Claims Module Quiz

It is a formal request from policy holder to insurance company for compensation against loss or damage.

• Re-Insurance

• Incentives

• Claims

• Loyalty Bonus

A term used when payment is done to the customer once the insurance company validated the request & claim is approved.

• Claim Capture

• Payout

• Claim Follow-Up

• Claim Maintenance

In what table setup being used as the basis for the calculation of death benefit for basic plans, both traditional & UL?

• LFPDTHB

• TABPLAN

• LFPCLM

• LFPDTHCL

A code assigned for a specific impairment in the claim section using a prompt screen in the death claim capture screen.

• Claim Type

• Claim Number

• Claim Code

• Impairment Code

In the absence of any setup in death benefit table for plan, 100% SA is paid out as the death benefit. Is it true?

• Yes

• No

What type of claim that is applicable to systemic lupus erythematosus?

• ADD

• AP

• SLE

• SLI

When claim is being suspended, is letter code field needs to be kept blank?

• True

• False

What file is being populated when a remark code & description have been captured in the notification remark maintenance?

• LFPRMDES File

• LFPCLM File

• LFPSPBC File

• LFPCLBEN File

What type of claim also used to claim total permanent disability (TPD)?

• DI

• AP/ADD

• ELI

• MAT

Is the net payable amount shown in the claim capture screen only includes benefit on basic plan only?

• True

• False