The number of days in which you must acknowledge the pet. atty.
What is 10?
100
The header used when documenting the carrier name, policy limits, policy number, reporting level and policy number, etc.
What is 'coverage analysis'?
100
These are three examples of claims where excess must be notified:
What are 1) death claim, 2) amputation 3) head injury?
100
When you UPDATE excess, you mark it here.
What is the Claims Edit Screen, on the bottom right, under "UPDATED status to Excess" date screen
100
YOU ARE REFERRING A FILE FOR FULL DEFENSE HANDLING. NAME ONE REASON YOU might do this:
WHAT IS 1) Rec'd a request for 19 (b) hearing, 2) disputed claim, 3) death claim, 4) catastrophic
200
The number of days in which you must document legal updates.
What is 30?
200
Name two results of timely Excess Reporting.
What are: 1) Recover money, 2) Reduce E & O's ?
200
You have received a new claim. The whole plant has been affected by a rampant mold spore and filed WC claims. You may report all claims in one letter to the excess carrier. (true / false)
What is false? Each claim reported to the carrier must be reported in a separate letter.
200
TRUE OR FALSE. YOU CAN NEGOTIATE THE SETTLEMENT OF ANY CLAIM IN EXCESS, AS LONG AS YOU HAVE CLIENT AUTHORITY TO BEGIN NEGOTIATIONS.
WHAT IS FALSE? YOU MAY NOT AGREE TO MAKE ANY SETTLEMENT DECISIONS VOLUNTARILY INVOLVING ANY LOSS TO THE CARRIER WITHOUT THE CARRIER'S CONSENT.
200
Your claimant has obtained counsel. It shows good faith to answer his questions if he calls about his TTD, but for other questions, he can refer to his attorney - true or false?
What is false? It is always a good idea to refer the clmt to his own atty for any questions.
300
Name the process in which you combine the claimant and attorney to issue settlement draft to both parties.
What is "Add Payee"?
300
True or false: You must report a claim to excess when the disability is expected to reach or exceed nine months.
What is true?
300
You are the supervisor. You want to know when this claim was last reported to the carrier. You look to the ______.
What is the claims edit screen, under "Updated Status to Excess" field?
300
THE TYPE OF EXCESS COVERAGE WHERE A PORTION OF THE LOSS IS NOT COVERED BY INSURANCE, FOR WHICH THE INSURED IS ALWAYS RESPONSIBLE.
WHAT IS SELF-INSURED RETENTION (SIR) COVERAGE?
300
You log receipt of approved settlement contracts under this header in notes.
What is 'Settlement Evaluation" header?
400
Name 3 of the 6 items which must be present in the legal screen when claim is fully litigated.
What are any 3 of the following? Name of clmt atty, pet atty, suit filed button checked, date suit filed, date assigned counsel, date suit rec'd?
400
Name 3 locations a person could find the carrier information. Extra credit if you can state whether all are mandatory.
What is 1) Misc. Screen, under carrier tab, 2) Notes, 3) Claims Edit Screen?
400
"DECONTROL"
What term does a carrier use when a claim is reported to them, and the they close their file?
400
TRUE OR FALSE - PROVIDING LOSS RUNS CAN TAKE PLACE OF REPORTING TO EXCESS CARRIER.
What is False?
400
Here is where you can add a new attorney firm or address, (one that is not necessarily a payee)...
What is CCMSI website, Request Forms, Attorneys/Lawyers drop down menu?
500
This information must be under "LEGAL:" in the claims summary text to comply with CBP.
What are the pet. atty name and def. atty. name?
500
The preferred method of sending update reports to the carrier
What is any method which provides a proof of receipt, and receipt must be kept w/ the file?
500
Three reasons a carrier can refuse to pay on the claim.
What is 1) Late Reporting 2) Paying on a denied file 3) poor initial investigation?
500
YOUR CLAIM IS NEARING THE REPORTING LEVEL. YOU ARE BUSY. HOW WOULD YOU WATCH THIS?
WHAT IS: WHEN A CLAIM NEARS REPORTING LEVEL, THE SYSTEM GENERATES DIARIES TO SUPVS, AND ADJUSTER?
500
When a claim is lingering after a three year period, it's considered this: