The most important — and often toughest — part of an adjuster's job is determining coverage based on policy language. Beginning this month, Claims will be publishing a coverage question in each issue along with an analysis as provided by the dedicated editorial staff of FC&S Online (which, like Claims, is a division of the National Underwriter Company). These experts, who have a combined 85 years of coverage experience, are available to answer situation-specific questions from subscribers to FC&S Online and the print FC&S Bulletins, found at www.fcands.com.
Question: Our insured has coverage under a CP 00 01 (10/90) building and property form. The policy also carries the CR 00 01 (10/90) employee dishonesty form. This is a retail clothing store. The store manager had been stealing items and reporting them in the computer system as “removed from inventory,” which is a code reserved for damaged or liquidated inventory. This went on for two years before the insured caught on.
I know there is an exclusion under the CR 00 01 for inventory shortages, and I believe this loss is excluded. However, I would like another opinion before I make a final decision. — Connecticut Subscriber
Answer: Inventory shortages are excluded when the proof of the shortage is dependent on an inventory computation or profit-and-loss computation, neither of which is defined in the policy. Therefore, we go to the dictionary. Computation is defined as the act of computing, which is to determine by mathematical means. If your insured discovered the loss by way of such calculations, then indeed the loss is excluded. But if the insured discovered and substantiated the loss some other way, such as by surveillance video, then there would be coverage.
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