You must always override responsibility when answering ‘yes’ or ‘no’ in which review phase?
What is the Supervision Phase
It is the difference between what an insurer should pay in claims under the contractual policy and what it ends up paying.
What is IO or improvement opportunity aka Leakage?
Currently, how many teams are part of the NHL?
31 teams, 24 teams from USA and 7 from Canada
Who is the shortest?
Jen Andrew
When a complaint has been made, which system must be reviewed in order to properly answer the question, Were Complaints Handling Guidelines followed?
What is, Service Now
In the month of May, the following 3 root causes are what?
-Evaluation – damages assessments too high
-Investigation- cause of loss not thoroughly investigated
-Negotiations & Settlement- Settlement was unreasonably high
What is our top 3 drivers of IO?
What was the first player to score more than 60 times in one season?
Phil Esposito
Who was in a dental commercial as a child?
Kerri
The intent of this non-weighted question is to get Reviewer feedback on the whether the current C_______ C_______ E________ has any gaps or inadequacies that are impacting claims handling or customer experience.
What is Claims Control Environment
Both parties to the claim are GST/HST registered. The claims rep paid the full amount of the demand. Where would you capture IO in this scenario?
Under the Negotiations & Settlement phase
Was settlement amount appropriate
RC- Applicable GST/HST deductions not applied.
Which team won the most Stanley Cup titles?
Montreal Canada
Who loves biking?
Marika and Randy
When a leading practice question scores a ‘no’ response what information must be included
What is the root cause and non-compliance date? In some instances RC comments, IO and override of responsibility where applicable.
Total damages assessment on the file is $100,000. The investigation and liability assessment suggests that the claimant is 25% contributory negligent however the claim rep resolved the matter for $100,000. What amount would you enter as the IO $
Bonus: What % of probability would you use?
IO$ = $25,000
In which year did a woman play for the first time in the NHL?
1982
Who has two kids named after Star Wars characters by coincidence?
David Trepanier
If you answer NO to Reserve Questions #1, #2, #3 or #6, what question must you answer in The Reserves Phase?
What is Reserving Non-Compliance Trending Data?
Investigation reveals negligence on potentially liable Third Party however the claim rep fails to put the TP on notice. What Claim Phase and question would you capture this under?
Bonus: Post discovery the same situation arises, which claim phase and question would you capture this scenario under?
What is the investigation phase, question: Was the claim appropriately investigated and validated?
Bonus: what is the Litigation Management phase, Question: Was litigation effectively managed?
Name the first player who wore the number 99 in the NHL
Joe Lamb
Who appeared in the crowd on the Maury Show?