The insurer's obligation to pay a valid claim is triggered by

Improve your field underwriting skills. Test your knowledge with our multiple-choice questions and detailed explanations. Get equipped for the underwriting exam today!

Multiple Choice

The insurer's obligation to pay a valid claim is triggered by

Explanation:
The obligation to pay a valid claim is triggered when the insured provides proof of loss. This is the point at which the insurer can verify that a covered loss occurred, within the policy’s terms, and determine the amount due (taking into account deductibles and limits). Signing the contract or paying the premium sets up coverage, but payment on a specific claim depends on submitting admissible proof of loss and the claim meeting all policy conditions. After proof of loss is submitted, the insurer reviews the claim, and if it’s valid and covered, pays accordingly.

The obligation to pay a valid claim is triggered when the insured provides proof of loss. This is the point at which the insurer can verify that a covered loss occurred, within the policy’s terms, and determine the amount due (taking into account deductibles and limits). Signing the contract or paying the premium sets up coverage, but payment on a specific claim depends on submitting admissible proof of loss and the claim meeting all policy conditions. After proof of loss is submitted, the insurer reviews the claim, and if it’s valid and covered, pays accordingly.

Subscribe

Get the latest from Passetra

You can unsubscribe at any time. Read our privacy policy