Term
| Claim adjusting is a ________ _______ profession. |
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Definition
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Term
| The adjuster must set appointments at __________ ______ to meet both the needs of the adjuster and the policyholder. |
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Definition
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Term
| The _______ _______ ______ (_____ ______) must be clear, concise, factual, and always up to date. |
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Definition
| claim activity log (claim diary) |
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Term
| Whenever a claim is denied, either fully denied or partially denied, it must be followed up in writing ________ ___ _____ ___ ________. |
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Definition
| explaining the lack of coverage. |
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Term
| Adjuster's are responsible to the insurer to : |
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Definition
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be loyal to the insurer's interest
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avoid engaging in any business activity that competes or interferes with the insurer's business
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obey all legal instructions provided by the insurer
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perform all duties with the degree of care and skill that a reasonable prudent person would exercise in the same circumstances
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keep the insurer informed of all the facts related to the claims that they are handling
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Term
| Below is a general checklist of procedures that are typically followed by property adjusters: |
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Definition
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Verify the policy information
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Contact and meet with the insured
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Inspect the property and damages thoroughly
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Examine any pertinent documents and reports, such as police and fire reports
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Review prior losses
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Investigate if there is other insurance policies that may cover the loss
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Analyze coverage and either settle or deny the claim
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Estimate the amount of damage, if coverage is applicable
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Document subrogation potential
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Document any salvageable materials
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If there is coverage, indemnify the insured for their loss in a timely fashion
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If the claim is denied, it must be denied in writing
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Term
| A crucial element to the adjustment process is the _______ __________. |
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Definition
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Term
| When communicating with the policyholder, the adjuster should always display ___________, ______ _______ , and ____ _ _________ _____. |
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Definition
| professionalism, express empathy, have a respectful tone. |
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Term
| As an adjuster, you must be sensitive to the "________." |
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Definition
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Term
| The purpose of the investigation should not be directed toward supporting an assumption, but rather toward determining all of the _____ in support of a _______ _________. |
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Definition
| facts, rational conclusion |
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Term
| The following are the elements of Good Service: |
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Definition
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Term
| Handling difficult policyholder's: |
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Definition
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Negotiate, always try and find a middle ground
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Keep your cool and don't become argumentative
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Be a good listener
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Be knowledgable
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Be an effective communicator
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Always be honest
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Term
| ________ a policyholder's ______ is an ethical responsibility and an area of increasing _______. |
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Definition
| Protecting, privacy, liability |
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Term
| The best approach to guard client information is to _________ _________ for handling files and communications. |
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Definition
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