The following is an interior claim checklist to assist you with the tracking and activities involved in the handling of your claim. This document is designed for your use in understanding the process and assists us to expedite the processing of your claim. We have included timeframes for each step of the process. By managing the entire claim process, we can stay within our 150 day commitment, excluding any delays in receiving the Work Authorization or other required information.
Interior claim process checklist:
Submit your Claim. After your Claim Eligibility Form has been received, it will be reviewed for completeness, input into the database, and a claim number assigned. (Important: any missing or incomplete information may result in a delay of the claims process.) Expect a 30-45 day processing time after your completed CEF is received at CPRC.
After the claim number has been assigned, it will be reviewed by CPRC to determine eligibility using the information from the Claims Eligibility Form, as well as any supporting documentation you have provided. This review process may take 45 to 60 days.
OR
If the claim requires visual inspection, you will be contacted by a Crawford & Company adjuster to schedule an inspection. (Important: When contacted by Crawford & Company, you should schedule your appointment for this inspection as soon as possible to prevent delay in the claim process.) This may take up to 60 days.
If it is determined that your claim is not eligible based upon your Claims Eligibility Form information, you will receive a letter explaining your denial within two weeks from the time of the determination.
If it is determined by CPRC that the claim is qualified, you will receive a Work Authorization to sign and return. This will begin the replumb process. At the time you receive the Work Authorization, you will also receive a copy of the Scope of Work for your review. (Important: Failure to return the signed work authorization will result in a delay of the claim process.) If the Work Authorization is mailed from CPRC, allow two weeks to receive the mail.
When the Work Authorization is Received by CPRC, the Contractor Selection process will begin. If the Work Authorization is not received, the Contractor Selection process is delayed. If this occurs, we will attempt to contact you and possibly mail another copy of the Work Authorization for your signature and return.
When the Contractor Selection Process is completed, you will be contacted by a plumber to schedule the replumb. (Important: You must maintain contact with the contractor regarding scheduling in order to prevent a delay in the claim process.) The Contractor Selection Process could take up to 30 days.
After the Replumb has been completed, CPRC will address any outstanding leak expenses and/or wallpaper issues. This can take two to three weeks.
The entire claim process will take 90-150 days during the notice period. Please note that this timeframe does not include delays in receiving the Work Authorization or other required information.