CA-Adjuster Claims Handling Best Practices
Lessons
CA-Adjuster Claims Handling Best Practices Chapter 1
CA-Adjuster Claims Handling Best Practices Chapter 2
Chapter 2 Unfair Claims Settlement Practices Acts and Model Regulation The NAIC’s Unfair Claims Settlement Practices Act and Model Regulation, as adopted in varying degrees by all states, is reviewed…
CA-Adjuster Claims Handling Best Practices Chapter 3
Chapter 3 An Overview of the Claims Adjustment Process Understanding the entire claims adjustment process is crucial to conducting an effective claims settlement. This chapter provides an overview of the…
CA-Adjuster Claims Handling Best Practices Chapter 4
Chapter 4 First Notice of Loss to First Contact This chapter discusses the first notice of loss, its key information from the insured/claimant, and basic coverage verification by the insurance…
CA-Adjuster Claims Handling Best Practices Chapter 5
Chapter 5 Investigation The adjuster needs to know many facts about the loss. But what facts, and how many are necessary for the adjuster to bring the claim to a…
CA-Adjuster Claims Handling Best Practices Chapter 6
Chapter 6 Coverage Verification This chapter describes coverage verification that occurs throughout the claims process. The elements of coverage verification are explained and connected to the insurance policy structure and…
CA-Adjuster Claims Handling Best Practices Chapter 7
Chapter 7 Documentation This chapter addresses the importance of proper, timely, and sufficient documentation throughout the claims process. Various forms of documentation are considered, including activity logs, diary notes, correspondence,…
CA-Adjuster Claims Handling Best Practices Chapter 8
Chapter 8 Evaluation This chapter discusses generic factors to consider when conducting an insurance claim evaluation. It explains the difference between evaluation of a first-party claim versus evaluation of a…
CA-Adjuster Claims Handling Best Practices Chapter 9
Chapter 9 Resolution The claim resolution process is discussed in this chapter in general terms. Each claim has its own unique variables that the adjuster must consider individually. It is…