Which of the following best describes the term “claims” in insurance?

Study for the Georgia State Life Insurance Agent Exam. Utilize flashcards and multiple choice questions with hints and explanations. Prepare for success on your exam!

The term "claims" in insurance specifically refers to the requests made by policyholders or beneficiaries for benefits that are covered under their insurance policies. When a covered event occurs, such as an accident, illness, or loss, the insured party submits a claim to the insurer to seek compensation or benefits outlined in the policy agreement.

This process allows the policyholder to receive financial support or reimbursement based on the terms specified in their insurance. The insurer then evaluates the claim to determine if it qualifies for payment, thus fulfilling their obligation under the policy.

The other choices do not accurately encapsulate the essence of a claim as they either confuse the role of the insurer and policyholder or describe unrelated administrative functions. Understanding the definition and function of claims is essential for anyone involved in the insurance industry, ensuring clarity in communication between policyholders and insurance providers.

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