Claims

Understanding Full Coverage in Insurance Terms
Learn what Full Coverage means in health and auto insurance policies. Comprehensive guide to insurance terms for complete protection.
Understanding Paid Claims Loss Ratio in Health Insurance
Discover what the Paid Claims Loss Ratio in Health Insurance is, how it’s calculated, and its importance. Learn the key components and implications for policyholders and insurers.
Understanding Loss Payee in General Insurance Terms
Learn about the term 'Loss Payee' in general insurance, referring to the designated person who benefits if a loss occurs, typically a mortgagee of a home or property.
Understanding Contingency in General Insurance Terms
Learn about contingency in general insurance, an occurrence that may or may not take place within a certain time frame. Understand its importance and implications in insurance policies.
Understanding Grievance Procedure in Health Insurance: A Complete Guide
Learn about the grievance procedure in health insurance, a process for policyholders to file complaints. Understand how to navigate and utilize this process effectively.
Negligence in General Insurance Terms: Understanding Legal Implications
Discover the concept of negligence within general insurance terms. Learn how a failure to exercise reasonable care can have legal implications in various circumstances.
Understanding Estoppel in Legal Terminology
Gain insight into the concept of estoppel in legal terminology. Learn how behavior can influence the ability to deny the existence of a condition in legal contexts, using examples from health insurance claims.
Understanding Traumatic Injury in General Insurance Terms
Learn about traumatic injury in the context of general insurance. Discover the implications of an injury inflicted on the insured’s body by an external force.
Loss Development in General Insurance
Understand loss development in general insurance, which refers to the variance between initially estimated losses and reported losses over time.
Stacking of Limits in Insurance: Understanding the Legal Term
Learn about the stacking of limits in insurance, a legal term that involves using the limits of multiple policies to cover a single claim or event. Understand when and how this can be applied.
Condition in General Insurance Terms: Ensuring Policy Validity and Claim Payment
Learn about the importance of meeting policy conditions in general insurance. Understand how actions like paying premiums on time help in retaining policy validity and ensuring claims are paid.
Entry Date into Claims Made (Liability) - Key Definition in Insurance
Learn about the entry date into claims made liability policies, which establishes the maturity of the policy effective date. Essential knowledge for insurance professionals.
Ex Gratia Payment in General Insurance: Understanding Goodwill Payments
Explore the concept of ex gratia payments in general insurance — voluntary compensation by insurers, not required by contract. Understand when and why these goodwill payments are made.
Incurred But Not Reported (IBNR) in General Insurance - Understanding Hidden Risks in Claims
Incurred But Not Reported (IBNR) refers to losses in general insurance that have occurred but have not yet been filed as claims. Learn how IBNR impacts insurance companies and policyholders.
Indemnify: The Core Concept in General Insurance Terms
Understand the term 'Indemnify' in general insurance as the act of returning a policyholder to their pre-loss condition. Learn its importance and application.
Period of Restoration in Property Insurance - Understanding Business Income Coverage Payout
Learn about the Period of Restoration in property insurance, which defines the duration your business income coverage policy will payout. This period starts from the date of loss and ends when property repairs should be completed.
Shock Loss in General Insurance: Understanding Significant Insurance Events
Learn about shock loss in general insurance, a significant event that affects insurers or underwriting companies. Discover its impact and importance in the insurance industry.
Ultimate Net Loss in General Insurance: Definition and Insights
Understand the term 'Ultimate Net Loss' in general insurance. Learn what it includes, such as legal rulings, settlements, and additional costs like medical and investigative expenses.
Understanding Explanation of Benefits in Health Insurance
Learn about what an Explanation of Benefits (EOB) is, how it itemizes health services, the incurred costs, the payments made by your insurer, and your responsibilities.
Understanding Payee in General Insurance Terms
A detailed explanation of the term 'Payee' in the context of general insurance, defining a payee as a person receiving money.
Understanding Proximate Cause in Insurance: Key Legal Terminology Explained
Learn about proximate cause in insurance, a critical legal term that describes the primary cause that initiates a series of events leading to damage or loss to the insured person or property.
Understanding Release in General Insurance Terms
Explore the concept of release in general insurance terms, including how it applies to claims and the documents used to terminate claims, such as lien releases in property scenarios.
Understanding Subrogation Release in General Insurance Terms
Learn about subrogation release in general insurance - a mechanism where the insurer gains the insured's rights to collect from an entity responsible for the loss. Understand its implications and how it operates.
Understanding the Deductible Clause in General Insurance Terms
Explore what a deductible clause is in general insurance terms and how it affects your insurance policy. Learn everything about deductible amounts and clauses in insurance contracts.
Claim Department: Role in General Insurance Terms
Understand the role of the claim department within an insurance company and how they assess whether claims will be paid.
Consideration in General Insurance: Understanding the Value Exchange
Learn about the concept of consideration in general insurance, where the premium paid by the insured and the future payout of claims by the insurance company form the basis of the contract.
Partial Loss in General Insurance Terms
Understanding Partial Loss in insurance: A loss that does not completely devalue or destroy the insured's property.
Understanding Immature Policies in Liability Insurance
Learn about immature policies in liability insurance, specifically claims made on policies in effect for less than five years and the associated rating discounts.
Understanding Occurrence Coverage in Liability Insurance
Explore what Occurrence Coverage in Liability Insurance entails, including how it provides coverage for losses occurring within the policy's term, regardless of when the claim is made.
Understanding Time Limits in General Insurance: Key Terms and Definitions
Learn about time limits in general insurance, including the duration insured individuals have to submit claims and accompanying documents. Ensure timely submission to avoid complications.
Vis Major: Understanding Acts of God in General Insurance
A comprehensive guide on 'Vis Major' or 'Act of God' in general insurance, explaining accidents for which no one can be held responsible.
What is Apportionment in General Insurance Terms?
Learn about apportionment, a crucial method in general insurance for dividing a claim among multiple insurance companies, ensuring fair distribution and clarity in settlements.
Independent Adjuster: Definition, Responsibilities, and Benefits
Learn about independent adjusters in general insurance, their roles, responsibilities, and how they operate as independent contractors for various insurers.
New for Old Insurance Policy Explained: Benefits & Coverage
Learn about 'New for Old' insurance policies, which allow the purchase of new parts to replace old or damaged ones instead of repairing them. Discover the benefits and coverage details.
Reduction in Insurance: Understanding Benefit Reductions
Reduction in insurance refers to the lessening of benefits paid out under a policy due to certain conditions. Learn more about this important general insurance term.
Tabular in General Insurance Terms
Understanding the term 'Tabular' in insurance: refers to data or costs derived from tables like mortality tables in risk assessment.
Umpire in Property Insurance: Role and Responsibilities
Learn about the role of an umpire in property insurance, a crucial figure in helping claimants and insurers agree on the amount of loss. Understand the process and legal implications.
Understanding Act of God in General Insurance
An Act of God in general insurance terms refers to a natural event outside of human control, such as an earthquake. Learn more about its definition and implications.
Understanding Bodily Injury in Health Insurance
Learn about bodily injury in health insurance, which covers physical damage to a person's body. Discover what this term means and its implications for your healthcare coverage.
Understanding Coinsurance in Property and Health Insurance
Learn about coinsurance in both property and health insurance: how it determines claim payments in property insurance and the policyholder's cost responsibilities in health insurance.
Understanding Concurrent Causation in General Insurance
Explore the concept of concurrent causation in general insurance. Understand how losses involving multiple events can affect coverage, including scenarios where one event is covered and another is not.
Understanding Coverage Trigger (Liability) in Insurance Policies
Learn about Coverage Trigger (Liability), a crucial concept in determining if an insurance policy covers a claim. Understand how it functions in liability insurance.
Understanding Exposure in General Insurance: Definition and Implications
Learn about the term Exposure in general insurance, which refers to situations where a loss could occur, the likelihood of such a loss, and its impact based on the surrounding area.
Understanding Loss in General Insurance Terms
Explore the definition of 'Loss' in general insurance, including claims filed by the insured, property value decreases, and amounts paid by the insurer.
Understanding No-Fault Insurance in Vehicle Insurance
Learn about no-fault insurance in vehicle insurance, which allows the injured party to file claims with their own insurance company irrespective of fault. Discover how this legally mandated insurance works.
Understanding Occurrence in General Insurance Terms
Learn about the definition of Occurrence in General Insurance, its implications, and how it differs from an accident. Essential insurance terminology explained.
Understanding Paid Losses in General Insurance Terms
Discover what paid losses refer to in the context of general insurance. Learn how insurers calculate the amount paid out in losses over a specific time frame.
Understanding Reimbursement in General Insurance Terms
Reimbursement in general insurance refers to the re-payment of an amount already paid by the insured. Learn how it works and what it means for your insurance claims.
Understanding Total Loss in General Insurance: Key Insights
Explore what Total Loss means in general insurance. Learn how it's defined and its implications on insurance claims when property is completely destroyed.

Insurance Terms Lexicon

Explore comprehensive definitions, etymologies, synonyms, antonyms, facts, quotes, government regulations, references, and quizzes related to insurance terms. Ideal for professionals, students, and enthusiasts.

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