Claims Resolution Practice Exam
Claims Resolution
Resolution of the claim means the final resolution of the claim by the Director, however does exclude any administrative appeal, judicial audit or judicial appeal thereafter.
Skills Required
To effectively resolve a contention, you want to master and practice two center abilities:
• Quick pressure help: the capacity to rapidly mitigate pressure at the time.
• Passionate mindfulness: the capacity to stay agreeable enough with your feelings to respond in helpful ways, even amidst an apparent assault.
Career Opportunity
• Claims Resolution Specialists
Table Of Content
1. Insurance
1.1 History
1.2 Principles of Insurance
1.3 Disclosure
1.4 Material Facts
1.5 Methods of insurance
1.6 Insurer’s Business Model
1.7 Types of Insurance
1.8 Insurance Policy
2. Underwriting
2.1 Introduction
2.2 Types of Underwriting
2.3 Underwriting Policy
2.4 Sources of Underwriting Information
2.5 Classes of Business
2.6 Assessment & Management of Exposure
2.7 Perils & Clause of Insurance Policies
2.8 Operational Control
2.9 Underwriting of Life Insurance
2.10 Underwriting of General Insurance
3. Underwriting and Claims Settlement
3.1 Introduction
3.2 Nature of Claim for Various Classes of Insurance
3.3 Types of Claims
3.4 Claim Settlement & Its Significance
3.5 Dispute, Litigation & Arbitration
4. The Role of Insurance Intermediaries
4.1 Introduction
4.2 The Role of Insurance Intermediaries
5. Claim Settlement
5.1 General Claim Settlement Procedure
5.2 Investigation and Assessment
5.3 Claims Documents
5.4 Arbitration
5.5 Settlement
5.6 Survey by Professional Surveyors
5.7 The Surveyor Report
5.8 Claim Procedure for Motor Insurance
5.9 Claim Procedure for Fire and Marine Insurance
5.10 Health Insurance Claim Settlement
5.11 Settlement of Insurance Claims
6. Legal Aspects
6.1 Introduction
6.2 Legal Aspects of Insurance Contracts
7. Ethics and Corporate Governance
7.1 Basics
7.2 IRDA Corporate Governance Guidelines
7.3 Protection of Policy Holders
7.4 Treating Customers Fairly
8. Trends in Claim Settlement
8.1 Introduction
8.2 End-to-End Claims Management Solutions
8.3 Focus on Key Performance Indicators
8.4 Advanced Fraud Detection Technologies
8.5 Customer Service
8.6 Quality Assurance and Insurance
8.7 Insurance Business & Claim Management in Other Countries
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