Interest, Subrogation, & claims Flashcards

define claim and explain the basic claims process differentiate between insurable interest and lender interest explain the concept of subrogation

1
Q

Claim

A

asserting that they think they deserve indemnification based on insurance contract

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2
Q

claimant

A

someone who has filed a claim

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3
Q

what are the types of claims?

A

first and third party claims

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4
Q

First party claim

A

filed by policyholder against their own insurance

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5
Q

third party claim

A

someone filing a claim against someone else’s insurance for their damages caused by the action of the others

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6
Q

what is the claims process

A

filing a claim
acknowledgment
investigation
evaluation
adjustment

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7
Q

filing a claim

A

claimant contacts insurer and files claim

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8
Q

acknowledgment

A

insurer acknowledges the claim and requests all info nessecary to prove loss

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9
Q

Insurance adjuster

A

a representative of an insurer and handles claims until resolved

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10
Q

Investigation

A

adjuster investigates claim and determines if it valid or not

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11
Q

Evaluation

A

if claim is valid the adjuster evaluates it by looking at all provisions

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12
Q

adjustment

A

insurer accepts or rejects claim and settle on the indemnity

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13
Q

Insurable interest

A

direst financial interest in protecting something or someone

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14
Q

Lender interest

A

the lenders financial stake in an insured item

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15
Q

Lender interest provision

A

protect lender interest by allowing the lender certain rights in a policy

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16
Q

Subrogation

A

the transfer of rights that allows the insurer to recover its losses after it has indemnified a policyholder. Policyholder still has the right to demand payment from guilty party for any more damages their insurer won’t pay due to coverage. And insure can only be indemnified of what they paid.

17
Q

Waiver of subrogation

A

takes away an insurer right to recover its losses after paying a claim