Insurance Claims Agent

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“Insurance Claims Agent related Frequently Asked Questions by expert members with job experience as Insurance Claims Agent. These questions and answers will help you strengthen your technical skills, prepare for the new job interview and quickly revise your concepts”



77 Insurance Claims Agent Questions And Answers

3⟩ Tell me what was the most difficult period in your career so far and how did you deal with it?

Work related- I was having this challenge whereby a certain family was having those individuals who were not willing that a postmortem be conducted to their family member, I was suppossed to intervene to deal with this situation. I tried to explain to their elders the importance of the postmortem, I manage to knock some sense into their minds and the postmortem was conducted.

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4⟩ Tell us can I have your insurance license number?

Ask this one early in the process and you could save some time. It's a deal-breaker.

Insurance agents are licensed by the state. Getting the license number speeds up your background check with the state insurance commissioner; it sends a clear message to the agent that you intend to do a background check.

You can laugh it off as being precautionary and being a waste of a phone call if that gets the agent to show you a license, but you should make it clear that you won't hire an agent who can't prove that he or she is currently licensed. Some states give agents a card to show, others a certificate for the wall. It doesn't matter; ask for proof, look at the document, check the names and dates.

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5⟩ Tell me what about your last job prepared you to step into this position?

Before I trained to enter the insurance industry, I was a customer service representative at a large call center. Our clients included both insurance clients and also some tech industry support for cellular phone contracts and warranty services. Both of those client groups involve a lot of negotiation with customers from a call center’s perspective, and they both taught me how to adjust a customer’s expectations politely, while explaining why it is important that we do so.

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6⟩ Tell us how were you notified that you received the job?

My interview was more or less on the floor, I guess. They asked me to make a phone call and to see if I could sell. I did, I ended up calling a business. I ended up talking to the business owner. I ended up getting a quote for him. Through that my boss was like, “Okay we understand that you can do that. Try doing a residential.” I got a quote through them and therefore I did my job in front of them. I showed them that I was capable of doing it.

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7⟩ Please explain what other advice would you give to a job seeker looking to gain employment?

It’s a really good job. They have a lot of they have a lot of good career opportunities. It’s a good way to get your feet wet if you’re wanting to go into a marketing job. If you’re looking for something, that you’re like, “Okay, I want to learn how to put my name out there and talk to different people.” These are people that you’re probably not going to see. Yet you still have this connection with them by just talking with them. I would say it’s a good job for that. If you don’t have a lot of patience and you don’t like being over the phone or if you’re afraid you’re going to get your feelings hurt because people are going to say stuff over the phone, then it’s not a job for you. It’s a job for someone who can take no, rejection. You may only get one quote a day out of 100 that you call. It’s something that you have to take the rejection. It’s rewarding because of what you make, but also being able to help people who really do appreciate that you are calling them to see if you can help them out.

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8⟩ As you know this job requires a lot of communication with clients. Not all of it is communication they want to hear. What would you do about a client who reacts negatively to your evaluation?

Luckily, this is an area where I do have a lot of experience. If I’ve already explained what happened and why I need to make the adjustment, the next step is to give clients the space they need to ask questions. By fielding their concerns and addressing them, hopefully we can bring the clients to the point where they understand. Failing that, it is necessary to keep my own cool as I point out what led to this determination.

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13⟩ Explain what is your philosophy on working with insurance companies and consumers in settling disputed claims?

This is one of those areas in which an independent agent may have an edge. If your agent believes the insurance was wrong in denying a claim, she should step in and lobby on your behalf. When an agent represents one company, she may not want to put up too big a fight or could wind up out of business. An independent agent, meanwhile, has the threat of moving business to another company.

Under any circumstances, beyond knowing how an agent will help in processing claims, you want to know if they will go to bat for you when a claim goes against you.

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14⟩ Tell me how much of my initial premium payment goes to commissions and fees, and how much of that commission do you get?

This is a big issue with life insurance products, for which the agent is going to get a big cut of what you spend up front to buy coverage. A big chunk of your first premium payment is going to the advisor, no matter what, so be sure the agent has shown you several options and given you the information necessary to pick the best one for you. That won't necessarily be the policy that provides the agent with the biggest payday.

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17⟩ Tell me what is Co-insurance?

Co-insurance term is usually referred to health insurance companies. In this type of policy, you share the coverage with, the insurance company in percentage of the policy value, after paying deductible or co-payment. It is the split of insurance coverage between you and insurance company; usually the split would be 80/20 % where you are liable to pay 20% and the remaining amount by the insurance company. For example, for health policy you have claimed for $200, according to policy clause you have to pay deductible, let say $100, now after paying deductible the remaining amount is $100, now you have a co-insurance which is split into 80/20%. So you will pay $20 out of $100 from your pocket while the $80 will be paid by co-insurance(meaning the insurance company).

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