Investigation/Notice Of Hearing Flashcards
What is the purpose of an investigation in life insurance claims?
To verify the legitimacy of the claim and assess the circumstances surrounding the insured’s death.
True or False: A notice of hearing is issued before an official hearing takes place.
True
Fill in the blank: The __________ is the document that outlines the details of the hearing regarding a life insurance claim.
notice of hearing
What are common reasons for conducting an investigation in life insurance claims?
Fraud suspicion, unclear circumstances of death, or discrepancies in the application.
What can trigger a notice of hearing in a life insurance case?
Disputes over claim validity, policy terms, or beneficiary designations.
Multiple choice: Which of the following is NOT typically included in a notice of hearing? A) Date of hearing B) Location of hearing C) Claimant’s bank details
C) Claimant’s bank details
What is the role of a claims adjuster in the investigation process?
To gather evidence, interview witnesses, and evaluate the claim.
True or False: The investigation process is only conducted after a claim is filed.
False
What must an insurance company provide to a claimant before the hearing?
A written notice detailing the hearing’s purpose, date, and location.
Fill in the blank: The __________ is the person who may represent the claimant during the hearing.
attorney
What is a common outcome of an investigation into a life insurance claim?
Approval, denial, or modification of the claim based on findings.
Multiple choice: Which of the following can be a result of a hearing? A) Claim payment B) Policy cancellation C) Both A and B
C) Both A and B
What documentation might be requested during the investigation?
Death certificate, medical records, and the insurance policy.
True or False: A claimant has the right to attend the hearing and present evidence.
True
What is the standard of proof typically required in life insurance investigations?
Preponderance of evidence.
Fill in the blank: The __________ may issue a decision after the hearing takes place.
hearing officer
What is one potential consequence of fraudulent claims in life insurance?
Criminal charges against the claimant.