Chapter 13: Customer Service Flashcards

1
Q

What are value-added services?

A

Those in addition to the insurance services offered. E.g. 24 hour helplines.

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2
Q

What does the Transparency and Insurance: A Companion to the Code of Ethics (produced by the CII) state?

A
  • Clear wordings for average customers
  • Interpretations should err on the side of the consumer
  • Welcome internal and external feedback on documents
  • Aim for reading material to be understood by those aged 13 or less
  • Understand the underwriting intent of the policy
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3
Q

What are the benefits of good customer service?

A
  • Customer loyalty
  • Attracting new customers
  • Attracting high-quality employees
  • Competitiveness
  • Profitability
  • Productivity (as complaints are less frequent)
  • Happier employees
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4
Q

What must customer service standards be?

A
  • Realistic
  • Understandable
  • Measurable
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5
Q

How frequently should appraisals take place?

A

Not less than annual.

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6
Q

What does the Enterprise Act 2016 allow insureds to do if their insurer is slow in claim settlement?

A

Claim damages.

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7
Q

What is the limitation period to claim damages for delayed claim settlement?

A

One year from the date of the last payment by the insurer in relation to the loss.

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8
Q

For how long should details of a complaint be held?

A

3 years from the date of the complaint.

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9
Q

How frequently should a complaints record be submitted to the FCA?

A

Every 6 months.

(Must include the amount of redress paid)

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10
Q

How long do firms have to acknowledge the complaint?

A

8 weeks.

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11
Q

Who are eligible complainants according to the Financial Ombudsman Service?

A
  • Consumers
  • Charities < £6.5m
  • Trustees < £5m
  • Small businesses < £6.5m && < 50 employees
  • Guarantors
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12
Q

How long does a complainant have to refer the complaint to the FOS after receiving the final decision?

A

6 months.

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13
Q

How long does a complainant have to refer the claim to the FOS after the event complained about?

A

6 years.

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14
Q

How long does the FOS have to reply to the complainant?

A

3 months.

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15
Q

What’s the current limit of award by the FOS?

A

£435,000

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16
Q

What was the limit of award for complaints before April 2019?

17
Q

What rate of interest may be payable on the compensation awarded by the FOS?

18
Q

What is a FOS ‘directions award’?

A

A formal instruction to the firm at fault outlining how they can improve.

19
Q

How is the FOS funded?

A
  • Levy on all firms
  • Case fee
20
Q

According to the Enterprise Act 2016, insurers must pay claims settlements…

A

Within a reasonable time.