[Adverse Carrier or Responsible Party]
Attn: [Adjuster Name or Claims Department, if a carrier]
[Street Address]
[City, State ZIP]
[Today's Date]
RE: SECOND REQUEST — Subrogation Demand
| Insured: [Insured's Name] Our Claim No.: [Client Claim Number] Date of Loss: [Date of Loss] Loss Location: [Loss Address] | Paid Damages: $[Amount Paid by Client] Deductible: $[Insured's Deductible] Total Demand: $[Paid Damages + Deductible] Your Insured: [Responsible Party, if a carrier] Your Policy No.: [Policy Number, if known] Your Claim No.: [Claim Number, if known] |
Dear [Adjuster Name or Responsible Party Name]:
On [Date of First Demand], our office sent a demand for payment of $[Total Demand] for damages from the loss on [Date of Loss] at [Loss Location]. The response date of [First Demand Response Date] has passed, and we have not received payment or a response. A copy of our first demand and its supporting documents is enclosed.
[Client Name] paid its insured, [Insured's Name], for this loss and is pursuing its right of recovery. We are again requesting payment of $[Total Demand], which includes the $[Amount Paid by Client] paid by our client and [Insured's Name]'s $[Insured's Deductible] deductible.
Please respond by [Date, 15 days out]
If you dispute this claim, need additional documents, or would like to discuss payment arrangements, please contact our office before that date. We would prefer to resolve this matter directly.
Further escalation
If we do not receive payment or a response by [Date, 15 days out], this matter may be escalated. [Client Name] may refer the claim for litigation [or to a collection agency] to recover the full amount owed. Additional costs, such as court costs and interest allowed by law, may be sought.
Payment instructions
Make payment payable to [Your Company Name] as agent for [Client Name], and include our claim number, [Client Claim Number], with your payment.
Mail to: [Your Company Address]
Enclosures
- Copy of our first demand dated [Date of First Demand]
- Proof of payment to the insured
- Estimates and invoices
- Photographs
- [Police, fire, or expert report]
- Declarations page showing the deductible
Sincerely,
[Name]
[Title]
[Company]
[Address]
[Phone] · [Email]