Insurance company claims departments employ a large number of claims adjusters supported by a staff of records management and data entry clerks. Incoming claims are classified based on severity and are assigned to adjusters whose settlement authority varies with their knowledge and experience. The adjuster undertakes an investigation of each claim, usually in close cooperation with the insured, determines if coverage is available under the terms of the insurance contract, and if so, the reasonable monetary value of the claim, and authorizes payment.
Upon termination of a given policy, the amount of premium collected minus the amount paid out in claims is the insurer's underwriting profit on that policy. Underwriting performance is measured by something called the "combined ratio", which is the ratio of expenses/losses to premiums. A combined ratio of less than 100% indicates an underwriting profit, while anything over 100 indicates an underwriting loss. A company with a combined ratio over 100% may nevertheless remain profitable due to investment earnings.
Claims and loss handling is the materialized utility of insurance; it is the actual "product" paid for. Claims may be filed by insureds directly with the insurer or through brokers or agents. The insurer may require that the claim be filed on its own proprietary forms, or may accept claims on a standard industry form, such as those produced by ACORD.
Even if you consider yourself healthy, it’s important to see a doctor on occasion for a checkup. U.S. News and World Report says if you can't remember the last time you went, it has definitely been too long. You should also go for a checkup if anything has changed since the last time you saw a doctor. Are you coughing more than usual? Is that mole bigger? Even minor things can reflect larger underlying health problems. The earlier you catch any health problem, the better. An annual checkup can help with that. There are also age-related milestone checkups you shouldn't skip like an annual mammogram for women starting at age 40 or a colon cancer screening starting at age 50. These are some of the many reasons it’s important to have health insurance, as many plans cover preventative health screening services. Depending on the company and the checkup, you might not have to pay anything out of pocket.
But liability coverage levels come in threes — you’ll probably see something like 50/100/50 up to 250/500/250 in typical policies. You can think of these limits like: individual injuries / total injuries / property damage. Insurers are a little more technical, calling them bodily injury liability, total bodily injury liability and physical damage liability.
The cost of insurance is on the rise: the price for auto insurance rose 3.6% between 2011 and 2012, and 3.1% for homeowners and renter’s insurance, according to the Insurance Information Institute. In fact, auto liability insurance premiums alone have been increasing by 2.8% annually for the past three years. This makes choosing the right coverage and provider all the more crucial to save money without sacrificing important aspects of coverage.