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Thursday, August 22, 2019

Claim Number 55-06c6-44x CONTINUING INQUIRY WANTED A VALID EXPLANATION FOR CONFLICTING CONTRARY INFORMATION












AUGUST 22,  2020

GORDON LIU
CLAIM SPECIALIST
STATE FARM HOME INSURANCE


RE: Claim Number 55-06c6-44x
       Policy Number 77-C3-B499-7

DATE OF LOSS: April 26, 2020


CONTINUING INQUIRY- 
WANTED A VALID EXPLANATION 
FOR CONFLICTING CONTRARY INFORMATION



Dear Mr. Liu:


PLEASE SEE,

PAR. 1 to 9 DENIAL LETTER dated August 21, 2020




COMMENTS :

Please read paragraphs one (1) to nine (9) of denial letter dated August 21, 2020. Show me among those paragraphs is  A VALID EXPLANATION FOR CONFLICTING CONTRARY INFORMATION in your set of denial letters dated August 14, 2020, July 31, 2020 and June 12, 2020. I can not find any?  If you happened to forget including that "explanation" in denial letter dated August 21, 2020, then I am giving you another chance to rewrite your denial letter showing which one among those denial letters shall prevail to be clear on your position to avoid confusion in the conduct of our negotiations or discussions of issues pertaining to our claim. 

I have the pleasure to show back to you :
WANTED A VALID EXPLANATION 
FOR CONFLICTING CONTRARY INFORMATION

PAR. 2 DENIAL LETTER dated August 14, 2020

 You wrote,

"Our letter dated July 31, 2020 confirmed that the information provided by John Titouah was provided verbally and not in a written form. We disagree that information communicated verbally by a witnesses is useless..

You wrote, specifically,
Our letter dated July 31, 2020 confirmed that the information provided by John Titouah was provided verbally and not in a written form. " 


PAR. 3 DENIAL LETTER dated July 31, 2020


Attached is a copy of the photo media sheet with the photographs obtained during our virtual Claims Xperience inspection which took place on May 5, 2020. The information provided by John Titouah was provided verbally and not in a written form. The information contained in our claim file notes are not considered claim-related documents, as defined by Insurance Code
Section 10082.3 and will not be provided.


ON PAR.2 June 12, 2020 DENIAL LETTER
You wrote,

"As outlined in our May 6, 2020 declination letter, the predominant cause of the water damages was wear, tear, and deterioration to the forty one year old "hot" side copper water line located under the concrete foundation which resulted in a continuous and repeated seepage of water below the foundation, eventually migrated upwards and manifested itself on the date of the discovery to the interior of the home. My virtual inspection on May 5, 2020, the photographs of the excavating of the pipe, multiple discussions with All Express Plumbing, his written report and a detailed follow up conversation with the plumber, John Titouah on June 5, 2020 confirmed all the original facts of the loss."

"his written report  "
This means on the denial letter dated June 12, 2020, you impressed upon us a copy of the written report of JOHN TITOUAH. BUT HOW COME YOU ARE DENYING  THE EXISTENCE OF JOHN TITOUAH's REPORT ON PAR.3 DENIAL LETTER DATED JULY 31, 2020 AND PAR 2  DENIAL LETTER DATED  AUGUST 14, 2020, TO THE EFFECT THAT THE INFORMATION PROVIDED BY JOHN TITOUAH WAS PROVIDED VERBALLY AND NOT IN WRITTEN FORM.


COMMENTS :

Please show me a valid explanation for these conflicting contrary information contained in your denial letters as shown above. After which you have written a valid explanation, may re-write your denial letter reflecting corrections you have made.

Please acknowledge receipt of this e-mail and kindly inform me when I should expect a reply to this email.

Please be reminded that your DENIAL LETTER DATED MAY 6, 2020 was prepared, relayed to us, sent and read by us in just a few minutes.

Thank you very much.

Yours faithfully,

Antonio L. Buensuceso







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