Third party fraud - Study guides, Class notes & Summaries

ADJUSTER PRO EXAM WITH REVISED ANSWERS (2023) Stu has a collection of rare comic books. He wants to purchase theft insurance for his collection, separate from his home and other property. What term most accurately describes the type of policy Stu would purchase? - CORRECT ANSWER-Monoline Policy Which of the following statements does NOT apply to the Standard Fire Policy? - CORRECT ANSWER-It automatically covers wind and vandalism. Which of the following refers to being restored to the ...

Solutions Manual for Business Law Text and Cases 14th Edition by Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Cross Chapter 1-51 Complete Guide 7250, 9 1: Law and Legal Reasoning 2: Courts and Alternative Dispute Resolution 3: Court Procedures 4: Business and the Constitution 5: Business Ethics 6: Tort Law 7: Strict Liability and Product Liability 8: Intellectual Property Rights 9: Internet Law, Social Media, and Privacy 10: Criminal Law and Cyber Crime 1...

72 - Answer Within how many hours after the occurrence of death shall the funeral director present the completed certificate of death to the local registrar? 24 - Answer If cremated remains have not been claimed by the agent, the operator of a crematory may dispose of the remains after how many months? Semiannually - Answer Each licensed embalmer who has under his/her supervision a person serving as an apprentice embalmer must file a report of apprenticeship with the secretary of the Board...

HIPPA Health Insurance Portability and Accountability Act of 1996 and the Healthcare Fraud and abuse control program. Far-reaching program to combat fraud and abuse in healthcare including both public and private health plans. Individuals protected health information Demographic data, name, address, birth date, and SS number. central focus of clinical documentation should be to demonstrate the quality of care provided to the patient with detail and accuracy to facilitate optimum...

Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...

ethics branch of philosophy applied ethics practical applications of moral standard laws binding rules determined by authority medical ethics moral conduct to regulate behavior of medical professionals beneficence principles of doing good veil of ignorance justice-based three-step ethics model Kenneth Blanchard and Norman Vincent Peale's approach to ethics R/O rule out a diagnosis gut feeling decision based on emotion A problem that occurs when using a duty-bas...

If a company cancels an auto policy mid term, the refund will be made on a. pro rata basis b. short rate basis c. retroactive basis d. coinsurance basis Pro Rata Basis What is the term used to describe terminating the insurance relationship at the end of the policy period ? a. cancellation b. nonrenewal c. separation d. exclusion Nonrenewal Which is the best example of an indirect loss ? a. sequential loss b. liability loss c. employee theft d. loss of use Loss o...

AIC 30 Latest Update with Verified Solutions First Party Focus Coverage and Amount of damage Second Party Insurance Company First Party Insured Third Party Claimant Third Party Focus Liability, Coverage, and Amount of damage Third Party Administrator (TPA) an organization that provides admin services associated with risk financing and insurance. They handle claims and risk management for self-insured organizations Independent Adjuster handles claims for the insurer for ...

Wrongful or criminal deception intended to result in financial or personal gain is called: - CORRECT ANSWERS fraud The Buyer and Seller Temporary Residential Lease forms may be used for a lease period not to exceed: - CORRECT ANSWERS 90 days __________ extend above the surface without limitation. - CORRECT ANSWERS air rights An example(s) of an appurtenance would be: - CORRECT ANSWERS easements There is no upper limit on the value of a Texas homestead. - CORRECT ANSWERS true A(n) ...

Which one of the following is a managerial control measure to protect against the frequency of fraud losses? A. Stay informed of new varieties of fraud B. Install surveillance cameras C. Place marked cash in vaults D. Screen potential applicants - A Directors and officers of a corporation have fiduciary duties, which include the duty of being A. Inquisitive. B. Honest. C. Loyal. D. Trustworthy. - C Cyber crime can be controlled through the use of effective loss prevention and loss reduct...