This quiz for August covers key operational procedures in insurance claims processing, including premium offsets, stop payments, and handling of double-insured files. It assesses understanding of specific protocols such as ARP shop payments and the timing for stop payment processing, enhancing proficiency in claims examination.
S18
L5
EXL1
L42A
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Files with 3 or more fraud indicators
Deer claims
Vandalism claims
Theft Claims
Fire claims
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2 days
5 days
2 weeks
1 month
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Accounts Dept.
Underwriting Dept.
Claims Dept.
Re-insurance Dept.
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Any time a payment is made for insd/clmt vehicle damage
New claimant info is received
Vehicle info is received
When NYCM is retaining insured's total loss vehicle
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Pay 100% of the claim as soon as claim is received
Contact billing provider to negotiate the charges
Pay our insured's % of negligence as soon as claim is received
If negotiations fail, review with a supervisor for approval to send to Comsearch
Pay the administrative fee included in the demand
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No deductibles are taken from any of the insureds involved
A second claim should be set up under the other insured's policy
The Certificate of Repair is generated under each file; however, may be sent under the "at fault" party's file.
Add an IDMG note indicating the file is a double insured file.
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Quiz Review Timeline (Updated): Mar 21, 2023 +
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