Casualty Actuarial Society (CAS) Practice Exam

What is the first step in the claims handling process?

1. Acknowledging and assigning the claim

2. Investigating and documenting the claim

3. Contacting the insured's representatives

4. Determining cause of loss

The correct answer is: Acknowledging and assigning the claim

The first step in the claims handling process is acknowledging and assigning the claim. This initial action is crucial as it sets the stage for the entire claims process. It involves receiving the claim from the insured, confirming its receipt, and entering it into the claims management system. By acknowledging the claim, the claims handler ensures that the insured is aware that their claim is being processed, which helps establish communication and maintains trust. Right after acknowledgment, the claim is assigned to a claims adjuster or examiner who is responsible for managing the claim from that point onward. This assignment is important because it equips the claims handler with the responsibility to investigate, document, and ultimately determine the outcome of the claim. The subsequent steps such as investigating and documenting the claim, contacting representatives, and determining the cause of loss all hinge on the claim being appropriately acknowledged and assigned first. Thus, this initial step is foundational to ensure a smooth and efficient claims handling process.