Regulatory experts at Wolters Kluwer Financial Services analyzed 2012 state market conduct exams and reported that P&C insurers' failure to handle claims within specified time frames and their use of unapproved forms and rates were the two biggest criticisms.
The Waltham, Mass.-based compliance and risk management services provider used report findings to determine the 10 most common compliance criticisms for P&C insurers in hopes that the list will be an easy reference to assist insurers who are seeking to minimize their compliance risk exposure.
-
Failure to acknowledge, pay or deny claims within specified time frames
-
Using unapproved/unfiled forms and rates
-
Failure to provide required compliant disclosures in claims processing
-
Improper documentation of underwriting files
-
Failure to maintain claims documentation
-
Failure to process/pay total loss claims properly
-
Failure to provide required compliant disclosures in underwriting processing
-
Failure to adhere to producer appointment, termination and/or licensing requirements and adjuster licensing requirements
-
Failure to issue compliant adverse action underwriting notices
-
Failure to apply rates, rules and guidelines correctly.
Want to continue reading?
Become a Free PropertyCasualty360 Digital Reader
Your access to unlimited PropertyCasualty360 content isn’t changing.
Once you are an ALM digital member, you’ll receive:
- Breaking insurance news and analysis, on-site and via our newsletters and custom alerts
- Weekly Insurance Speak podcast featuring exclusive interviews with industry leaders
- Educational webcasts, white papers, and ebooks from industry thought leaders
- Critical converage of the employee benefits and financial advisory markets on our other ALM sites, BenefitsPRO and ThinkAdvisor
Already have an account? Sign In Now
© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.