In what circumstances 2nd surveyor can be deputed & who
is authorize to depute 2nd surveyor for re-assessment.
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Regards
S.vashisht
9814024844
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I am reproducing below the article regarding 2nd Surveyor I had written in Insurance Times
many years ago
It may shed light to your question
Appointment of a Second Surveyor - a view point by Sumant Sud
The Power to appointment of a Surveyor stems from Section 64UM(2) of the Insurance Act, 1938 as amended by The Insurance (Amendment) Act, 2002. The relevant portion of Section 64UM(2) is reproduced as under:
PROVIDED that nothing in this sub-section shall be deemed to take away or abridge the right of the insurer to pay or settle any claim at any amount different from the amount assessed by the approved surveyor or loss assessor." |
The "Authority", (IRDA), also has the power to appoint an independent another surveyor as per Section 64UM(3) that reads as under:
|
"The 'Authority' may, at any time, in respect of any claim of the nature referred to in sub-section (2), call for an independent report from any other approved surveyor or loss assessor specified by him and such surveyor or loss assessor shall furnish such report to the Authority within such time as may be specified by the Authority or if no time limit has been specified by him within a reasonable time and the cost of, or incidental to such report shall be borne by the insurer." |
Looking to the above, I opine that the Clause reading that `nothing in this sub-section shall be deemed to take away or abridge the right of the insurer to pay or settle any claim at any amount different from the amount assessed by the approved surveyor or loss assessor' allows the Insurer to obtain an opinion of another surveyor or an expert in case they have any specific doubt or reservation or notice any discrepancy about the assessment of the Claim by the First surveyor. The aspects which must be taken care of are:
1) That the reason for referring the matter to another Surveyor for opinion must be recorded in details before the appointment.
Contd..P/2
Page 2
2) The report of next Surveyor, who was requested for his opinion, must be built upon the first report and take it to a higher height of true indemnity duly supported by fact figures and reasons without in any way being an exercise in futile opinions. Therefore the next surveyor must clearly state in his report the concrete evidence, data &/or reasons for differing from the first surveyor.
On the other hand, due to the clause 64UM(3) in the Act, the IRDA has an independent option to appoint a second approved surveyor & loss assessor. This clause gives the IRDA the right to intervene in case it so desires for any reason thereof. And the IRDA at its option can force the Insurers to abide by the assessment of the Surveyor and loss Assessor appointed by them.
The National Consumer Disputes Redressal Commission, New Delhi (herein-after referred to as NCDRC) has given a Judgement concerning the appointment of Second surveyor which was reported widely in the National press. This Judgement has direct bearing on the question of appointment of second surveyor. The same is discussed as under.
Judgement delivered by National Consumer disputes Redressal Commission, New Delhi
The NCDRC under the Presidentship of Hon'ble Mr. Justice D.P. Wadhwa in a Judgement of 8th February, 2002 in a Revision Petition No. 488 of 1998 -Case titled as `National Insurance Company Limited versus New Patiala Trading Company'- has pronounced as under by upholding the judgement of the State Commission:
"Scheme of Section 64UM, particularly of sub-section (3) and (4) would show that insurer cannot appoint second surveyor just a matter of course. If the report of the surveyor or loss assessor is not acceptable to the insurer it must specify reasons but it is not free to appoint second surveyor. Appointment by the insurer of a second surveyor itself would be a reflection on the conduct of the first surveyor. Surveyor or loss assessor is duty bound to give a correct report. If the insurer-Insurance Co. finds that surveyor or loss assessor has not considered certain relevant points or has considered irrelevant points or for any other account it has reservation about the report, it can certainly require the surveyor or loss assessor to give his views and then come to its own conclusion, but insurer cannot certainly appoint a second surveyor-cum-loss assessor to counter or even contradict or rebut the report of the first surveyor.
It is a statute which prescribes licensed surveyor or loss assessor who is to be appointed to assess the loss where it is equal to or more than Rs. 20,000/-. Prima-facie, therefore, credence will have to be given to the report of such approved surveyor or loss assessor. There is nothing on record in the present case to show that report submitted by the first surveyor Shekhar & Co., was in any way faulty. In our view, therefore, State Commission was right in acting upon the report of the first surveyor and allowing the complaint of the respondent-complainant.
We, therefore, do no find any merit in this appeal and we dismiss it with cost which we assess at Rs. 2,000."
The following is observed from the above Judgement of Hon'ble Mr. Justice D.P. Wadhwa, President of NCDRC that:
Contd..P/3
Page 3
a) That the Forum has categorically rejected the appointment of the second surveyor by the insurer in just a matter of course.
b) That the insurer cannot certainly appoint a second surveyor cum loss assessor to counter, or contradict or rebut the report of the first Surveyor.
c) That in the last lines of the Judgement, the Hon'ble Forum has specifically recorded that in the particular case there is nothing in record to show that the report of the first surveyor was in any way faulty.
From the above, in my opinion, it is clear that the judgement passed by the Judge is an Orbiter dictum and not a Ratio Decidendi as the last paragraph of the judgement clearly states that in the above particular case there was nothing on record to show any fault in the report of the first surveyor, hence as per statue credence with have to be given to the report of the first surveyor.
The discussion of the matter further leads to the thought that if in the first survey report there are material discrepancies or Non application of mind by the first surveyor or of non application of Technical information/data relevant of the loss, then the insurer can certainly call for the opinion from an expert or may be of another surveyor to add to or throw additional light or refine the report of the first surveyor so as to bring the assessment closer to the true facts and within the policy terms and conditions. However, the insurers cannot use the services of second surveyor just to counter, contradict or rebut the report of the first surveyor in a matter of course. Hence the insurers would be within the ambit of the statue, if they duly record the specific reasons for referring the matter to another surveyor for his opinion to bring the true facts and conditions to light because the competent Authority of the Insurers' company is not expected to be technical persons at all stages.
Sumant Sud
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And these are the only reason that requirement of the surveyor have
been declined day by day.
Due to such Hidden factor of the procurement of job of the surveyor
from the office of insurer are not at all transparent which can be
expected only if Insurer will be compelled to call for open Tender of
the claim management with highlighting the required degree of the TAT
services.
Regarding the qualification it is well preferable for the Automobile
Engineer for the Motor Claim assignment but should be after proper
training of the tools of assessment so that after training surveyor
ought not to be cached by such terms as mentioned herein above. But
major parts of the Loss assessment of automobiles claims is the
portfolio of the cost management / work motion study / chemical
process of VOC / accountings which can be accomplished from the IQ
label of the any Engineers and even a cost account also.
In simple way we can say, we have misused our base knowledge as same
were acquired by the Financial ads of the GOI from the engineering
Colleges due to that the matter of Insurance technical perils have
been questioned now with the financial bargain of insecurities which
is susceptible of scam and hike of the Insurance premium will cause
the victimization of the Indian Ordinary citizen from the amenities of
the Insurance security tools.
On every time we are observing the non solution steps of the IIISLA
and no one are appearing to come forward for true solution due to lot
of hidden factors as we are persisting in our daily life of loss
assessment and feelings of insecurities with among us.
And we should appreciate the questionnaires raised by Mr. Shailesh B
Shah whose replies have been given here under for the full and final
stability.
How to know who is fit for doing what? : IIISLA should have to
develop for the community server tools at www.iiisla.org with profile
of all members & Categorized surveyor which can be edited by
respective member & Categorized surveyor within some permissible limit
and Application of CPD as Draft given by IRDA ought to be merged
through the auto generated technical / seminar committee of the
IIISLA.
• Who should decide whom to appoint for survey? As mentioned here in above.
• How to track performance of each surveyor in the field? IIISLA
should maintain the online data entry tools from client (surveyor
side) to comply the IRDA Form XII and IRDA FORM III and other some
other modified format.
• What kind of education is required by the surveyors today? IIISLA
educational / technical body should maintain regular Collaboration
with the different professional/academic/R & D Institute/ organization
to host regular seminar / workshop so that members can earn different
CPD with different sort of knowledge in a requisite manner of the
technical assessment.
• We need curriculum that will be in tune with surveyor’s present
capacity to digest knowledge and also matching with the needs of
speedy progress that insurers want today through online settlement of
claims? Who will design this curriculum and at what cost to surveyors?
IT IS TOTAL TECHNICAL METTER OF LOSS ADJUSTMENT COST MANAGEMENT THAT
CAN BE ONLY AVAIL BY THE GROUP OF SURVEYOR WITH A TRANSPARENT
ENVIRONMENT BUT THAT SHOULD BE UNDER THE BOUNDARY OF THE IIISLA
REGULATION.
WE HOPE WE CAN GET MORE OPINION TO CONCLUDE THE MATTER OR WAIT FOR THE
GLOBAL CORPORATE TO MEET THE PURPOSE OF THE INDIAN ECONOMY AS
INSURANCE AMINITIES IS ACTING AS ONE OF THE INSTRUMENTAL KEY TOOLS OF
SUCH DEVELOPMENT
WITH REGARDS
SANJAY SHAW
9831794888
> a.. How to know who is fit for doing what?
> b.. Who should decide whom to appoint for survey?
> c.. How to track performance of each surveyor in the field?
> d.. What kind of education is required by the surveyors today?
> e.. We need curriculum that will be in tune with surveyors present
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