Module 1 – Critical Thinking and Insurance Policy; 0709510407

Eye Spy

100

In these 2 places is where you can find drivers that are excluded on the policy, who is excluded if any

1) Policy screen; Coverage tab; under drivers 

2) Policy screen; policy documents tab; 2nd document from the top 

3) Jesus & Jser 

200

Where can you find policy risk state, status and effective dates and what are they for this claim? 

Policy screen > Policy details tab 

300

This is where to find the amendments and endorsements on a policy

The coverage endorsement tab 

400

Keeping an eye on coverages are important, name 2 potential coverage issues that require more investigation.

1) Excluded drivers / driver not listed 

2) Permissive use in question

3) Policy not active 

4) Other exclusion (intentional act, racing, etc) 

500

Locate a signed document by the insured excluding driver's on the policy

Policy screen > TDocs > Top most PDF  

Knowledge is Power

100

What does it mean that an insured seeks coverage and the claimant seeks payment of damages?

• A claimant is not a party to the contract. They benefit from the coverage that an insured purchased to pay for damages they are responsible for, therefore, a claimant is not seeking coverage, they are seeking payment of their damages from the coverage the insured purchased.

200

Why is it important to review driver exclusion endorsements?

Reviewing the driver's exclusion is important because each state can have different parameters of how coverages are excluded.

300

Why is it important to review amendments attached to the policy?

We always need to review amendments and endorsements on each claim as it could change the policy language and how coverage will apply.

400

Which document summarizes who is insured, what is insured, the coverages selected and the limits of coverage?

Declarations Page

500

Which document is added to the policy by the insured and changes the policy by adding, altering, or omitting a certain part or term?

Endorsements

I don't Remember

100

When do I need to add a 2nd look to my file?

Anytime you go outside the recommended range in LAT 

200

What are the focus areas for the Spring Unit Contest? 

CLF, GHRN and Digital Comms 

300

List 2 things you can do to help identify comparative negligence

1) Asking the right questions based on loss type

2) Conducting a thorough investigation 

3) Obtaining CLMT statement 

 

400

What does DPP stand for? 

Digital Practices & Processes 

500

Why is it important to ask both, "was your vehicle being used for RFH," and "Purpose of trip." 

To rule out any coverage concerns. Asking only 1 of the questions may not lead to enough information. 

Example: "Going to the store" could be an answer when asking purpose, however were they going to the store for an Uber delivery? Both are important.