NURSING LICENSE QUIZZES.| LATEST SOLUTIONS

NURSING LICENSE QUIZZES.A severe storm rages through OK/ who can the insurance commissioner look to for temp help: emergency adjustors Jane is salaried employee/ what kind of adjustor is jane?: staf What is the title of the insurance professional who processes claims for compensation: insurance adjustor An adjustor who acts as fiduciary agent for an insurer must: have authority granted by the insurer through a contract In which report to the principal would an adjustor include all witness statements and other supporting evidence in addition to the total settlement: final report An adjuster who has just taken witness statements/ not yet ready to close the claim may submit to the insurer: interim report Which of the following does not apply to the adjusters responsibility of reporting to the principle: the report: the adjuster should not include advice on how to get out of paying covered claims because an adjuster must always determine a fair and equtible settlement Julie works as an insurance adjuster/settlement check for 5,000 / Julie has the power to bind the insurer to her decision to pay the claim so the insurer is required to uphold that decision When an insurer assigns an adjustor to a claim which of the following best describes the adjuster role in relation: the adjuster acts as a liaison between the claimiant and the insurer Roger is an insurance adjuster he has just arrived at the claimants home with an engineer in order to determine/ which step of the claim process is roger currently engaged in: investigation process An insurance claim is essentially: a formal request to settle the damage based on the terms of the insurance policy Of the following adjuster duties would be first: open lines of communication At what point in the claims process might a reservation of rights letter be sent: At the beginning of the investigation Why might an insurer send a claimant a reservation of rights letter: to let the claimant know that there is a coverage dispute In an investigation “critical evidence could include except: the claimants premium payment history For bodily injury liability the adjuster must determine except: the amount of punitive damages requested Jim is working on a claim. Currently he is applying all financial provisions of the policy including the policy limits coinsurance valuation: evaluation process Jim is currently working on a liability claim and has completed his investigation he presents: negotiation What is the first step of the evalution process of a claim?: determining time and cost of repairs A witness who has had a recorded interview: must have a chance to correct anything that is incorrect From a legal standpoint when a policyholder files a claim against her insurance policy: formal request Which of the following statements about arbitration is true?: an arbitrator makes a legally binding decision based upon the evidence a/An plays an advisory role in the negotiation process working from a neutral position: mediator sue sufered some property damage to her home/ estimate 11,957 what is the best solution to resolve this claim: accept the claim since the damage has been proven and the total is very close allen is adjusing an auto claim on behalf of ABC insurance/ auto claim come to 7,200 which of the following is true?: aleen can adjust the claim but ABC must write the settlement check when a storm rolled through town a month ago johns home sufered substantial: appraisal a scheduled payment release: in workers compensation claims while at work barry sufered a spinal cord injury: scheduled payment which of the following is NOT a characteristic of a fill release settlemtn: the insurer pays for cetain future incidentals related to the claim which f the following is true about the partial release:it also called “payment of property damage” Rodney has been unable to go back to work since he was struck by a vehicle while crossing the street: advance payment In a declaratory judgement action: the court decides the legal rights of both parties Jim has been an adjuster for several years/ give and take in his negoations: reputation Jessica is trying to earn the trust of a claimant with whom she is neogating a settlement: Jessica goes into the negotiation with a win at all cost attitude Which of the following is not necessary preliminary step for the adjuster: speak with the lciamant beforehand to get an idea of the minimum amount she will accept Barbara is negotiating a property claim but things are not going well: diversion Pointing out a piece of evidence that works in a claimnants favor: pleasant surprise Graham is negotiating a claim but the claimant is beginning to become frustrated and uncomfortable. Graham decideds to tell a story: humor Which of the following is an example of appropriate language: the physical damage to the insured roof appears inconsistent with that of typical hail damage Susan accidentally rear ended dana. Who is the claimant in this scernio: dana