C&P Claims

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  • opening page
  • Scope
  • Introduction to Claims
  • Claim Process
  • Claim Registration

C&P Claims


December 2020


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Chapter 1 / 4

Scope

  • Introduction to claims

  • Processing of claims

  • Salvage

  • Subrogation

  • Litigation

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Overview of P&C Claims

Overview of P&C Claims

At the end of this session, you will be able to:

At the end of this session, you will be able to:

  • Explain the typical processing for P&C claims:

       • Various stages of a claim

       • Incoming documents

       • Outgoing documents

       • Changes to reserves during the process

    • Various stages of a claim

    • Incoming documents

    • Outgoing documents

    • Changes to reserves during the process
  • Explain the concept of Salvage and processing

  • Explain the concept of Subrogation and processing 

  • Explain the Litigation process

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Chapter 2 / 4

Introduction to Claims

What is a Claim?

What is a Claim?

  • Request for compensation of loss

  • On the happening of an insurance event

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Chapter 3 / 4

Claim Process

Stages of Claim

Stages of Claim

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Chapter 4 / 4

Claim Registration

Formal process of claims initiated

  • Formal application for the claim: Claim Registration form

  • Basic checks for the validity of a claim are:

    • Claim date is valid: If policy is in-force on date of loss?

    • If Risk is covered under the policy?

    • If Loss claimed is within the deductible limit?

    • If there is any Duplicate claim?

  • Details provided are:

    • Policy details and cause of loss

    • Risk details: Insured Object and Damaged Object

    • External evidence

    • Typical Documentation: Proof of loss, police report, and bills

  • Preliminary estimate of the loss, a Claims Loss Reserve

  • Registered Claim

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Claim Registration form

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Details of the Insured Person and Vehicle
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Details of the Driver at the time of Accident
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Details of the Accident and Damage to Insured Vehicle
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Third Party Injury / Property Damage
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Injury to Driver / Occupant
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Declaration by the Insured
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Knowledge Check

Select the correct response and click Submit.

Select the correct response and click Submit.

Insurer books liability towards claim at following stage

Insurer books liability towards claim at following stage

Correct

Great Job!

Incorrect

The correct answer is Claim Registration.

Claim Registration


All pertinent evidence must be kept as close to the original state as possible so that _________ or __________ can detect the damage in the event of loss to the insured’s property

All pertinent evidence must be kept as close to the original state as possible so that _________ or __________ can detect the damage in the event of loss to the insured’s property

Correct

Great Job!

Incorrect

The correct answer is Claims assessor or surveyor.

Claims assessor or surveyor


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