A state Department of Insurance might conduct which one of the following types of reviews of...

A state Department of Insurance might conduct which one of the following types of reviews of an insurer’s claims department?

Select one:

a. Claim control

b. Internal claims audits

c. External claims audits

d. Expert system reviews

Expert Solution

The answer is a. Claim control

claim control is the process used by State depatment of Insurance for determining coverage, legal liability and settling a claim.The claim function exists to fulfill the insurer's promises to its policy holder

keosha answered 2 years ago

Which one of the following is the type of state insurance rating law that allows rates...

Which one of the following is the type of state insurance rating law that allows rates to be determined by market prices driven by the economic laws of supply and demand, rather than regulatory decisions? Select one: a. Mandatory rate law b. File-and-use law c. Open competition law d. Flex rating law

State Departments of Insurance require insurers to use which one of the following conservative accounting systems?...

State Departments of Insurance require insurers to use which one of the following conservative accounting systems? Select one: a. NAIC Accreditation b. Financial Accounting Concepts c. GAAP d. Statutory Accounting Principles

Which of the following are examples of principal types of life insurance?

Which of the following are examples of principal types of life insurance? Term life policies Whole life policies Universal life policies Both (a) & (b)

The family planning wing of the health department of a certain state wishes to conduct a...

The family planning wing of the health department of a certain state wishes to conduct a survey at a university campus for estimating the average time gap between the births of children in families having two children. The frame available, of course, lists all the 400 families of the campus. As the prior identification of the families in the population, who have just two children was difficult, the investigator selected a WOR random sample of 50 families. In the sampled...

Compare and contrast the different types of project reviews. Speculate as to which project review would...

Compare and contrast the different types of project reviews. Speculate as to which project review would have a more sustainable impact in regard to the evaluation of a project. The project reviews are: 1) Detailed technical reviews; 2) Project sunset review; 3) Project go/no-go review; 4) Plan review; 5) Progree Reviews

1. Which ONE of the following defendants is the only one in which a state court...

1. Which ONE of the following defendants is the only one in which a state court would absolutely be able to exercise in personam jurisdiction (without having to have additional information to make a determination)? a. An individual who is traveling through a state and allegedly causes damage while there. b.A business that is incorporated in somewhere in the United States. c. A business with manufacturing and distribution facilities located in multiple states throughout the country. d. An individual who...

The Department of Taxation The Department of Taxation of one state is developing a new computer...

The Department of Taxation The Department of Taxation of one state is developing a new computer system for processing state income tax returns of individuals and corporations. The new system features direct data input and inquiry capabilities. Identification of taxpayers is provided by using the Social Security numbers of individuals and federal identification numbers for corporations. The new system should be fully implemented in time for the next tax season. The new system will serve three primary purposes: • Data...

which of the following types of insurance would you suggest to a client that runs a...

which of the following types of insurance would you suggest to a client that runs a sole proprietorship trucking company? a. auto insurance b directors and officers insurance c general liability insurance d auto and general liability only e all of the above

Which of the following statements is true about the types of insurance sold in the United...

Which of the following statements is true about the types of insurance sold in the United States? A. Most policies sold are whole life, but universal has the largest percentage of coverage in force. B. Most sold are term life, but whole life has the largest percentage of face amount in force. C. Most policies sold are whole life, but term life has the largest percentage of face amount coverage in force. D. Most policies sold are term life, but...

Which of the following is not an application of BI in Insurance ? Select one: a....

Which of the following is not an application of BI in Insurance ? Select one: a. cherry pick customer and increase profitability b. identify and Fraudlant claim practise c. Assess the effect of events on market movement d. Determining Optimal Rate plan 2- Business intelligence can reveal which remains hidden in the millions of bytes of data however Select one: a. It is very time consuming process b. some hypothesis with domain knowledge is needed. c. It is not legal...

Question