Chapter 6 (actually 5) Flashcards

1
Q

IT relates to:

A

Storage
Production and
Communication
Of information

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2
Q

Digital strategies are used for:

A

Underwriting, selling and marketing products

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3
Q

Claims systems are designed with reference to:

A

Companies corporate philosophy

Claims management procedures

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4
Q

What else are claims systems used for:

A

Recording appropriate info

Compatible with Company’s overall objectives

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5
Q

Insurers use online servicing through:

A

Electronic portals

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6
Q

Characteristics of insurance claims are:

A

Volume

Complexity

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7
Q

Volume is:

A

Claims reserving, estimating
Claims payments
Recoveries

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8
Q

Complexity is:

A

Processing large amounts of data
Processing it quickly
Processing it accurately
Delivering info in a meaningful manner

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9
Q

IT must be:

A

Accompanied by a review of present claims procedures

New methods operation

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10
Q

Effective IT strategy:

A

Balances the efficiency of comprehensive IT solution with the skills and talents of experience members of claims staff

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11
Q

Major components of general insurance claims are:

A

Structure of the company

Type of business written

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12
Q

Standard claims info:

A
The name of PH 
Policy number and claim ref 
Details of claim 
Contacts 
Payments
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13
Q

Additional info at u/w stage:

A

Description of risk
Description of cover
Supporting risk info
Whether there is more than one insurer

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14
Q

Using IT systems:

A

reduces the cost of claims admin

Improve the service provided to the insured

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15
Q

Benefits of IT systems:

A
Single data entry
Reduced paper files 
Quicker claims settlement 
Electronic with of claims payments 
Increase in communication channels 
Ports and extranet services
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16
Q

Organisation structure:

A

Function - claims, u/w
Division- product, geographical area
Or a blend of both

17
Q

Functional structure

A
Best suited for smaller companies 
CEO
BOD 
OPERATIONAL HEAD OF DEPT
HUMAN RESOURCES, FINANCE, IT, MARKETING, UW, CLAIMS
18
Q

Divisional structures:

A

Most large multi product companies
Home country commercial division home country personal division
International division

19
Q

Centralised structure:

A

Retain authority at the top with little delegation

20
Q

Decentralised structure:

A

More delegation, divisional managers make more decisions

21
Q

Choices of systems depend on:

A

Size of the company

Business written

22
Q

Outsourcing companies

A

Cost benefits
Manage specific issue
Gain access to wider skills base

23
Q

Loss adjusters:

A

Experts in processing claims start to finish
Deal with large complex claims
Investigate, negotiate, recommendation for settlement
Their function is to negotiation a settlement

24
Q

Disaster recovery companies:

A

Ensuring business continuity for company in event of interruption to the business
Management analysis
Compiling recovery strategies
Trials to asses the effectiveness of plans

25
Q

Surveyors :

A

Eyes and ears of u/w
Full description of risk
Level of risk

26
Q

Solicitors:

A

Issue court proceedings where negotiations have reached an impasse,
Defend claims where proceedings have been issued against the insurers customer
Also help with policy wording and reinsurance disputes

27
Q

Loss assessors:

A

Appointed by insured to prepare and negotiate claims on their behalf
Represent the insured to maximise recovery from the insurer