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PI Legal Assistant quizz

Total questions: 20

Worksheet time: 13mins

Name
Class
Date
1.

Select the correct answer:

The Legal Assistant 5 Key priorities (5 STEPS) are:

a)

1) Open Claims for all Parties and Send out LOR’s/LOP’s

2) Declaration Page

3) Request Ambulance and Hospital Reports & Billing

4) Request Police Reports

5) Open Subrogation

b)

1) Open Claims for our client and Send out LOR’s/LOP’s

2) Declaration Page

3) Request Chiro and Hospital Reports & Billing

4) Request Police Reports

5) Open Subrogation

c)

1) Open Claims for all Parties and Send out LOR’s/LOP’s

2) Determine Liability

3) Request Ambulance and Hospital Reports & Billing

4) Request Police Reports

5) Open Subrogation

d)

1) Open Claims for all Parties and Send out LOR’s/LOP’s

2) Declaration Page

3) Request Ambulance and Hospital Reports & Billing

4) Request Police Reports

5) Open Subrogation

2.

Select the correct answer:

When opening claims what type of information should be provided to the insurance companies.

a)

All information available including injuries.

b)

Provide the information insurance companies require to open claim without providing injuries details.

c)

Don't provide any information, stay quite (Confuse the enemy)

d)

All of the answers are correct.

3.

Select the correct answers:

A declaration page is:

a)

A Declaration Page is the document we must request when sending LOR to 1st Party Insurance.

b)

A Declaration page in auto insurance is a magical scroll that you must present to the Insurance Wizard in order to receive your official insurance dragon.

c)

A declaration page in auto insurance is a secret document that contains the instructions for how to cancel your policy whenever you feel like it

d)

A Declaration page (or "dec page") in auto insurance is a summary document that provides key details about your insurance policy, including coverages, policy holder info, and vehicle info.

4.

Select the correct answers:

What is the first step to take when trying to find out which ambulance transported a client after an accident?

a)

a) Wait for the hospital report or Traffic Collision report to come in

b)

b) Ask the client if they have received any bills in the mail

c)

c) Immediately contact the ambulance company

d)

d) Call the insurance company and ask for ambulance information

5.

Select the Correct Answer:

What should you do if you can’t determine the ambulance company from the client or TCR?

a)

a) Search nearby ambulance company

b)

b) Ask the hospital which ambulance company they work with

c)

c) Send a request to all local ambulance companies

d)

d) Wait for the ambulance company to contact you

6.

Select the Correct Answer:

What are the three essential bills you need to confirm you receive when requesting hospital billing?

a)

a) Radiology bill, physician bill, ER bill

b)

b) Surgeon’s fee, anesthesia fee, ER bill

c)

c) Ambulance fee, radiology fee, physician fee

d)

d) Hospital administration fee, ER bill, surgeon fee

7.

Select the correct answer:

Traffic Collision Reports places our client at fault, what should we do?

a)

Call client and let him know that we will drop the case, then notify CM.

b)

Call police department and confirm and let them now that client is sick

c)

Notify CM, so they send email to Management notifying that case will be drop. Then follow Drop SOP.

8.

Select the correct answer:

What does "subrogation" mean in the context of insurance?

a)

a) Your insurance company pays you directly for your injuries.

b)

b) Your insurance company can recover the money it paid you from the at-fault party.

c)

c) The at-fault party’s insurance pays you directly.

d)

d) The insurance company pays the at-fault party for the damages they caused.

9.

Select the correct answer:

What is a "Final Lien" in the context of subrogation?

a)

a) The amount the at-fault party will be required to pay for the injuries.

b)

b) The amount the insurance company paid to the client that must be reimbursed.

c)

c) The total amount of damages awarded to the client in the case.

d)

d) The amount of the deductible the client is responsible for.

10.

What is the best course of action on the following scenario:

Alberto Gutierrez was involved in an auto accident where the at-fault driver fled the scene, leaving no identifying information. Mr. Gutierrez is unable to provide details regarding the other party involved. Additionally, Mr. Gutierrez is Prop 23.

a)

File Sr1 and Sr19

b)

Get TCR, some information might be found there, if not send LOR to all potential insurance companies.

c)

Do a policy search.

d)

Notify your CM to send for review to Management for potential Drop.

11.

Select the answer the best fits the scenario:

Will B. Sorry was involved in an accident and was unable to obtain the defendant's contact or insurance information. However, he did manage to take a photograph of the defendant's license plate. Will has a 15/30 policy with Uninsured Motorist (UM) coverage. What should we do?

a)

File Sr1 and Sr21, reach out to 3rd P. Insurance to run a plate search, run policy search.

b)

Call police department and report hit and run.

c)

File Sr1 and Sr19, reach out to 1st P. Insurance to run a plate search, run policy search.

d)

Call Dvm and demand to get 3p insurance information.

12.

Understanding Auto Insurance Coverage

What does Bodily Injury Liability coverage protect against?

a)

A) Damage to another vehicle in a crash

b)

B) Medical expenses for you and your passengers

c)

C) Injury and death caused by you or another driver in your car

d)

D) Damage to property such as a fence or building

13.

Property Damage Liability covers which of the following situations?

a)

A) Injuries you sustain in an accident

b)

B) Damage to your own car caused by a collision

c)

C) Damage to another person's vehicle or property

d)

D) Lost wages due to an accident

14.

What does Uninsured Motorist Coverage cover?

a)

A) Costs when another driver’s insurance is inadequate to cover damages

b)

B) Damage to your own car caused by an accident

c)

C) Injury caused by an uninsured motorist or a hit-and-run

d)

D) Only injuries to you and your passengers in your car

15.

What is Gap Insurance used for?

a)

A) To cover the cost of renting a car while yours is being repaired.

b)

B) To cover the difference between your car's market value and what you owe on a lease or loan.

c)

C) To pay for damages to your car that happen outside of a collision.

d)

D) To protect against mechanical failure and regular wear and tear.

16.

Javier was injured in a car accident caused by an uninsured motorist in Los Angeles. Javier has Uninsured Motorist Coverage under his auto insurance policy. He also has Personal Injury Protection (PIP) under the same policy. Javier has significant medical bills from his injuries.

Which insurance coverage will help Javier cover his medical expenses in this case?

a)

A) Uninsured Motorist Coverage

b)

B) Personal Injury Protection (PIP)

c)

C) Liability Coverage from the at-fault driver

d)

D) Comprehensive Coverage

17.

Jack was involved in a motorcycle accident in Riverside, California. He was hit by another driver, Sarah, who ran a red light. Jack suffered multiple broken bones and required extensive medical treatment, including surgery. He missed six months of work due to his injuries. Jack’s total medical bills are $150,000, and his lost wages total $50,000. Jack is now seeking damages for pain and suffering

Which type of damages is Jack entitled to claim in this case?

a)

A) Only medical bills

b)

B) Only lost wages

c)

C) Medical bills, lost wages, and pain and suffering

d)

D) Only pain and suffering

18.

Select the answer that most accurately applies to the scenario

Our Client Anita Bath, has an outstanding hospital bill, however at the time of the accident she had Health Insurance (Medical), our Legal Assistant Les Ismore tired opening subrogation claim with medical but they said that client had other insurance. What resolution fits better:

a)

A) Call Medical and ask for no lien letter, Subrogation is not needed if no Health Insurance paid for Hospital Bills.

b)

B) No actions needed, only update medical tab with the required information.

c)

C) Call Medical, explain client was insured by the time of the accident, request for them to pick bill and continue with subrogation claim.

d)

C) Request hospital to reduce the Bill.

19.

What does the following acronym stands for in Auto Insurance:

"PD"

a)

Police Department

b)

Property Damage

c)

Potential Difference

d)

Postal District

20.

Select the Correct Answer:

Legally binding agreement between an injured party, their attorney, and a medical provider that allows the injured party to receive medical treatment without immediate payment

a)

Payment Agreement

b)

Liens and Letter of preservation of evidence (LOP)

c)

LOR

d)

Medical Liens and Letter of Protection