Dear Law Offices Of G[redacted]:We are writing this letter on behalf of Alliance United Insurance Company to acknowledge receipt of the above referenced loss and to advise you that the handling of this claim is being conducted under a Reservation of Rights. Based on what we have learned to date and our review of policy number MNS####904, we have determined that you may not have coverage for the claim. We are not denying the claim at this time but may deny the claim depending upon the outcome of our coverage investigation.We intend to investigate the facts and circumstances in connection with this claim. This is what we understand about your claim so far:Pending to investigate coverage for our reported driver and vehicle.Nothing in this letter should be deemed a waiver of the terms or conditions of the policy. Alliance United Insurance Company reserves the right to rely upon any term or condition of the policy or any other basis that may be found to limit or preclude coverage, including those that are now known and those that may become known.As we proceed forward, please feel free to contact us with any questions you may have. Also, it would be both helpful and important if you let us know as soon as possible if you believe we do not correctly understand all relevant facts or if you have other information that may help us reach closure on this coverage determination. We will, of course, also notify you once our coverage determination is final.Sincerely,J[redacted] de Alba Claims Team
We apologize for any issues you have had regarding communication with your adjuster. We have located your claim and have escalated your complaint to claims management. They will review your file and contact you as soon as possible.
We regret that you have experienced difficulty in reaching our assigned adjuster William Laing. We have asked him to call you this morning to resolve your outstanding claim.
Complaint: 11773466
I am rejecting this response because:The coverage investigation has been said about 2 months ago and until now there is no result. The documents of coverage is in their file, how come there is no progress.This company is not really working on my claim. Until when will I wait to settle this. They don't even call me for status update . What shall I do. Ronnie Dixon told me lastMonday that he will send me an email on Tuesday that I need to reply but until now , Thursday he never did.
Regards,
L[redacted]
Complaint: 10974083
I am rejecting this response because: This is the first attempt from this company to attempt to return my contacts to them. Until this matter is...
actually settled I wish to hold this claim in an unresolved status. It is quite precarious that for months I have been trying to contact this company to get results, but miraculously once I file a claim with the Revdex.com, they contact me back immediately?
This is in regards to AU Claim# 26**99A claim was filed with AU on July 10, 2015 when an insured customer of this company was involved in an accident with one of our company vehicles. We have been in contact several times with this company about compensating us for the damages to our vehicle. It has now been six months since the accident occurred and we still have not heard back from this company regarding payment for the damages. We were originally contacted by this company in August of 2015 stating that they were in process of collecting information from all parties involved. We attempted to contact this company later in the month and after leaving several messages for their "assigned representative", we finally contacted a supervisor by the name of E[redacted] who assured us that they were actively working to resolve this claim. We followed up again in September, then again in October, again trying to contact their assigned representative, N[redacted], again with no reply after several messages left. Once again we were able to get into contact with Supervisor E[redacted] in early October, who once again stated that they had no results and that they were working on the case. She stated that she would follow up with Norma to find out why this has not been resolved. That was on October 16, 2015. We have patiently awaited a response from this company, to no avail. We have attempted several since then to contact this company. leaving several messages for both N[redacted] and E[redacted], to which there has been no reply. There was over $10,000.00 in damages to our company vehicle to which this company is not taking responsibility for resolving. According to the police report filed at the time of the accident, all responsibility is on the insured party, as it was determined that she was the "at fault" party and our Company, along with two other parties were the victims of the accident. Please contact my Business Manager / CFO, T[redacted], at ###-###-#### to discuss resolution to this matter between the hours of 9am and 5pm PST.
Regards,
A[redacted]
Kindly provide your claim number so we may respond accordingly. Thank you, Michael R[redacted] Alliance United Insurance Company Senior D.O.I. Compliance Auditor
your claim number G2[redacted]24. We regret any difficulty you may have experienced trying to reach our adjuster. Our best practice is to pick up our telephones each time they ring. Although this is not always possible, it is our goal. Our insured’s automobile insurance policy allows us to make payment to another party when we believe our insured was legally liable for those damages. In this case, we have been unable to confirm the facts of the loss with our insured. We do not know that our insured was liable for your damages. We are unable to provide coverage under our insured’s policy unless there has been full compliance with all terms of our insured’s policy, including our insured’s cooperation with our investigation. Because for this loss there was not full compliance (our insured’s cooperation) with all terms of this policy, no coverage can be extended for the above referenced loss, at this time. We will work diligently to resolve our investigation. Thank you for your patience.
Complaint: 11488632
I am rejecting this response because: Obviously the policy number was attached if the claim did not come up in your system. We go back to the original question how come your policy cancellation shows a prorated status which means the policy was cancelled and the driver got pro-rated money back. In addition tot he two conflicting phone calls we got where one of you said the car was stolen and the driver was in Las Vegas while the other person reported a non-payment even though the policy was just renewed 3 weeks prior to the accident. I am hoping the insurance commissioner will be able to get more facts on this as opposed of the run-around I am getting from you myself.
Regards,
[redacted]
To date we are still waiting on your shop to provide us with their tax information so we can issue payment. Your shop was advised of this on 10/24/16 and again twice on 10/27/16. To date we still have not received the requested and required info that we need from them.
The Company regrets any difficulty you may have experienced trying to reach our adjuster. N[redacted] can be reached at ###-###-#### or [redacted]@allianceunited.comher supervisor Abigail Sanchez can be reached at ###-###-#### and Nicole Bernard can be reached at ###-###-####. Our insured had a...
valid policy in force on the date of the loss and liability is not disputed. The loss related Property Damage total may exceed our insured’s Property Damage limit. As such, the Company is currently collecting and confirming all Property Damage estimates as directly related to the above referenced loss. Once all of the loss related Property Damages can be confirmed the Company will know if the total of all Property Damage exceeds our insured’s Property Damage policy limit. If the total loss related Property Damages exceed our insured’s Property Damage limit the Company will extend apportioned, or pro rata, offers to settle each party’s damages. If each party agrees to the settlement offers the Company will mail out Property Damage releases to each party. Once each of Property Damage releases are signed and returned to us the Company will be able to process Property Damage payments in the agreed amounts to each party.
When you completed the new business auto application with your broker you signed an authorization form to pay by Electronic Funds Transfer. This form states the following:I understand that this authorization allows Alliance United to adjust the monthly deductions to reflect any changes and...
policy renewals, and will automatically continue to debit all amounts due, as they become due, with no additional notice required.Please advise if you would like a copy of this form mailed to you.
Revdex.com:
It is apparent that there will be no outcome in dealing with Alliance as it is impossible to contact them to provide any new information.As easy as this case is, they fail to properly handle a small accident. They're participating in bad faith, as many have experienced. Their "statement of facts" are not facts. Their message to me contains evidence of "flip-flopping",outliers and false information that I can easily rebute. I may have to take the next step to handle this.
Regards,
B[redacted]
Alliance United Insurance Company is currently handling this claim under a full reservation of our rights. This means that there currently exists a question as to whether or not coverage exists for this accident. Please be advised that our investigation, handling, defense, or settlement...
of this claim does not constitute an admission of coverage under our insured’s insurance policy. Since the possibility exists that there may not be coverage to pay for your damages, you may wish to consider proceeding through your own insurance company to repair your vehicle. Additionally, please keep in mind that you have a duty to mitigate your damages. Should coverage be found to be in order, you may not be compensated for expenses that could have been avoided through the use of reasonable measures. Alliance United Insurance Company will investigate this claim subject to this reservation of rights.
We apologize for the lack of communication and have forwarded your complaint to claims management. Claims management will review your complaint and be in contact with you as soon as possible.
Hi K[redacted],
My name is M[redacted]e, I am in the Company's compliance department.
Please provide me with your alternate number.
I will be sure to provide it to Gregory's manager.
Our claim file reveals Gregory has called you two days in a row at ###-###-####.
He wrote that he was unable to leave a message as your voicemail box was full.
I can pull the calls from our system with your alternate number.
Complaint: 10971028
I am rejecting this response because: I did receive a call from Mr L[redacted] but he offered NO RESOLUTION, he reiterated that Alliance will only pay $245 of the $517 of the car rental invoice, obviously this is not acceptable. I was rear ended by their client and just want what is owed me which is the balance. I'm not sure why Mr L[redacted] called, he started the call by saying 'you requested a call', no I did not request just a call I requested resolution to my issue, I requested a total refund for my out of pocket expenses due to your clients negligence. I asked Mr L[redacted] if he called to tell me anything new and he said NO, I told him to have his supervisor call me and I hung up.
Regards,
M[redacted]
Dear Law Offices Of G[redacted]:We are writing this letter on behalf of Alliance United Insurance Company to acknowledge receipt of the above referenced loss and to advise you that the handling of this claim is being conducted under a Reservation of Rights. Based on what we have learned to date and our review of policy number MNS####904, we have determined that you may not have coverage for the claim. We are not denying the claim at this time but may deny the claim depending upon the outcome of our coverage investigation.We intend to investigate the facts and circumstances in connection with this claim. This is what we understand about your claim so far:Pending to investigate coverage for our reported driver and vehicle.Nothing in this letter should be deemed a waiver of the terms or conditions of the policy. Alliance United Insurance Company reserves the right to rely upon any term or condition of the policy or any other basis that may be found to limit or preclude coverage, including those that are now known and those that may become known.As we proceed forward, please feel free to contact us with any questions you may have. Also, it would be both helpful and important if you let us know as soon as possible if you believe we do not correctly understand all relevant facts or if you have other information that may help us reach closure on this coverage determination. We will, of course, also notify you once our coverage determination is final.Sincerely,J[redacted] de Alba Claims Team
The Company has requested the handling adjuster contact you today.
We apologize for any issues you have had regarding communication with your adjuster. We have located your claim and have escalated your complaint to claims management. They will review your file and contact you as soon as possible.
We regret that you have experienced difficulty in reaching our assigned adjuster William Laing. We have asked him to call you this morning to resolve your outstanding claim.
Complaint: 11773466
I am rejecting this response because:The coverage investigation has been said about 2 months ago and until now there is no result. The documents of coverage is in their file, how come there is no progress.This company is not really working on my claim. Until when will I wait to settle this. They don't even call me for status update . What shall I do. Ronnie Dixon told me lastMonday that he will send me an email on Tuesday that I need to reply but until now , Thursday he never did.
Regards,
L[redacted]
Complaint: 10974083
I am rejecting this response because: This is the first attempt from this company to attempt to return my contacts to them. Until this matter is...
actually settled I wish to hold this claim in an unresolved status. It is quite precarious that for months I have been trying to contact this company to get results, but miraculously once I file a claim with the Revdex.com, they contact me back immediately?
This is in regards to AU Claim# 26**99A claim was filed with AU on July 10, 2015 when an insured customer of this company was involved in an accident with one of our company vehicles. We have been in contact several times with this company about compensating us for the damages to our vehicle. It has now been six months since the accident occurred and we still have not heard back from this company regarding payment for the damages. We were originally contacted by this company in August of 2015 stating that they were in process of collecting information from all parties involved. We attempted to contact this company later in the month and after leaving several messages for their "assigned representative", we finally contacted a supervisor by the name of E[redacted] who assured us that they were actively working to resolve this claim. We followed up again in September, then again in October, again trying to contact their assigned representative, N[redacted], again with no reply after several messages left. Once again we were able to get into contact with Supervisor E[redacted] in early October, who once again stated that they had no results and that they were working on the case. She stated that she would follow up with Norma to find out why this has not been resolved. That was on October 16, 2015. We have patiently awaited a response from this company, to no avail. We have attempted several since then to contact this company. leaving several messages for both N[redacted] and E[redacted], to which there has been no reply. There was over $10,000.00 in damages to our company vehicle to which this company is not taking responsibility for resolving. According to the police report filed at the time of the accident, all responsibility is on the insured party, as it was determined that she was the "at fault" party and our Company, along with two other parties were the victims of the accident. Please contact my Business Manager / CFO, T[redacted], at ###-###-#### to discuss resolution to this matter between the hours of 9am and 5pm PST.
Regards,
A[redacted]
Kindly provide your claim number so we may respond accordingly. Thank you, Michael R[redacted] Alliance United Insurance Company Senior D.O.I. Compliance Auditor
Thank you for providing...
your claim number G2[redacted]24. We regret any difficulty you may have experienced trying to reach our adjuster. Our best practice is to pick up our telephones each time they ring. Although this is not always possible, it is our goal. Our insured’s automobile insurance policy allows us to make payment to another party when we believe our insured was legally liable for those damages. In this case, we have been unable to confirm the facts of the loss with our insured. We do not know that our insured was liable for your damages. We are unable to provide coverage under our insured’s policy unless there has been full compliance with all terms of our insured’s policy, including our insured’s cooperation with our investigation. Because for this loss there was not full compliance (our insured’s cooperation) with all terms of this policy, no coverage can be extended for the above referenced loss, at this time. We will work diligently to resolve our investigation. Thank you for your patience.
Kindly provide the claim number so we may respond.
We have asked our handling adjuster M[redacted] to call you today.
Claim: D00####CA16
Adjuster: M[redacted] ###-###-####, [redacted]@allianceunited.com
Supervisor: James Alandy ###-###-####
Complaint: 11488632
I am rejecting this response because: Obviously the policy number was attached if the claim did not come up in your system. We go back to the original question how come your policy cancellation shows a prorated status which means the policy was cancelled and the driver got pro-rated money back. In addition tot he two conflicting phone calls we got where one of you said the car was stolen and the driver was in Las Vegas while the other person reported a non-payment even though the policy was just renewed 3 weeks prior to the accident. I am hoping the insurance commissioner will be able to get more facts on this as opposed of the run-around I am getting from you myself.
Regards,
[redacted]
To date we are still waiting on your shop to provide us with their tax information so we can issue payment. Your shop was advised of this on 10/24/16 and again twice on 10/27/16. To date we still have not received the requested and required info that we need from them.
The Company regrets any difficulty you may have experienced trying to reach our adjuster. N[redacted] can be reached at ###-###-#### or [redacted]@allianceunited.comher supervisor Abigail Sanchez can be reached at ###-###-#### and Nicole Bernard can be reached at ###-###-####. Our insured had a...
valid policy in force on the date of the loss and liability is not disputed. The loss related Property Damage total may exceed our insured’s Property Damage limit. As such, the Company is currently collecting and confirming all Property Damage estimates as directly related to the above referenced loss. Once all of the loss related Property Damages can be confirmed the Company will know if the total of all Property Damage exceeds our insured’s Property Damage policy limit. If the total loss related Property Damages exceed our insured’s Property Damage limit the Company will extend apportioned, or pro rata, offers to settle each party’s damages. If each party agrees to the settlement offers the Company will mail out Property Damage releases to each party. Once each of Property Damage releases are signed and returned to us the Company will be able to process Property Damage payments in the agreed amounts to each party.
When you completed the new business auto application with your broker you signed an authorization form to pay by Electronic Funds Transfer. This form states the following:I understand that this authorization allows Alliance United to adjust the monthly deductions to reflect any changes and...
policy renewals, and will automatically continue to debit all amounts due, as they become due, with no additional notice required.Please advise if you would like a copy of this form mailed to you.
Revdex.com:
It is apparent that there will be no outcome in dealing with Alliance as it is impossible to contact them to provide any new information.As easy as this case is, they fail to properly handle a small accident. They're participating in bad faith, as many have experienced. Their "statement of facts" are not facts. Their message to me contains evidence of "flip-flopping",outliers and false information that I can easily rebute. I may have to take the next step to handle this.
Regards,
B[redacted]
Alliance United Insurance Company is currently handling this claim under a full reservation of our rights. This means that there currently exists a question as to whether or not coverage exists for this accident. Please be advised that our investigation, handling, defense, or settlement...
of this claim does not constitute an admission of coverage under our insured’s insurance policy. Since the possibility exists that there may not be coverage to pay for your damages, you may wish to consider proceeding through your own insurance company to repair your vehicle. Additionally, please keep in mind that you have a duty to mitigate your damages. Should coverage be found to be in order, you may not be compensated for expenses that could have been avoided through the use of reasonable measures. Alliance United Insurance Company will investigate this claim subject to this reservation of rights.
We apologize for the lack of communication and have forwarded your complaint to claims management. Claims management will review your complaint and be in contact with you as soon as possible.
Hi K[redacted],
My name is M[redacted]e, I am in the Company's compliance department.
Please provide me with your alternate number.
I will be sure to provide it to Gregory's manager.
Our claim file reveals Gregory has called you two days in a row at ###-###-####.
He wrote that he was unable to leave a message as your voicemail box was full.
I can pull the calls from our system with your alternate number.
Complaint: 10971028
I am rejecting this response because: I did receive a call from Mr L[redacted] but he offered NO RESOLUTION, he reiterated that Alliance will only pay $245 of the $517 of the car rental invoice, obviously this is not acceptable. I was rear ended by their client and just want what is owed me which is the balance. I'm not sure why Mr L[redacted] called, he started the call by saying 'you requested a call', no I did not request just a call I requested resolution to my issue, I requested a total refund for my out of pocket expenses due to your clients negligence. I asked Mr L[redacted] if he called to tell me anything new and he said NO, I told him to have his supervisor call me and I hung up.
Regards,
M[redacted]
Kindly provide your inquiry with your claim number so we may respond accordingly.