Weeks 10 & 11 - Miscellaneous Tasks - July Quiz

1. Per Regulation 216.11 Examinations, all insurers subject to the provisions of this Part must maintain within each claim file all communications, transactions, notes, and work papers relating to the claim. This information must also be dated.

True

False

2. Examiners should stay _______ on all work items and keep their work in line with __________ guidelines.

Current; best practices

Calm; best practices

Healthy; regulation

Current; their own

3. When our insured is operating a rental vehicle

The rental agreement must be obtained before any payment can be made

Must have contact with the insured

Verification that no add'l coverages for rental vehicle was purchased

We must verify the insured did not rent the vehicle longer than 30 consecutive days.

All of the above

4. Examiners should document

All phone calls

Police report narration

The claimant's narrative report (L74R)

Reports found on ISO

5. If the insured insists their child's car seat is new or worth more than $100

Ask for receipt(s)

Ask for photos

Ask for the age of the car seat and brand if the car seat is not new

All of the above

6. When a loss occurred in NYS and we receive a claim for diminished value

Deny the entire claim including damages to the vehicle

Pay the diminished value based on the customer's method that was used

Generate a denial for the diminished value claim based on NY case law.

7. When reviewing an out of pocket rental bill for insured or claimant, a phone call to the repairer or customer may be necessary to verify the dates the vehicle was in the shop for repairs. The reason for the phone call is to make sure the # of rental days is not excessive.

True

False