Which one of the following is correct with respect to the elements of good-faith claim
management?
A. Claim representatives should avoid using policy provisions, such as arbitration
clauses, to resolve disputes over the settlement amount.
B. Consistent supervision, thorough training, and manageable caseloads help ensure
that claim representatives are able to handle claims in good faith.
C. When resolving a coverage question, insurers should avoid the appearance of bad
faith by dealing only with those lawyers hired to defend the insured.
D. If the insured has excess insurance, the claim representative should merely notify
the excess insurer of the claim.
Give this one a try later!
, B. Consistent supervision, thorough training, and manageable caseloads
help ensure that claim representatives are able to handle claims in good
faith.
For resolving a coverage question, insurers should not use those lawyers
hired to defend the insured. Consistent supervision, thorough training, and
manageable caseloads help ensure that claim representatives are able to
handle claims in good faith.
Claims rep Miguel is conducting a settlement with a claimant. He constructs his first
offer so that the claimant will likely find it undesirable. This becomes the basis of
comparison for the second offer that he makes. Miguel understands that people
A. Feel empowered when given a choice.
B. Are naturally suspicious of an initial offer.
C. Are easier to manipulate with choices.
D. Will typically accept a second offer.
Give this one a try later!
A. Feel empowered when given a choice.
This is the basis of the choicing technique.
Thomas is an attorney who is defending an insurer in a litigated case. He has located
documents that show the insured was aware of the issue that cause the injury to the
claimant before the accident. Thomas is concerned that this evidence will hurt his
case. He should
A. Preserve the evidence as part of the record.
B. File a motion in limine to exclude the evidence.
C. File a motion to suppress the evidence.
D. Destroy the evidence to make the defense stronger.
Give this one a try later!
, A. Preserve the evidence as part of the record.
An insurer defending a first-party coverage lawsuit could be found liable if
evidence is intentionally or negligently lost or destroyed.
Through data mining, Goshen Mutual discovers that customers who insure two or
more vehicles on a personal auto policy are very likely to buy a personal umbrella
policy. Algorithms are then used to identify potential customers who might be
interested in purchasing both personal auto and umbrella policies. Which one of the
following data mining techniques did Goshen Mutual use?
A. Regression analysis
B. Cluster analysis
C. Classification
D. Association rule learning
Give this one a try later!
D. Association rule learning
Goshen Mutual used association rule learning to help identify potential
new customers.
As a part of the first contact with an insured on a property damage claim, a claims
representative may provide a blank
A. Reservation of rights form.
B. Proof of loss form.
C. Nondisclosure form.
D. First notice of loss form.
Give this one a try later!
management?
A. Claim representatives should avoid using policy provisions, such as arbitration
clauses, to resolve disputes over the settlement amount.
B. Consistent supervision, thorough training, and manageable caseloads help ensure
that claim representatives are able to handle claims in good faith.
C. When resolving a coverage question, insurers should avoid the appearance of bad
faith by dealing only with those lawyers hired to defend the insured.
D. If the insured has excess insurance, the claim representative should merely notify
the excess insurer of the claim.
Give this one a try later!
, B. Consistent supervision, thorough training, and manageable caseloads
help ensure that claim representatives are able to handle claims in good
faith.
For resolving a coverage question, insurers should not use those lawyers
hired to defend the insured. Consistent supervision, thorough training, and
manageable caseloads help ensure that claim representatives are able to
handle claims in good faith.
Claims rep Miguel is conducting a settlement with a claimant. He constructs his first
offer so that the claimant will likely find it undesirable. This becomes the basis of
comparison for the second offer that he makes. Miguel understands that people
A. Feel empowered when given a choice.
B. Are naturally suspicious of an initial offer.
C. Are easier to manipulate with choices.
D. Will typically accept a second offer.
Give this one a try later!
A. Feel empowered when given a choice.
This is the basis of the choicing technique.
Thomas is an attorney who is defending an insurer in a litigated case. He has located
documents that show the insured was aware of the issue that cause the injury to the
claimant before the accident. Thomas is concerned that this evidence will hurt his
case. He should
A. Preserve the evidence as part of the record.
B. File a motion in limine to exclude the evidence.
C. File a motion to suppress the evidence.
D. Destroy the evidence to make the defense stronger.
Give this one a try later!
, A. Preserve the evidence as part of the record.
An insurer defending a first-party coverage lawsuit could be found liable if
evidence is intentionally or negligently lost or destroyed.
Through data mining, Goshen Mutual discovers that customers who insure two or
more vehicles on a personal auto policy are very likely to buy a personal umbrella
policy. Algorithms are then used to identify potential customers who might be
interested in purchasing both personal auto and umbrella policies. Which one of the
following data mining techniques did Goshen Mutual use?
A. Regression analysis
B. Cluster analysis
C. Classification
D. Association rule learning
Give this one a try later!
D. Association rule learning
Goshen Mutual used association rule learning to help identify potential
new customers.
As a part of the first contact with an insured on a property damage claim, a claims
representative may provide a blank
A. Reservation of rights form.
B. Proof of loss form.
C. Nondisclosure form.
D. First notice of loss form.
Give this one a try later!