A claims handler is responsible for determining individual case reserves. In estimating these reserves, they are LEAST likely to use the information from an:

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The role of a claims handler primarily involves assessing and managing claims, which includes determining the reserves that should be set aside for those claims. Reserves are estimates of the amount that will ultimately need to be paid out for a claim, based on a variety of information sources.

Information from the claims adjuster is critical because they are directly involved in investigating the claim and have firsthand knowledge of the circumstances, costs, and damages associated with the claim. Similarly, insights from the policyholder are valuable since they provide essential context and details about the claim itself.

Insurance brokers can also provide significant information, as they are often aware of the broader context of the policy and may have relevant insights about the claim and the insured party’s situation.

In contrast, while underwriters are crucial in the initial risk assessment and pricing of insurance policies, they typically do not have direct involvement in the claims handling process once a policy is active. Their primary focus is on risk evaluation and setting premiums rather than the specifics of claim reserves after a claim has been filed. Thus, the information they provide is less relevant when it comes to estimating case reserves compared to what might be offered by adjusters, brokers, or policyholders.

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