Insurance Claim Repudiation and Estimation
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Questions and Answers

Who is responsible for the disposal of motor salvage?

  • PSG Insure Short-term Administration
  • The Insurer-approved salvage agents on behalf of the Insurers (correct)
  • PSG
  • The Insurer

What is a condition for a salvage retention?

  • The salvage agent's approval
  • The client's approval
  • The insured's approval
  • The Insurer's approval (correct)

In which case is the insured entitled to the ownership of the salvage?

  • When the salvage value is more than the insured amount
  • When the claim is settled
  • Never, according to the policy (correct)
  • When the Insurer is not entitled to the salvage

What happens when the sum of the insured amount and the actual salvage value is less than the market/retail value of the vehicle?

<p>The insured retains the salvage (C)</p> Signup and view all the answers

Who is responsible for providing the Registration certificate for the old vehicle?

<p>The Financial institution (A)</p> Signup and view all the answers

Where is the Buyback option available from?

<p>The salvage agent (C)</p> Signup and view all the answers

What should be estimated if a repudiation may be successfully challenged?

<p>The probable total cost of the claim (C)</p> Signup and view all the answers

When estimating a SASRIA claim, what should be done?

<p>Retain the estimate until SASRIA admits liability (B)</p> Signup and view all the answers

What happens to the estimate when an Ombudsman claim is finalized?

<p>The estimate is amended to reflect the total amount of transactions processed (D)</p> Signup and view all the answers

What should be included in the estimate for an Ombudsman claim that is not covered under the policy?

<p>The full estimate of the claim plus the OSTI fees (B)</p> Signup and view all the answers

When should salvage income be considered in the estimate?

<p>Never, as it is not allowed (D)</p> Signup and view all the answers

What happens to the estimate when a provisional ruling is received from the OSTI?

<p>The claim is immediately re-estimated to reflect the settlement amount (B)</p> Signup and view all the answers

What type of document is required for interim payments on claims where cover is confirmed and liability is admitted?

<p>Provisional Agreement of Loss document (C)</p> Signup and view all the answers

What is the primary reason for repudiation of a claim?

<p>The claim does not meet the policy's terms and conditions for coverage (A)</p> Signup and view all the answers

What is the purpose of a formal repudiation letter?

<p>To outline the policy provisions that were breached (A)</p> Signup and view all the answers

What is the next step if an insured disputes a repudiation?

<p>The insured can engage with the insurance company directly to dispute the repudiation (A)</p> Signup and view all the answers

Who can reject a claim?

<p>The insurer (B)</p> Signup and view all the answers

What is the name of the document used when a claim is settled on an ex-gratia basis?

<p>Ex-Gratia Agreement of Loss document (C)</p> Signup and view all the answers

What happens to salvage that has no value?

<p>It is disposed of by the salvage agent and PSG is informed. (D)</p> Signup and view all the answers

Why is it important to follow up on salvage?

<p>To ensure timely receipt of salvage income. (D)</p> Signup and view all the answers

What is the principle of average?

<p>A principle that requires insurers to pay a proportion of the claim amount based on the level of under-insurance. (D)</p> Signup and view all the answers

When may an insurer not apply the principle of average?

<p>If the client is within a 10% margin of under-insurance. (D)</p> Signup and view all the answers

What type of claims involve situations where an individual faces a claim or demand for damages from a third party?

<p>Third-party liability claims (C)</p> Signup and view all the answers

Who is responsible for causing harm to someone else or their property in third-party liability claims?

<p>The insured (B)</p> Signup and view all the answers

What is a requirement for insurers to collect and process personal data?

<p>Specifying the purpose of data collection (A)</p> Signup and view all the answers

Why must insurers maintain appropriate security measures?

<p>To prevent unauthorized access to personal information (A)</p> Signup and view all the answers

In the event of a data breach, what must insurers do?

<p>Notify affected individuals and the relevant authorities as soon as possible (A)</p> Signup and view all the answers

What right do individuals have regarding their personal information under POPIA?

<p>The right to access, correct, and request deletion of their data under specific circumstances (A)</p> Signup and view all the answers

What is necessary for insurers to demonstrate compliance with POPIA?

<p>Implementing policies and procedures for managing personal information (D)</p> Signup and view all the answers

What is the purpose of POPIA's requirement for insurers to ensure data accuracy and integrity?

<p>To ensure the accuracy and integrity of personal data held by insurers (B)</p> Signup and view all the answers

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