Claims Management Satisfaction Survey (Transportation Only)

06/09/2026

Please complete a survey for each of line of coverage
Line of Coverage: Workers Compensation Auto Liability
Adjuster:

Please select a rating for each of the following items. Use the sliding scale below.

1 Excellent 2 Good 3 Fair

4 Unacceptable NA Not Applicable

Please use your experiences with C&B Claims Services in completing your rating for each
specific item and in your overall assessment of services.

The Adjuster(s) I have worked with in the most recent six months:

1.	Demonstrates technical competence 1 2 3 4 NA Comment:
2.	Conducts prompt and complete investigations and evaluations 1 2 3 4 NA Comment:
3.	Responds with well -informed answers to my questions 1 2 3 4 NA Comment:
4.	Acts with an appropriate sense of urgency 1 2 3 4 NA Comment:
5.	Displays initiative to protect my assets and save me money 1 2 3 4 NA Comment:
6.	Achieves favorable results on my behalf 1 2 3 4 NA Comment:
7.	Expresses ideas to me in a clear and concise fashion 1 2 3 4 NA Comment:
8.	Acts with discretion and conciseness in communicating with those involved in the situation 1 2 3 4 NA Comment:
9.	Communicates on a regular basis with me 1 2 3 4 NA Comment:
10.	Meets my expectations of total satisfaction with C&B as my Claims Management Service Provider 1 2 3 4 NA Comment:

I would like to recommend the following adjuster(s) for recognition of their outstanding service:


I would provide this feedback (positive or constructive criticism) to the Adjuster(s)/TPA:


Additional comments on, or in explanation of any ratings in the above sections:


Please call me to discuss this further: Yes No

Name: Job Title: Company: Phone: Email: