Overlapping Claims Policy
Use the following policy when creating an estimate for a vehicle with overlapping claims. See the Overlapping Claims estimating standard for additional information and for procedures for removing overlapping repair labour on subsequent claims.
- For the scenarios below involving Paintless Dent Repair (PDR) claims, refer to the Paintless Dent Repair (PDR) - Hail estimating standard for more information on eligibility, rates, and allowances.
When removing or changing paint time on an estimate, review and adjust clear coat amounts according to the paint time changes. Refer to the Clear Coat estimating standard for allowances.
When adjusting any labour, the subsequent claim must be reviewed by the estimator or repair shop to ensure that all overlaps have been accounted for and have been removed. Any overlapping labour that is removed must be reported in the journal notes of the estimate.
A specific My Template item, based on labour type (Body, Refinish, Frame, Mechanical, PDR) must be entered for each different overlapping labour description type.
# | Original Claim (earliest date of loss) | Subsequent Claim (most recent date of loss) |
Action/Details |
1 | Collision – Repair/Replace | Collision – Damage is not overlapping | Create an estimate for the new damage only. Do not include any repairs/parts from the previous claim(s) on the new estimate. |
2 | Collision – Repair/Replace | Collision – Damage is overlapping | On the subsequent claim, add the applicable My Template item after the first overlapping part line and enter a total negative amount for all overlapping labour (of the same type). |
3 | Collision - Repair | Collision - Replace | On the subsequent claim, add the applicable My Template item after the first overlapping part line and enter a total negative amount for all overlapping labour (of the same type). |
4 | Collision - Replace | Collision - Repair | Any additional damage to a panel that is being replaced on a previous claim will be handled on that claim. On the subsequent claim, add a repair line from CEG for each overlapping part with a labour operation type of Access/Inspect and zero labour. Add an explanation line for each overlapping part and indicate are being replaced on the previous claim and include the claim number. |
5 | Collision - Repair | Hail - PDR | The estimator will determine the most cost effective repair option for collision damaged panels with overlapping hail damage. Either additional conventional repair allowance or the appropriate PDR calculator range value will be selected. |
6 | Collision - Repair | Hail – Not eligible for PDR (conventional repairs) | See #2 above. |
7 | Collision - Replace | Hail - PDR | See #4 above. |
8 | Collision - Replace | Hail – Not eligible for PDR (conventional repairs) | See #4 above. |
9 | Hail – PDR | Collision - Replace | On the subsequent claim, add the applicable My Template item after the first overlapping part line and enter a total negative amount for the PDR cost for any panel(s) that will now be replaced.
Add an explanation line listing the original claim number and indicate this is an overlap. Create an explanation line for each additional overlapping part and indicate that this is an overlap.
|
10 | Hail – Not eligible for PDR (conventional repairs) | Collision - Replace | See #3 above. |
11 | Hail – PDR | Collision - Repair | On the subsequent claim, add a the applicable My Template item after the first overlapping part line and enter a total negative amount for the PDR cost for any panel(s) that will now be repaired.
Add an explanation line listing the original claim number and indicate this is an overlap. Create an explanation line for each additional overlapping part and indicate that this is an overlap. |
12 | Hail – Not eligible for PDR (conventional repairs) | Collision - Repair | See #2 above. |
13 | Hail - PDR | Additional Hail - PDR |
If there are two hail claims on the same vehicle, where the combined cost of PDR for both claims does not exceed the cost of conventional repairs on one or more panels:
An additional panel access allowance only applies if there are new hail damaged panels on the subsequent claim, and the total number of panels is over the original claim’s panel access allowance threshold (see Paintless Dent Repair (PDR) – Hail). |
14 | Hail - PDR | Hail – Not eligible for PDR (conventional repairs) | If additional hail damage to a vehicle causes one or more panels to require conventional repairs, then estimate using conventional repair process for the affected panel(s). |
15 | Non-Hail PDR | Any of the above | Follow the same guidelines as Hail – PDR, with exception of the panel access allowance (does not apply). |
Related Links