CCP Claims Management Software 2 — Questions and Answers
Question 1: Which feature in claims management software automatically assigns incoming claims to adjusters based on workload and expertise?
- Manual routing
- Auto-assignment engine (Correct answer)
- Bulk upload tool
- Coverage verification module
Correct answer: Auto-assignment engine
An auto-assignment engine distributes claims intelligently based on adjuster capacity, skill set, and claim type.
Question 2: What does an SLA (Service Level Agreement) tracking module in claims software primarily monitor?
- Adjuster vacation schedules
- Time-bound response and resolution deadlines (Correct answer)
- Premium billing cycles
- Reinsurance treaty terms
Correct answer: Time-bound response and resolution deadlines
SLA tracking ensures claims are acknowledged, evaluated, and resolved within contractually or regulatorily mandated timeframes.
Question 3: In a claims management system, what is the purpose of a 'diary' or 'bring-forward' function?
- To store scanned documents
- To schedule future follow-up actions on a claim (Correct answer)
- To calculate reserve amounts
- To generate regulatory reports
Correct answer: To schedule future follow-up actions on a claim
A diary or bring-forward function alerts adjusters to take specific actions on a claim at a future scheduled date.
Question 4: Which integration capability allows claims software to pull real-time vehicle valuation data during auto claims processing?
- EDI batch file imports
- API connection to third-party valuation services (Correct answer)
- Manual data entry screens
- PDF attachment upload
Correct answer: API connection to third-party valuation services
API integrations with valuation services like CCC or Mitchell allow real-time vehicle value lookups directly within the claims platform.
Question 5: What is the function of a 'coverage verification' module in claims management software?
- It calculates adjuster commissions
- It confirms whether a policy was active and applicable at the time of loss (Correct answer)
- It generates subrogation demands
- It schedules independent medical exams
Correct answer: It confirms whether a policy was active and applicable at the time of loss
Coverage verification cross-references policy records to confirm the claimant had active, applicable coverage when the loss occurred.
Question 6: Which reporting capability helps a claims manager identify adjusters who consistently exceed their average handle time?
- Claim payment register
- Adjuster performance dashboard (Correct answer)
- Reinsurance bordereau
- Loss run report
Correct answer: Adjuster performance dashboard
An adjuster performance dashboard aggregates metrics like average handle time, closure rates, and reserve accuracy per adjuster.
Question 7: In claims software, what does 'subrogation flagging' automate?
- Identifying claims where the insurer may recover costs from a responsible third party (Correct answer)
- Scheduling settlement conferences
- Calculating depreciation on property losses
- Sending policy renewal notices
Correct answer: Identifying claims where the insurer may recover costs from a responsible third party
Subrogation flagging uses rules-based logic to tag claims where recovery from a negligent third party is legally possible.
CCP Claims Management Software 2
Which feature in claims management software automatically assigns incoming claims to adjusters based on workload and expertise?