Study 2 - Commercial Insurance Stakeholders Flashcards
What are the two most common classification systems used by Canadian insurers?
NAICS
North American Industry Classification System
SIC
Standard Industrial Classification
What are some things that affect the exposure of a business?
Size, location, expertise, claims history and regulatory requirements
What roles are essential in commercial insurance?
- Brokers/agents
- Underwriters
- Commercial claims professionals
- Risk analysts
- Managing general agents (MGAs)
Define captive agent
Place all their business with one insurer
Define agent
Represent one insurer and operate according to agreements with that insurer; can be independent or exclusive
Briefly outline the various levels of licenses and what business can be managed
1 - Sale of home, auto & travel; some commercial only if supervised by a level 2 or level 3
2 - Personal, farm and commercial; cannot manage an agency
3 - With required years of experience, can manage an agency and sell all personal/commercial insurance
How do personal and commercial insurance risks vary?
Commercial is more varied and complex; many different industries typically
Define rate manual
Manual containing rates and underwriting rules for use by staff, agents, and/or brokers
What 4 areas must commercial brokers be proficient in?
Communication
Research
Negotiation
Time Management
Explain how a commercial broker must use communication
Ability to use the right questions to effectively gather info to determine loss exposures and present an accurate & comprehensive picture of a risk to the insurer
Ability to help clients understand coverage and restrictions or excluded coverage
Explain how a commercial broker must use research
Ability to find coverage best suited to needs and budget
Ability to provide innovative and cost effective solutions
Explain how a commercial broker must use negotiation
Ability to arrive at a satisfactory arrangement for both insurer and insured
Explain how a commercial broker must use time management
Ability to remain organized, prioritize tasks, and ensure accurate documentation is maintained
Ability to demonstrate reliability by being on time
Define line guide
A listing of the maximum amounts of exposure an insurance company is prepared to accept on various classes of risk
What three conditions would cause an underwriter to decline a risk?
- It is not permitted by the line guide
- Market conditions make the risk unacceptable
- It is too flawed to be accepted
What are four tools available to make a risk more desireable?
- Higher deductibles
- Higher premium rates
- Modifications of coverage
- Implementation of recommendations by the loss control department
What are some unique characteristics of commercial underwriters?
Analytical and critical thinking
- Ability to work through the info provided and organize it to determine whether any further details are needed
- Ability to compare the risk to the guidelines and philosophy of the company to ascertain whether it can be accepted or altered/rejected
Math and statistics
- Ability to apply actuarial rates based on risk and application of differentials, loading and any other applicable changes
Communication
- Ability to communication with brokers and other professionals to obtain a clear picture
- Ability to tactfully decline a risk
Attention to Detail
- Ability to keep notes and correspondence organized and files up to date, and to follow up on requests or process documents correctly and in a timely manner
Define loading
An additional charge included in an insurance rate to reflect a hazard not contemplated
What do claims professionals do?
- Investigate claims
- Make recommendations
- Negotiate payments and settlements
What are the typical responsibilities of a claims professional?
- Confirming their authority with regard to the handling of a claim
- Checking policy coverage to ascertain relevant info
- Supplying the insurer with relevant documentation such as preliminary notice of loss or accident report
- Investigating the claim
- Keeping the insurer and insured informed of development