Claims

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Claims – An Introduction 1 Topic

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Claims – An Introduction

Existence of cover 8 Topics

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Existence of Cover – Introduction

Application of policy conditions

Primary policy sections

Additional policy sections

The insuring clause

Definitions of insured

Claims made and losses occurring

Notification conditions and their operation

Legal principles 9 Topics

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Insurable interest

Formation of contract

Waiver and estoppel

Proximate cause

Claims information and reserving 5 Topics

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Claims Information

Source of claims information

Claims information – responsibilities of parties

Reserving – additional considerations

Handling and Settlement 4 Topics

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Claims Process – First Party Claims

Fraudulent claims

Identifying potential fraud

Subrogation and recoveries from other parties

Example of application of the claims process – personal lines insurance 6 Topics

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Claims Notification

Assessing coverage

Investigation of the claim

Claim is covered

Claim is NOT covered

Claims – Quiz