CII Certificate in Insurance - Insurance Claims Handling Process (IF4) Practice Test

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Question: 1 / 400

During the claims handling process, what is the primary objective of adjusting claims?

To maximize the payout to claimants

To evaluate and settle claims fairly and efficiently

The primary objective of adjusting claims is to evaluate and settle claims fairly and efficiently. This involves a thorough assessment of each claim to ensure that it aligns with the policy terms and the circumstances surrounding the loss. Adjusters are responsible for gathering evidence, determining the validity of the claim, and negotiating settlements that are justifiable based on the findings.

This balanced approach helps maintain the integrity of the insurance process, ensuring that legitimate claims are honored while also safeguarding against fraudulent or exaggerated claims. A focus on fairness ensures that claimants receive appropriate compensation for their losses, while efficiency aids in expediting the claims process, benefiting both the claimant and the insurer.

Maximizing payouts, denying claims, or simply documenting claims histories may be part of the claims process but do not encapsulate the core objective of ensuring fairness and efficiency in the settlement of claims.

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To deny claims that fall outside policy terms

To create a detailed history of each claim

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