Calculable loss: There are two elements that must be at least estimable, if not formally calculable: the probability of loss, and the attendant cost. Probability of loss is generally an empirical exercise, while cost has more to do with the ability of a reasonable person in possession of a copy of the insurance policy and a proof of loss associated with a claim presented under that policy to make a reasonably definite and objective evaluation of the amount of the loss recoverable as a result of the claim.
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.
Getting a quote isn't as simple as with other insurance companies, and when we used it, the side-by-side comparison tool sometimes failed, but that doesn't mean everyone will have the same experience. There is a FAQ page, and Aetna is also very active on social media if you're trying to get a fast response to a question. Affordable Care Act-approved plans are available, and you can even get supplemental insurance if the insurance you get through your job doesn't cover the things you need. While this provider isn’t perfect, it’s an affordable option for most people.
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