NATIONAL INSURANCE CRIME BUREAU - Laserfiche WebLink

28 Q: How far back in the database does the system search when a claim is received? A: For casualty claims other than workers’ compensation, the system searches the database for claims received within a five-year period. Because of lifetime workers’ compensation claims, searches on workers’ comp claims are extended to the entire database (back to claims received in 1992) for companies reporting in Universal Format. Auto theft and physical damage claims initiate searches of the entire database to identify all applicable VINs. All other claims are searched for matches of claims received by ISO ClaimSearch within five years. Q: How does Claims Inquiry differ from claims reporting in regard to searches and access? A: Claims Inquiry is a core service for property/casualty insurers and an optional (fee-based) service for noninsurers based on the ISO ClaimSearch segments in which the Participating Organization participates: casualty, property, or auto (vehicle). Claims Inquiry allows Authorized Users whose function involves the investigation of questionable claims to initiate customized searches of the database to investigate parties, service providers, and other entities that may be involved in the claim. A valid claim number is required to access Claims Inquiry. Claims Inquiry allows searches on specific data elements, such as names, VINs, SSNs, or other identifiers, throughout the entire database. Q: What effect will the new document have with regard to access by law enforcement, state fraud bureaus, and state fire marshals? A: None. As under the prior policy, Participating Organizations shall decide whether to allow access by law enforcement, state fraud bureau personnel, and state fire marshals. The default process is to allow access to the data by qualified law enforcement agencies, state fraud bureaus, and fire marshals. However, if Participating Organizations wish to limit access, they are free to do so. Participating Organizations are able to specify access of state fraud bureaus and state fire marshals by state. Q: What changes have been made to audit procedures? A: The audit procedures were updated to reflect current auditing practices. Should a Participating Organization elect not to cooperate with an audit, ISO ClaimSearch reserves the right to terminate access. Q: When do these policies take effect? A: The policies take effect immediately. We ask Participating Organizations for their compliance in fol- lowing the ISO ClaimSearch Privacy and Security Policies and to complete and promptly return the Agreement and Acknowledgment of Receipt Form to ISO. Docusign Envelope ID: 329281D2-142C-8B83-837A-7CD218C257C4