General Insurance Claims

Across 16 chapters, every question reviewed and exam-aligned.

Tap a chapter to see what it covers.

1. 1Introduction to General Insurance Claims28 questions28▾

   General insurance claims: their history, role, and the corporate claims philosophy behind marketing strategy.

2. 2Claims Management Overview28 questions28▾

   Claims management basics: settlement methods, checklists, surveyors and loss assessors, disputes and market practices.

3. 3Dealing with the Claim Process28 questions28▾

   Claim processing guidelines: types of claims, whom, why, when and how to pay, and common issues.

4. 4Claim Documentation28 questions28▾

   Claim documentation: claim intimation, estimates, policy documents, cause of loss and supporting papers.

5. 5Survey and Adjustment of Claim28 questions28▾

   Survey and adjustment: appointing surveyors, salvage disposal, outstanding loss provisions and the role of TPAs.

6. 6Principles Governing Assessment of Loss28 questions28▾

   Loss assessment principles: utmost good faith, insurable interest, indemnity, proximate cause and loss minimisation.

7. 7Practice of Loss Assessment28 questions28▾

   Loss assessment in practice: nature of losses, purchase evidence, valuation basis, trade practices and tax.

8. 8Special Features of Property Damage Claims28 questions28▾

   Property damage claims: fire, loss of profits, project, marine cargo and hull, crime, credit and agriculture.

9. 9Special Features of Insurance of Persons28 questions28▾

   Claims for insurance of persons: personal accident claim documents and health insurance claims handling.

10. 10Special Features in Liability Claims28 questions28▾

    Liability claims: how liability is established under tort, contract and statute, onus of proof, special cases.

11. 11Special Features in Claims28 questions28▾

    Special claim types: compromise and ex gratia claims, repudiation, reinstatement of property, repair or replacement.

12. 12Speed and Quality in Settlement of Claims28 questions28▾

    Faster, better claim settlement: duties of insurer, adjuster and insured, regulatory timelines and good practices.

13. 13Disputes in Claims28 questions28▾

    Claim disputes: dispute resolution, alternative dispute redressal, internal grievances, arbitration and statutory forums.

14. 14Frauds in Claims28 questions28▾

    Claim frauds: moral hazard, false documents, exaggerated claims, stock losses, arson, marine and motor frauds.

15. 15Claims Reserving28 questions28▾

    Claims reserving: what reserves are, estimation methods, reserving principles, risks and regulatory requirements.

16. 16Information Technology in Claims28 questions28▾

    Information technology in claims: claims handling systems, MIS, predictive analytics and claims transformation.