Documentation & Reporting Standards Flashcards
7 cards from real CALA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Documentation & Reporting Standards flashcards as text
When documenting a recorded statement from a claimant, which practice is MOST important?
Answer: Obtaining verbal consent from the claimant before recording begins
Obtaining informed consent before recording is legally required in many states and is an ethical best practice to ensure admissibility.
An adjuster's diary system is primarily used to:
Answer: Track pending tasks and deadlines to ensure timely claim handling
A diary system (or bring-forward system) tracks follow-up dates and deadlines so claims are handled within required timeframes.
In workers' compensation claims, the 'First Report of Injury' (FROI) must be filed:
Answer: Within the timeframe specified by state law, typically within 3–10 days of the employer learning of the injury
Most states mandate timely FROI filing within days of the employer's knowledge of injury, and failure to comply can result in penalties.
Which document formally closes a claim file and documents the basis for settlement?
Answer: Closing report or final report
A closing or final report summarizes the claim, the investigation findings, and the basis for the settlement or denial, formally concluding the file.
When an adjuster prepares a diagram of a vehicle collision scene, it should include:
Answer: Scale measurements, compass direction, road markings, vehicle positions, and point of impact
Accurate scene diagrams must include measurable, objective data such as road layout, vehicle positions, and impact points to support the investigation.
The 'chain of custody' documentation for physical evidence in a claim refers to:
Answer: A chronological record tracking who collected, handled, and stored physical evidence
Chain of custody documentation ensures physical evidence integrity by recording every person who handled it, which is critical if the claim is litigated.
A 'coverage analysis worksheet' in a claim file is used to:
Answer: Document the systematic comparison of policy terms against the facts of loss to determine what is covered
A coverage analysis worksheet methodically maps each coverage element, exclusion, and condition to the loss facts, ensuring a thorough and defensible coverage determination.