Page 445 - IC38 GENERAL INSURANCE
P. 445

Summary

a) Settling claims professionally is regarded as the biggest advertisement for an
    insurance company.

b) Policy conditions provide that the loss be intimated to the insurer
    immediately.

c) If the claim amount is small, the investigation to determine the cause and
    extent of loss is done by an officer of the insurer. But for other claims it is
    entrusted to independent licensed professional surveyors who are specialists
    in loss assessment.

d) In general the claim form is designed to get full information regarding the
    circumstances of the loss, such as date of loss, time, cause of loss, extent of
    loss, etc.

e) Claims assessment is the process of determining whether the loss suffered
    by the insured is caused by the insured peril that there is no breach of
    warranty, the quantum of loss suffered by the insured and the insurers
    liability under the policy.

f) Settlement of the claim is made only after obtaining a discharge under the
    policy.

g) Arbitration is a method of settling disputes arising out of contracts.

Key terms

a) Intimation of loss
b) Investigation and Assessment
c) Surveyors and Loss Assessors
d) Claim forms
e) Adjustment and Settlement
f) Disputes in claim settlement
g) Arbitration

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