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Module 5 (Claims Management Test)

Rules for Assignment   • ▶Ensure your answer reflects the context of the question. Your answer must be based on the figures and/or information used in the question.  • ▶Ensure you answer all questions. • ▶Address all the issues raised in each question. • ▶Do not group question parts together in your answer. If there are parts (a) and (b), answer them separately.   • ▶Ensure that the length and breadth of each answer match the word limit.            •  ▶Each Answer should not be less than 250 words and more than 350 words. This does not include figures.    I =▶IMPORTANT NOTE: PLEASE PREPARE FOR THESE QUESTIONS WELL IN ADVANCE. A WINDOW OF 3 HOURS WILL BE OPENED TO PROVIDE ANSWERS TO THESE QUESTIONS ON 2nd JULY FROM 3 PM TO 6 PM.                             ▶▶▶▶▶▶▶Click on the link below to start the test.                                                                                                                                                                                                                 **********Password for the test is : bimaschool@123 ************ _______________________________________________________________  ▶▶▶▶▶▶▶▶▶▶Questions   Scenario 1: You work for an insurer and presented with a large claim from a policyholder. You think that the claim may not be covered but you handle the claim and helped the policyholder. What issues do you need to bring to the attention of the policyholder and why?   Scenario 2: You receive a complaint from your policyholder that you have failed to settle a valid claim. you investigate and discovered that they are right. You apologise and make the claim payment adding interest and Rs 100000 as recognition of inconvenience. what type of experience has this policyholder encountered   Scenario 3: You are the claim manager of the small insurer. You are advised that your company is about to expand rapidly into a new area, which will generate thousands of claims. Your board suggests that you should outsource these claims. what would be the practical implication of the expansion and what would you need to consider when assessing outsourcing’s viability as a response to the demand of the new area?   Scenario 4: You are the claim manager for an insurer. Your board has asked you to prepare that discusses the significant aspects of IT in claims handling. Put a report together outlining the aims of IT in claim handling as well as the benefits and difficulties of IT use.   Scenario 5: You are about to revise your company’s strategy on fraudulent claims. In order to put a system in place to identify fraud your first need to consider what type of indicators should arouse your claims handler’s suspicions. Identify a comprehensive list of these trigger for both first party and third-party claim Click on the link below to start the test. Best of Luck for the Test