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818-734-7847
SIU Referral – Jewelers’ Block Indicators
From ___________________________ Company: ____________________________ Date: _______________
Insured: _________________________ Loss Date: ___________________________ Policy No: __________
Claim No: _______________________________________ Other: ___________________________________
Insured’s statements of inventory on tax returns do not agree with statements in proof of loss 
Insured is unusually knowledgeable with regard to insurance terminology
Property claimed stolen is untraceable (e.g. only loose stones or gold)
Insured has not taken a written physical inventory in the last 12 months
The insured acquired the policy from an agent far from his home or business
There is a loss shortly after the issuance of the policy
The policy is the insured’s first Jewelers’ Block insurance policy
The loss is to the total inventory of the jeweler.
The majority of the insured’s inventory is on memo (consignment) or long term notes
The insured has policy limits in excess of the values at hand
Security devices disabled or out for repair at the time of the loss.
The property claimed lost was recently acquired
The proposal is inaccurate in any particular
The insured only has photocopies of invoices and no originals
Insurer’s books were set up by a public adjuster before the loss
Comments: __________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________
Each indicator checked is important. If three or more are checked there is a potential for a suspected fraudulent claim and the file should be referred to your SIU, FIMAT.
No single indicator, or combination of indicators, makes a claim fraudulent. It only indicates that a file deserves a more intense investigation by your SIU, FIMAT.
Last updated August 18, 2007