[Adverse Carrier or Responsible Party]
Attn: [Adjuster Name or Claims Department]
[Street Address]
[City, State ZIP]
[Today's Date]
RE: Subrogation Demand
| Insured: [Insured's Name] Our Claim No.: [Client Claim Number] Your Claim No.: [Adverse Claim Number] Date of Loss: [Date of Loss] | Your Insured: [Responsible Party] Damages: $[Amount Paid by Client] Loss Location: [Loss Address] |
Dear [Adjuster Name or Claims Department]:
[Client Name] paid its insured, [Insured's Name], for damages sustained in a loss on [Date of Loss]. [Your Company Name], as recovery agent for [Client Name], has investigated the facts, including [the enclosed police, fire, or expert report], and determined the loss was caused by the actions of your insured, [Responsible Party].
Due to the payment to [Insured's Name], [Your Company Name] is pursuing recovery on behalf of [Client Name]. The amount requested is $[Total Demand]. This is the $[Amount Paid by Client] in payments issued by [Client Name], plus [Insured's Name]'s out-of-pocket cost, the $[Insured's Deductible] deductible.
Please review the enclosed documents supporting this request. If anything is missing or a file cannot be opened, please let our office know and we will send it promptly.
Please provide your liability decision within 30 days of the date of this letter. Our office looks forward to working with you to resolve this matter.
Payment instructions
Make the settlement check payable to [Your Company Name] as agent for [Client Name], and include our claim number, [Client Claim Number], on the check.
Mail to: [Your Company Address]
Enclosures
- Proof of payment to the insured
- Estimates and invoices
- Photographs
- [Police, fire, or expert report]
- Declarations page showing the deductible
Sincerely,
[Name]
[Title]
[Company]
[Phone] · [Email]