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

22⟩ Tell us is it possible to get the full payment on cancelling the new policy in free look period?

‘Free Look Period’ is a time-period where the insured can cancel their newly bought policy in a specific period of time from the date of issuing the policy without any penalties or surrender charges.

Yes, it is possible to get the full payment in free look period; you can cancel your new policy in 15 days by returning the policy to the life Insurance company after you receive all the documents related to the policy.

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23⟩ Tell me how does your firm operate? When is it open? What about after-hours contacts? How will claims reporting be handled?

There are plenty of reasons to get these questions answered before you have to put the agent to the test.

Say you decide to buy a car on Saturday afternoon, but don't know whether your current policy offers sufficient protection for the new car. If you drive off the lot and get in an accident, you could be in for a heap of financial troubles; if your agent isn't available until Monday and has no off-hours number to check in on, you may not have any way of knowing whether you are sufficiently covered on the new car.

Likewise, you have a car accident on the weekend and need to know if you can rent a car and bill it to the insurer, or there's a fire in your home and you want to know how quickly you can get people working to weatherproof the parts of your home that survived.

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25⟩ Tell me how many insurance companies do you represent? How long have you worked with each company?

The more insurers an agent represents, the more options she can present you with. At the same time, an agent may have a few favorites she prefers to work with. Captive agents, of course, work with only the one firm, but those companies are likely to provide cradle-to-grave coverage options on virtually every type of protection.

Ideally, an agent with a long history in the business has longstanding relationships with the insurer(s) she works with. If not, that raises a concern that she has not been the kind of agent an insurer wants to keep. That said, there are also legitimate reasons why an insurer might drop an agent, not the least of which is state regulations that make a company decide to no longer participate in the market.

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26⟩ As you know this job requires flexibility and sudden changes to your schedule. How do you plan on handling the stress of the position?

Like any other job that has core responsibilities outside of working hours, I plan on making my work time flexible and taking the space I need to ensure that I’m effective in all situations. That might mean going in to process paperwork immediately after a late-night accident, so that I can afford to rest the next day without holding up anyone’s process. It might mean asking for more flexibility to work from home as needed so that I can stay more mobile. Until I know exactly what options will be open to me, it is hard to be really exact, but I chose this career for a reason, and its needs appeal to me.

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28⟩ Tell me what continuing education classes have you taken? What credentials, if any, do you have?

Insurance, like the other financial services specialties, is evolving; you want someone who is current on the law and on the best procedures to follow to maximize your insurance dollar. With pricing being less of an issue in insurance than other specialties, expertise is at a premium (so to speak), so make sure you are getting an expert and not just a salesman.

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29⟩ Please explain about a fraudulent claim you discovered. What action steps did you take?

I had a work comp claim where this man claimed to have hurt his back on the job when lifting a heavy piece of material. Only to find out, he injured it at home when he was putting a deck up in his backyard. I found out he had been treated a few months ago at a hospital for the same injury, which was stated from putting a deck up at home. He didn't have medical insurance and was trying to get work comp to pay for it.

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30⟩ Explain me what steps do you go through when you investigate a claim?

I don't have the idea as I don't have the experience in that field but I think it is more or less the same when I receive the docket. I think first thing the claim must be registered on the system, check the membership and the validity, contact the policy holder, gather as much information that is needed, process the claim, decline or settle the claim.

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32⟩ Explain about a time that you went out of your way to assist a colleague. What satisfaction did you get from your actions?

I help people daily. When I work hard towards finding a solution to help someone and we finally get the work done, I love seeing the excitement on their face or hearing it in their voice. That reaction is what keeps me coming back. I also enjoying the learning process; I learn from them and they learn from me.

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33⟩ Explain me about a time when you had to negotiate with someone and you wound up giving in. What would you do differently next time?

This is an interesting question because it’s actually what appealed to me about this career in the first place. I learned early on in life that I like to give people solutions that make them happy, and when I was younger I had a hard time drawing a line. At the call center job, I learned from that, and going forward I always ask myself a few key questions about who caused the situation, who has already invested the most in a solution, and why it is necessary to obtain my key core results. That way I am more prepared to stick to my guns and get what I need out of the negotiation.

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34⟩ Tell us how long have you been in insurance? How long with this particular agency?

Experience counts, but it isn't everything. If an agent has bounced around from one firm to the next, there may be a problem; at the very least, it should make you question whether the agent will be there to service your long-term needs.

Remember my story about my wife and George, the insurance agent she wanted on our side in case of emergency? Well, for her to get her wish and have George in place during an emergency, George needs to still be in the business and working with us. If he were changing firms all the time, chances are that we'd be stuck in the event of a disaster, with Susan frustrated about having to deal with a stranger (and if she wanted to deal with a stranger, we'd have saved the $52 in annual premiums and done the deal on our own, without the agent).

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39⟩ What is the Surrender Value?

Surrender Value is the amount when you stop paying the premium and withdraw the entire amount. The policy ceases as soon as you withdraw the money, and the insured will lose out all the returns on it.

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40⟩ What is no-claim bonus?

No claim bonus is a benefit for those who have not claimed insurance during the preceding year of cover. This will lower the premium on the following year.

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