Catastrophe Claims Handling 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 Catastrophe Claims Handling flashcards as text
When a catastrophe event is declared, which organization typically assigns a CAT code to track claims from that event?
Answer: ISO (Insurance Services Office)
ISO assigns catastrophe codes (CAT codes) to qualifying events so insurers can uniformly identify, track, and report losses from the same occurrence.
A homeowner's policy has a named-storm deductible of 2% of dwelling value ($300,000). A hurricane causes $18,000 in damage. What does the insurer owe after the deductible?
Answer: $12,000
The named-storm deductible is 2% × $300,000 = $6,000, so the insurer pays $18,000 − $6,000 = $12,000.
In catastrophe operations, what is the primary purpose of a 'loss run' report?
Answer: To summarize open and closed claims, reserves, and paid losses for a given event or account
A loss run provides a summary of claim activity—counts, reserves, and payments—used by management to monitor CAT event performance.
Which type of additional living expense (ALE) is NOT typically covered under a standard homeowners policy following a covered catastrophe?
Answer: Mortgage payments on the damaged home
ALE covers increased costs of living above normal expenses; mortgage payments are a pre-existing obligation, not an increased living cost caused by the loss.
During a hurricane CAT deployment, an adjuster is assigned a zip-code territory. What is the main reason claims are assigned by geography?
Answer: To minimize drive time and maximize the number of inspections completed per day
Geographic territory assignment reduces travel time between inspections, enabling adjusters to handle more claims efficiently during a high-volume event.
A roof covered with 20-year architectural shingles that are 10 years old is destroyed in a tornado. The replacement cost is $10,000. Using straight-line depreciation, what is the actual cash value (ACV) of the roof?
Answer: $5,000
With 10 of 20 years used (50% depreciation), ACV = $10,000 × (1 − 0.50) = $5,000.
Which doctrine holds that an insurer who pays a property claim can pursue recovery against the negligent third party who caused the loss?
Answer: Subrogation
Subrogation gives the insurer the right to stand in the insured's shoes and recover the amount paid from the responsible third party.