INSURANCE CLAIMS : WHAT ARE THE KEY QUESTIONS?



The handler of the claim, therefore, has to know whether the event or circumstances regarding the claim is covered.

The following questions need to be answered:

a) Are the circumstances regarding the claim covered in the policy?

b) For a third-party claim, is the Insured legally liable?

c) Is there any legal principle which may affect the claim?

Once notice has been received, the claims handler should ask himself the following questions:

a) Is the policy in question still in force?

b) Is the insured item the same as that in the insurance policy?

c) Is the event a covered risk/peril?

d) Was there an undue delay in the notification? 


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