Casualty & General Liability
Third-party liability coverage including bodily injury, property damage, personal and advertising injury, and professional liability claims.
Playbook Overview
- Category
- property casualty
- Common Letter Types
- acknowledgment, reservation of rights, coverage investigation, partial denial, full denial, payment, settlement, subrogation, status, closing
- High Complexity Jurisdictions
- california, texas, new-york
Casualty & General Liability
Casualty insurance, often referred to as liability insurance, protects the insured against legal liability for damages caused to third parties. Unlike property insurance (first-party), casualty claims involve a third-party claimant and often require complex evaluations of negligence, duty, and damages.
Key Correspondence Patterns
Third-Party Bodily Injury (BI)
- Liability Determination — Letters communicating the carrier's position on fault.
- Limit Exhaustion / Stowers — Critical notices when damages likely exceed policy limits.
- Settlement Offers — Formal transmittals of settlement authority and releases.
General Liability (GL)
- Additional Insured (AI) Tenders — Correspondence regarding defense and indemnity
- Coverage Defenses — Reservations and denials based on exclusions like "Intentional Acts"
Professional Liability (PL)
- Errors and Omissions (E&O) — Professional liability claims.
- Medical Malpractice — Specialized casualty claims.
Umbrella/Excess
- Coordination with Primary Carriers — High-limit coverage oversight.
Essential Components
- 5-Part Explainability Structure for adverse decisions.
- Mustache Variables for automated data insertion.
- Regulatory Notices for jurisdiction-specific compliance.
Applicable Letter Templates
Liability Determination — Comparative Negligence
liability damages evaluationpartial denialCoverage Denial — Intentional Act Exclusion
denial limitation closurefull denialBodily Injury Limit Exhaustion / Stowers Notice
coverage investigationreservation of rightsAcknowledgment Letter — Universal Base
fnol intakeacknowledgmentCoverage Confirmation — Universal Base
coverage investigationstatusFull Denial — Universal Base
denial limitation closurefull denialPartial Denial — Universal Base
denial limitation closurepartial denialPayment Explanation — Universal Base
payment settlementpaymentRequest for Information (RFI) — Universal Base
coverage investigationcoverage investigationReservation of Rights (ROR) — Universal Base
coverage investigationreservation of rights