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The “Underwriting Issues in Insurance Claims” course teaches insurance professionals how to identify and address underwriting issues, when to work with underwriting, and how to handle related claims. The module is presented by Jody Ochsner and Chris Owenson of IMT Insurance, and Sean M. O’Brien of Dickinson Bradshaw Law.
This course uses true-to-life scenarios to explore how underwriting issues can arise in property insurance claims, and identify strategies for effective communication and coordination between underwriting and claims departments. In the first scenario, the presenters discuss the function of the underwriting department, when to communicate across departments, and a case that turned on the falsity and materiality of claims made during renewal. The presenters discuss Certificates of Insurance, actual vs. apparent authority, and recording vs. soliciting agents. Another scenario features a negligent loss prevention inspection that leads to injury, and the next examines whether a sublimit applies where an endorsement modifies an exclusion. In a scenario where a worker’s compensation claim is denied, the presenters delve into multi-factor tests to determine if there was an employer/employee relationship, or an independent contractor relationship. In the next scenario, an appraiser provides a different actual cash value for the the “cost approach” and the “comparable sales approach.” The scenario leads the presenters to discuss ACV definitions in statutes, valued policy laws, and the cost approach vs. comparable sales approach. The final scenario explores the requirements for certified or registered mail for cancellation notices, and how to establish an evidentiary presumption of receipt for cancellation notices.
After completing the course, the attendee will be able to
- describe the function of the underwriting department,
communicate across departments, - understand how to determine if an agent has actual or apparent authority,
- identify the difference between recording and soliciting agents,
- navigate complex sublimit issues, apply multi-factor employment tests,
- distinguish between appraisal approaches,
- and determine whether statutory tests apply in cases involving receipt of mail
The course is designed for insurance professionals working in the area of property adjusting.
What CE Credit is available?
Note: To qualify for credit, you must submit completion (including a passed final exam if required) within five days of completing the last quiz. No partial credits will be awarded.
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State:
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Adjuster General
CE Hours: |
Adjuster Ethics
CE Hours: |
Attorney General
CLE Hours: |
State's Course ID:
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| FL * ( Provider Number: 364169 ) | 1.0 | 1207595 | ||
| NC | 2.0 | 220468 | ||
| NH | 2.0 | 6000179225 | ||
| OK | 2.0 | 6000180433 | ||
| TX (classroom equivalent) | 2.0 | 141482 | ||
| WY | 2.0 | 37142 | ||
| IL | 2.0 | 0.0 | 621553 |
* This course has been approved by the Florida Department of Financial Services for insurance continuing education credit.
