4 Claims Information Flashcards

1
Q

Claims information used to establish…

A

whether claim is covered

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2
Q

Claims info also assists…

A

Underwriting
Reserving
Accounting
MI

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3
Q

Initial info may allow

A

acceptance or rejection of claim

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4
Q

3rd party liability claims

A

Insured passes info to insurer without further info

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5
Q

Ab initio if…

A

insurer discloses material info known at time of proposal

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6
Q

Broker may present claim info True / False

A

True

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7
Q

Apparent authority

A

If broker acts outside authority

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8
Q

Reserving philosophy

A

corporate approach to reserving.

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9
Q

Benefit of reserving philosophy

A

Consistency between handlers and approach to setting individual reserves

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10
Q

Technical reserves

A

largest part of company profit and loss

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11
Q

Reserves are to be setup

A

asap

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12
Q

reserve committees used for

A

large / complex claims

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13
Q

step laddering

A

keep increasing reserves

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14
Q

Reserve increases due to…

A

new information
injury deteriorates
long tail

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15
Q

reserving to exposure for liability claims

A

Option 1 - Reserve full amout
Option 2 - Reserve based on probability of success
Option 3 - No reserve

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16
Q

Which is the best option for reserving to exposure?

A

Option 2 - Reserve based on prob of success

17
Q

Coverage advice -who pays VAT

A

Insurer, or insured if VAT registered

18
Q

Subrogation / recoveries

A

Good practice to make note, rather than reduce reserve

19
Q

Reserve

A

must not exceed cover amount
allow for excess / deductibles
each payment = reduce reserve by equal amount