AINS 21 Segment B (Chapters 4-6) 313 Questions With 100% Correct Answers.

claim - a demand by a person or business seeking to recover from an insurer for a loss that may be covered by an insurance policy claimant - anyone who submits a claim to an insurer first party - the insured in an insurance contract third party - a person or business who is not a party to the insurance contract bu who asserts a claim against the insured claim representative (or adjuster) - a person responsible for verifying coverage, determining the cause of loss, determining the amount of damages or extent of loss, and settling or otherwise concluding a claim types of adjusters - staff claim representatives (inside and outside); independent adjusters; producers; public adjusters staff claim representative - an insurer employee who performs some or all of the insurer's claim handling activities inside claim representative - an insurer employee who handles claims that can be settled by phone, mail, or email from inside the insurer's office outside (or field) claim representative - an insurer employee who handles claims that cannot be handled easily by phone, mail, or email independent adjuster - a claim representative who offers claim handling services to insurers for a feesettlement authority - authority expressly given to a producer by an insurer to settle and pay certain types of claims up to a specified limit public adjuster - a person hired by an insured to represent the insured in handling a claim self-insurance plan - an arrangement in which an organization pays for its losses with its own resources rather than by purchasing insurance