Answers | Latest Version (2024/2025)
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Hugoiisiconductingianiauditiofiaibranchiofficeiclaimsioperation.iHeiisieval
uatingitimelinessiofireports,inumberiofifilesiopened,iproperireleasesitak
en,iandiaccuracyiofidataientry.iWhichioneiofiHugo'simetricsiisiaiqualitati
veiauditifactor?i-iCorrectiAnswer-Properireleasesitaken
Theifirstikeyitoicommunicatingiempatheticallyiasiaiclaimsiprofessionaliis
i-iCorrectiAnswer-Listening.
Miaitracksilossiadjustmentiexpensei(LAE)iasipartiofiherimanagementiofit
heiclaimsidepartmentiforianiinsurer.iMiaiconsidersiLAEitoibeithei-
iCorrectiAnswer-Costitoiinvestigate,idefend,iandisettleiclaims.
Asimethodsioficommunicationievolve,iit'siimportantiforiclaimsiprofessio
nalsitoirememberithatianyiwritteniclaimsicommunicationimayibei-
iCorrectiAnswer-Subpoenaed.
Iniheriroleiwithianiinsurer,iKatarinaihasiopportunityitoicollaborateiwithi
notionlyiemployeesifromihericompany,ibutialsoiexternaliexpertsiwithipa
rticulariexpertise.iForiexample,iasipartiofiheriinvestigation,isheihirediani
engineeritoiconductiaireviewiofiaimachineithatiwasiinvolvediiniaipersona
liinjury.iKatarinaiisia(n)i-iCorrectiAnswer-Claimirepresentative.
, Iniwhichioneiofitheifollowingiscenariosiisiaipubliciadjusterimostilikelyitoi
becomeiinvolved?i-iCorrectiAnswer-
Aniinsured'sinegotiationsiwithitheiinsurerioniaicomplexiclaimiareinotigoi
ngiwell.
Aaroniworksiforiaimulti-
lineiinsurer.iHeiworksiwithiinsuranceiproducersiandiapplicantsitoievalua
teinewibusinessisubmissionsiandiconductirenewaliunderwriting.iAaronii
siai-iCorrectiAnswer-Lineiunderwriter.
Whichioneiofitheifollowingistatementsiregardingithird-
partyiadministratorsi(TPAs)iisimostiaccurate?i-iCorrectiAnswer-
TPAsihandleiclaims,ikeepiclaimsirecords,iandiperformistatisticalianalyse
s.
Iniclaimsiinvestigation,iallibodilyiinjuryiclaimsirequirei-iCorrectiAnswer-
Aimedicaliinvestigation.
Beforeimakingiinitialicontactiwithianiinsuredioriclaimant,iaiclaimsirepres
entativeishouldi-iCorrectiAnswer-
Prepareiailistiofiquestionsiforitheiinsured.
Carolinaiisiaiclaimirepresentativeihandlingiailiabilityiclaim.iSheiisispeaki
ngitoitheiclaimantioveritheiphoneiandihasiinformedihimithatihisistateme
ntsimustibeitrueiunderipenaltyiofiperjury.iWhenicompleted,isheisentiaitr
anscriptioniofitheiconversationitoitheiclaimantiforihimitoisignibeforeiain
otary.iCarolinaihasitakenia(n)i-iCorrectiAnswer-Recordedistatement.