Fall 2026 | 100% Correct
Staff claims representative - 🧠 ANSWER ✔✔A role defined by being an
employee or an insurer and having a primary focus on handling claims
Independent adjusters - 🧠 ANSWER ✔✔Employees used when specialized
skills are needed and when staff claim representatives are too busy to
handle all claims themselves.
Third party administrator (TPA) - 🧠 ANSWER ✔✔Contractors who handle
claims, keep claim records, and perform statistical analyses and are often
associated with large independent adjusting firms or with subsidiaries of
insurers.
Producer - 🧠 ANSWER ✔✔Agents, brokers, sales representatives, and
intermediaries who place insurance with insurers.
, Public adjuster - 🧠 ANSWER ✔✔A representative often hired by the insured
to protect their interests if a claim is complex or if settlement negotiations
are not progressing with the insurer.
Line underwriters - 🧠 ANSWER ✔✔Representatives who evaluate new
submissions and perform renewal underwriting, usually by working directly
with insurance producers and applicants
Staff underwriters - 🧠 ANSWER ✔✔Representatives who manage risk
selection by working with line underwriters and coordinating decisions
about products, pricing, and guidelines.
Customer service representatives - 🧠 ANSWER ✔✔Representatives who
collaborate with claims representatives to ensure fast, accurate
communication of claims related information.
Experts - 🧠 ANSWER ✔✔Employees who insurers hire when needed to
evaluate the cause or value of a loss, investigate the possibility of fraud by
an insured or a third-party claimant, or provide legal advice.
explain the rationale behind it. - 🧠 ANSWER ✔✔If the decision is negative,
good-faith claims handling requires the claims rep to
__________________________________________.