed & Variable Expenses
    1. Fixed vs. Variable
    2. Consider All Expenses
  7. Part 4: Deductibles
    1. List of Deductibles
    2. Waiting Period
    3. Average Daily Value
  8. Part 5: Co-Insurance
  9. Section I Conclusion
  10. Recap
Lesson Content
  1. Part 1: Initial Investigation
    1. Check Policy
    2. Communicate Information
    3. Close Conversation
  2. Part 2: Site Inspection
    1. Photographs of exterior
    2. Photographs of stock
  3. Part 3: Understanding the Business
    1. Physical Risks
    2. Hours of Operation
    3. Number of Employees and Salary Type
    4. Client Base and Multiple Locations
    5. Seasonal Trends
    6. Conclusion to Field Investigation
  4. Part 4: Engaging an Accountant
    1. Accountant’s First Steps
    2. Learning What Drives Sales
    3. Developing Expectations on Loss
  5. Part 5: Accountant’s Investigation
    1. What We Want to Understand
    2. General Considerations
    3. Wholesale Considerations
    4. Long-Term Retail Considerations
    5. Short-Term Retail Considerations
    6. Conclusion to Accountant’s Investigation
  6. Part 6: Sample Investigation
    1. Facts of Sample Investigation
    2. Investigation
  7. Conclusion to Section II
  8. Recap
Lesson Content
  1. Part 1: Initial Research
    1. Pre-Interview Research
    2. Establish Comfort
  2. Part 2: Understanding the History
    1. Recent Growths
    2. Seasonality
    3. Major Changes
    4. Contractual Requirements
    5. Type of Business
    6. Conclusion to Understanding the History
  3. Part 3: Example Claim with a Plumbing Supply Insured
    1. Facts of Example
    2. Site Visit
  4. Part 4: Requesting Documents from Unsophisticated
    Insureds

    1. Potential Challenges
    2. Handling an Unsophisticated Insured
    3. Documents to Collect
      1. Sales Information
      2. Spreadsheets
      3. Bank Statements
      4. Tax Returns
  5. Part 5: Requesting Documents from Sophisticated
    Insureds

    1. Documents to Collect
      1. Income Statement
      2. Balance Sheet
      3. Budget and Forecast
      4. Payroll
      5. Conclusion to Document Collection
  6. Recap
Lesson Content
  1. Part 1: Calculating Exposure with Limited Information
    1. Determining a Reserve Early
    2. Delay of Information
    3. Determining Estimated Revenue
    4. Determining Estimated Cost of Sales
    5. Second Location
    6. Determining Payroll
    7. Determining Commissions, Packaging, and Discounts
    8. Determining Credit Card Fees
  2. Part 2: Preliminary Reporting
    1. Accountant’s Report
    2. Provide Report to Adjuster
  3. Part 3: Independent Adjuster’s Report
    1. Ensure Accuracy
    2. Customer Service
    3. Summarize Reports
    4. Provide Specific Facts
    5. Drivers of Deviation from Projection
  4. Part 4: Updating Interested Parties
    1. Update Request Log
    2. Ensure Experts Communicate As Needed
    3. Provide Perspective on Loss
    4. Adjuster’s Unique Position
  5. Recap
Lesson Content
  1. Part 1: Initial Calculations
    1. Preparing for Calculations
    2. Calculations
    3. Send Report to Insured
  2. Part 2: Pitfalls to Avoid
    1. Net Profit vs. Lost Revenue
    2. Partial Operation
  3. Part 3: Reconciliation
    1. Examining Sales Trends
    2. Reconciliation
      1. Difference in Sales Volume
      2. Period of Time and Margin
      3. Prioritizing
  4. Part 4: Completing the Claim
    1. Review Accountant’s Records
    2. Independent Adjuster’s Report to Carrier
    3. Final Meeting with Insured
    4. Stay Within Authority
    5. Settlement Process
  5. Recap
Lesson Content
  1. Part 1: Initial Call and Policy Review
    1. Initial Fact Gathering
    2. Examine Policy
  2. Part 2: Fact Gathering and Initial Calculations
    1. Examining Facts
    2. Information Desired
    3. Analysis of Revenue
    4. Calculation Starting Point
  3. Part 3: Calculating Expenses
    1. Examine Cost of Goods
    2. Calculate Non-Continuing Expense Percent
    3. Payroll
    4. Other Expenses
    5. Rent
  4. Part 4: Completing the Calculation and Finalizing the
    Claim

    1. Calculating Business Income Loss
    2. Worksheet
    3. Statement of Loss
    4. Closing File and Payment
  5. Conclusion
    1. Review of Six Sections
    2. Conclusion
  6. Recap

Submit within 5 days to get CE Credit or Certificate of Completion.