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  • Claims Approval Form

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    HAbbuno
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    The claims approval form summarizes a motor vehicle accident claim involving the insured, Chakanga Mwisa Kowa. According to the form, the insured's Mercedes Benz was rear-ended by a Toyota Landcruiser driven by Sydney Chibuy while both vehicles were traveling along the Ndola-Kabwe road. The motor assessor recommends writing off the insured vehicle due to extensive damage, including to safety components. Given the rare nature of the insured's vehicle and the need to maintain good relations with the insured, the assessor proposes settling the claim based on the sum insured of ZMW 280,000, less a 10% excess and salvage value of ZMW 70,000.

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    CLAIMS APPROVAL FORM

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    The claims approval form summarizes a motor vehicle accident claim involving the insured, Chakanga Mwisa Kowa. According to the form, the insured's Mercedes Benz was rear-ended by a Toyota Landcruiser driven by Sydney Chibuy while both vehicles were traveling along the Ndola-Kabwe road. The motor assessor recommends writing off the insured vehicle due to extensive damage, including to safety components. Given the rare nature of the insured's vehicle and the need to maintain good relations with the insured, the assessor proposes settling the claim based on the sum insured of ZMW 280,000, less a 10% excess and salvage value of ZMW 70,000.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    22 views2 pages

    Claims Approval Form

    Uploaded by

    HAbbuno
    The claims approval form summarizes a motor vehicle accident claim involving the insured, Chakanga Mwisa Kowa. According to the form, the insured's Mercedes Benz was rear-ended by a Toyota Landcruiser driven by Sydney Chibuy while both vehicles were traveling along the Ndola-Kabwe road. The motor assessor recommends writing off the insured vehicle due to extensive damage, including to safety components. Given the rare nature of the insured's vehicle and the need to maintain good relations with the insured, the assessor proposes settling the claim based on the sum insured of ZMW 280,000, less a 10% excess and salvage value of ZMW 70,000.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    CLAIMS APPROVAL FORM

    INSURED : CHAKANGA MWISA KOWA


    CLAIM NO. : C/305/9/2022/0002
    DATE OF LOSS : 01.12.2021

    PERIL: Impact Damage


    POLICY: Motor Comprehensive
    PERSON DRIVER: CHAKANGA MWISA KOWA, 37 Years old, + more than 6 years experience.
    INSURED: CHAKANGA MWISA KOWA
    INSURED VEHICLE: MERCEDES BENZ C300 V6 3.0 AMG - BAT 5263
    SUM INSURED: ZMW 280,000.00
    THIRD PARTY: QIAN HUI
    THIRD PARTY VEHICLE: TOYOTA LANDCRUISER PRADO ALD 6060
    THIRD PARTY VEHICLE DRIVER: SYDNEY CHIBUYE
    THIRD PARTY INSURER: ZSIC
    PLACE: ALONG NDOLA-KABWE ROAD AT MISHIKISHI
    PERIOD 01.01.2021 - 31.1.2021
    DOCUMENTS - Claim form
    - Police report
    - Cover note
    - White book
    - Driver’s licence
    - Motor assessor’s report
    - Quotations [4]
    - Inspection pictures
    - Intention to subrogate
    - Online comparison quotes
    CIRCUMSTANCE
    Third party vehicle hit into insured vehicle from behind as both vehicles were heading in the same
    direction.

    This was due to misjudgment of clearance distance and speed of the insured vehicle by the third
    party vehicle driver.

    The said impact resulted in serious damage to the left rear end of the insured vehicle.

    The driver was charged for careless driving.

    RECOMMENDATION
    Motor Assessor – Northern Region is of the view that insured vehicle should be written off due to the
    following reasons;

     Insured does not want to keep the I/V because of some of the damages that were occasioned
    to it such as damage to electrical components of the Seat Headrests which are part of safety
    features in Mercedes Benz vehicles.

     Insured’s preferred repairer – Sprayrite could not issue a quotation citing challenges in
    obtaining the needed parts
     Southern Cross Motors quote [K 315,049.02] renders I/V a write off
     Top Gear and Auto Guard’s quotations are questionable as they left out certain items e.g.
    Head Rests
     Automagic quoted repairs to Headrest which is unacceptable as this may compromise safety
    of the vehicle even after repairs are concluded.
     Top Gear Motors indicated that certain parts would only come into Zambia about thirty days
    [Minimum] after the repair authorization order is issued.
     The above point means the Lead time IRO repairs would be open-ended
     Due to damage to the Headrests, the seatbelts are most likely affected.
     Avoid a potential back and forth after I/V is worked on.
     Insured is a key contact at Tazama Pipelines and Tazama Petroleum Products.

    An online search for replacement quotations has revealed the landing cost of this vehicle to be less
    than the declared value/sum insured by only about 7%. It should further be noted that this vehicle is
    a rare type and only found in specific markets thus the price is higher than your average Mercedes C-
    Class Benz.

    In view of the above, I recommend we ‘write off’ insured vehicle in order to maintain a good
    business relationship with the insured who happens to be the Assistant Insurance officer at Tazama.

    Subject to your approval, we may settle claim based on the Sum Insured.

    Proposed salvage value is K 70,000.00

    Computation of claim below:

    Sum Insured: ZMW 280,000.00

    Less 10% Excess: ZMW 28,000.00

    Total net Claim Amount: ZMW 252,000.00

    Prepared by:

    Checked by:

    Approved by:

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