0
What else can I help you with?
After claim is reviewed by the ICPA who adjudicates them?
After the claim is reviewed by the Independent Claims Processing Agent (ICPA), it is typically adjudicated by the claims examiner or claims adjuster assigned to the case. This individual evaluates the findings of the ICPA, considers any additional evidence, and makes a final determination regarding the claim's approval or denial. Their decision is based on established guidelines, policies, and the specifics of the case.
What does the term 'adjuster' mean in insurance?
An insurance adjuster is an individual whose function it is to resolve claims that are asserted as being covered under an insurance policy. The claims can be asserted either by the person or entity insured under the policy, or by a third-party who claims benefits under the insurance policy, for example, due to the insured's negligence. Stated otherwise, an adjuster makes the following determinations and performs the following acts: 1. Confirming that the policy was in force at the time of the occurrence; 2. Investigating the facts of the occurrence, including requesting and analyzing all paperwork; 3. Determining whether the language of the policy, reasonably construed, applies or does not apply to the facts of the occurrence; 4. Assessing the damages or other amounts payable under the policy using the policy itself, applicable law, and other applicable reference materials as indicated. Related to this, the adjuster determines who/what are the proper payee(s) of the proceeds; 5. Compliance with all laws governing the adjuster functions in the jurisdiction. An insurance adjuster is a licensee of the state department of insurance. Inherent in that status is the requirement to pass a state examination to obtain a license, and to take continuing education courses as required by the by the state of licensure. An adjuster can be a "company adjuster", meaning that he/she works for an insurance company, or an "independent adjuster", meaning that he/she can be hired by an insured to act as an advocate for the insured with respect to the claim(s). The adjuster cannot act in both roles. An independent adjuster is usually compensated as a percentage of the amount recovered, and the engagement must usually be documented in writing from the outset.
What makes an adjuster a successful employee?
i will work harder, and help people out much as i can
What is the salary a realtor makes?
the salary is from $33,962-$96,121.
What salary does Natalie morales make?
As of May 2014, there are claims that Natalie Morales makes more than 1 million dollars per year. The exact figure is not known.
Which U.S. city claims to have invented the cheeseburger?
What makes you think it was in as tate - It could have invented in Europe.
What professions could you go into that involves animals and makes a good salary?
Being a vet or in any science that studies a type of animal.
What is the monthly salary of Barack Obama?
Since a president makes $400,000 a year, his monthly salary would be about $33,000.
What is Joseph's salary?
He makes about $100,000.
What is Basic Salary and Annual Salary?
Basic and annual salary are the same thing. They are how much a person makes in a year.
How calculate salary?
Salary can be calculated many ways. You can break down your yearly salary by dividing it by the amount of pay periods in which you work to determine how much one makes per pay. Or you could take your salary per pay, and divide it by how many hours worked to determine the hourly rate in which you are paid.
What are expenses such as heat light and salary called?
Salary is not an expense. -Please re-write so it makes a logical query.
