Corporate Office: 221 N Spruce St., Ogallala, NE 69153
Phone: (800) 508-6034
Email: service@aiainsures.com

Claim Survey

Serving Nebraska & Colorado for Over 100 Years

We appreciate your business and understand the main reason you have insurance is to protect you when the unexpected occurs. To ensure your claim experience was everything you anticipated, I would ask that you complete a brief Claim Survey. This survey will not only assist us with identifying areas we can approve but will also assist with feedback we can give to our insurance carrier partners.

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Agency Staff

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Rating

Please rate each category on a scale of 1-5 for the agency agent who assisted you. 5 = Excellent 1 = Poor

Promptness of Contact(Required)

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Courteous Service(Required)

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Professionalism(Required)

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Helpfulness(Required)

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Knowledge(Required)

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Adjuster

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Please rate each category on a scale of 1-5 for the adjuster who assisted you. 5 = Excellent 1 = Poor

Promptness of Contact(Required)

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Courteous Service(Required)

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Professionalism(Required)

Please enter a number from 1 to 5.

Helpfulness(Required)

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Knowledge(Required)

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Additional comments

Please list any specific claim service problems that need to be addressed.

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