Miscellaneous Left
Single party checks are ok to issue in which of the following scenarios?
A. Policyholder is the sole owner of the vehicle (no lienholder).
B. Policyholder owns the vehicle but has a lienholder.
C. Policyholder is represented by an attorney.
A. Policyholder is the sole owner of the vehicle (no lienholder).
Which of the following can be done on the claim details page? Select all that apply.
A. See SIU investigation status.
B. View police report info.
C. Listen to the recorded interviews.
D. Update the liability decision and negligence %.
A. See SIU investigation status.
B. View police report info.
D. Update the liability decision and negligence %.
A party can only recover in a contributory state if they are __% responsible.
0%
The Payment Recovery Unit (PRU) is able to subrogate without us obtaining contact information for the claimant. True or false?
False
The purpose of guidance hyperlinks in ClaimIQ is to provide additional information regarding a particular section in ClaimIQ and how to fill it out/what it means. True or false?
True
Adam made a liability decision to deny liability on February 1st. When must he send the claimant a liability denial letter?
A. February 2nd
B. February 27th
C. March 1st
D. February 16th
D. February 16th
A coverage denial means the policy ____________ at the time of the accident. A coverage disclaimer means the policy ______________, there just isn't any coverage applicable to the loss due to an exclusion or failure to meet the definition of a covered loss.
A. Doesn't exist; Does exist
B. Does exist; Doesn't exist
C. Doesn't exist; Doesn't exist
D. Does exist; Does exist
A. Doesn't exist; Does exist
If a customer declines our request to record an interview, we can conduct the interview without recording the conversation (verbal interview). Is this statement True or False?
True
If your insured carries Underinsured Motorists coverage and has extensive damages, how can we find out if the claimant has enough coverage to pay for our insured's damages?
A. Ask insured to call adverse carrier and find out.
B. Just wait until our insured advises there is an issue filing with adverse carrier.
C. Reach out to the adverse carrier and ask what coverage they carry/if they believe they have enough to cover the damage.
D. Order a copy of the police report.
C. Reach out to the adverse carrier and ask what coverage they carry/if they believe they have enough to cover the damage.
Ann went into the intersection at a red light and entered first. 2 seconds later, Jane entered the intersection with a green light and hit Ann on the rear passenger side. Who had control of the intersection?
Ann
The _____________ the duty breaches you place on a driver in ClaimIQ, the __________ their liability percentage will be.
A. higher; higher
B. lower; higher
C. higher; lower
D. None of the above.
A. higher; higher
You just completed a phone call to the insured and claimant to notify them that we are investigating coverage due to a fatal CC. What should you do next?
A. Send both parties a Reservation of Rights letter to notify them in writing of our pending coverage investigation.
B. Submit your Coverage Problem Worksheet.
C. Get a recorded statement with the claimant.
D. Order a police report.
A. Send both parties a Reservation of Rights letter to notify them in writing of our pending coverage investigation.
Our insured reported a new loss with a claimant who has Farmers Insurance. Who should be CBP (Covered By Policy) in ClaimIQ?
The insured driver
Before liability is updated to at-fault, a claimant should have a ______ pay code. After liability is updated to 100% at-fault, a claimant should have a ______ pay code immediately.
A. Inspect only; Inspect and pay
B. Inspect and pay; Inspect only
C. Inspect and pay; Photographs only
D. Photographs only; Inspect only
A. Inspect only; Inspect and pay
Which inspection type requires you to notify the customer to remove personal items from the vehicle?
A. Vehicle Inspection Centers
B. Easy Photo Estimates
C. Drive In/Drive By
A. Vehicle Inspection Centers
The insured presents a first party medical claim for PIP and a comprehensive claim. Which coverage must be settled first?
A. The PIP claim must be settled first.
B. The comprehensive claim must be settled first.
C. The settlement of the two coverages have nothing to do with each other and settlement can occur at any point.
D. None of the above.
C. The settlement of the two coverages have nothing to do with each other and settlement can occur at any point.
You receive a new backing loss reported online between two parties. There is also a CC37 because the insured recently purchased the vehicle. How many recorded interviews will you need to gather for this claim?
A. 1; we only need the CC37 recorded interview.
B. 2; we should only get liability recorded interviews from each party.
C. 4; a coverage and liability recorded interview from each party involved.
D. 3; a CC37 coverage recorded interview from policyholder only and 1 liability recorded interview from insured and claimant each.
D. 3; a CC37 coverage recorded interview from policyholder only and 1 liability recorded interview from insured and claimant each.
Which parties should always be NFP (Negligent Free Party) in ClaimIQ? Select all that apply.
A. Owners
B. Drivers
C. Passengers
D. Witnesses
A. Owners
C. Passengers
D. Witnesses
Tom is insured by Progressive. Mary is insured by GEICO. Tom is at-fault for the loss, but Mary decides to file with GEICO. Who would be the ‘responsible party’ on our subrogation details tab?
A. Progressive
B. Tom
C. Mary
D. GEICO
B. Tom
You've issued a digital payment to a customer. The customer will receive an e-mail requesting them to update their payment preference online to receive the payment. If they don't, what will happen?
A. The payment will cancel.
B. The payment will send digitally anyway.
C. The payment will default to a paper check in the mail after a certain timeframe.
D. They don't need to update the info.
C. The payment will default to a paper check in the mail after a certain timeframe.
Which of the following is not a requirement to auto advance an insured's deductible?
A. Adverse carrier accepted liability.
B. Adverse carrier has not paid policyholder’s deductible.
C. Adverse carrier is signatory verified.
D. Adverse carrier must have insured’s certified declarations page from GEICO.
D. Adverse carrier must have insured’s certified declarations page from GEICO.
If the insured was hit by a car while running on their morning jog, what type of loss would you select?
A. Other (Glass/Towing/Vehicle fire)
B. Injured in vehicle
C. Personal injury
D. Vandalism
C. Personal injury
In which of the following scenarios should you seek to obtain liability recorded statements from both parties to investigate further? Select all that apply.
A. Backing losses
B. Rear end losses (just two cars)
C. Intersection losses
D. Lane change losses
A. Backing losses
C. Intersection losses
D. Lane change losses
Our insured rear-ended the claimant. Claimant filed with adverse carrier. What must happen before we can H/C (Handle Complete) the Property Damage exposure?
A. We must receive the demand, assign to SRT, wait for their review to be completed, then H/C Property Damage.
B. We must receive the demand, assign to SRT, wait for their review to be completed, issue payment, then H/C Property Damage.
C. We must receive the demand, assign to SRT, issue payment, then H/C Property Damage.
D. We must receive the demand, assign to SRT, then H/C Property Damage.
B. We must receive the demand, assign to SRT, wait for their review to be completed, issue payment, then H/C Property Damage.
The Payment Recovery Unit (PRU) communicates with an at-fault claimant and adverse carrier through calls and written correspondence. For them to send mail to the claimant requesting payment, you must have ____________ on file. Select all that apply.
A. The claimant's name.
B. The claimant's mailing address.
C. The adverse carrier's coverage status.
D. The year, make and model of the claimant vehicle.
A. The claimant's name.
B. The claimant's mailing address.