Claims Flashcards
What is a claim?
A motor insurance claim is a demand from the customer to compensate for the loss they incurred by way of repairing/replacing the car.
What is a fault claim?
If the company cannot get their money back for a claim.
If a customer has an outstanding claim that has not been determined for and they call for a quote, how will the insurance company view this?
As a fault claim
If there were two parties involved and both were equally liable for the accident, and both individuals companies paid towards the claim, would it be fault or non-fault claim?
Fault
What is a non-fault claim?
When the company can get their money back. Only if both claims cost and the excess was received then the claim can be classed as a non fault claim.
If you have a non-fault claim what does it mean for your excess?
You should be able to recover the excess that you paid from the TP.
Are windscreen claims fault or non-fault claims?
Non-fault because the pay out is very minimal.
From how many years do we need to know about previous claims?
5 previous years
Why do we need to know about previous claims?
They help us determine how likely it is for the customer to claim.
Who do we need to know previous claims history from?
All drivers named in the policy even if the claim was made against another policy, drivers who made a claim on the customer’s policy but are no longer names on it.
Someone crashes into the customer’s car with a shopping trolley. The customer does not know who caused the damage. Fault/non-fault?
Fault
The customer’s car is stolen and found burnt out. Fault/non-fault?
Fault
A neighbour reverses into the customer’s car. The car has been repaired and they have received their excess by cheque. Fault/non-fault?
Non-fault
The customer was involved in an accident that they have said isn’t their fault. They have paid their excess and the insurance company has now said that the claim has concluded and they will not receive the cost of the excess back. Fault/non-fault?
Fault
A builder dropped a roof tile on the vehicle. The car has been repaired and the contractor has reimbursed the claim cost. Fault/non-fault?
Non-fault
What happens in insurance write-offs?
When insurance companies decide not to repair the car but to write it off. The customer gets compensated by financial settlement.
How much will the customer get in an insurance write-off?
The market value of the car minus excesses
What is an economic write off?
Cost of the repairs are more than the vehicle is worth.
What are safety write offs?
The damage to the vehicle cannot be repaired to a level where it would be completely safe to drive.
What happens to safety written off vehicle?
Normally they are destroyed.
What options can the customer sometimes face with economic write-offs?
They can buy it back from the insurance company or receive it as part of the settlement.
If the customer buys the economic write off vehicle back from the insurance company, what do they need to do to get another policy?
Possibly another MOT and a Engineer’s Report before they can be quoted. (IMS)
What does NCB stand for?
No claims bonus
What is NCB/NCD?
For every year that the customer has insurance on a car and is claim-free, they earn a no claims discount.
What is the maximum NCB a customer can get?
9 years. If they have any more, we still only give them a mix of 9.
How do we establish a customers no claims bonus?
In years
How do we check if a customer has NCB?
By written proof. Without it, we cannot give the discount and the customer will need to pay an additional premium or the policy might be cancelled.
Who earns the NCB?
The policy holder only