• We are pleased to announce that the winner of our Feedback Prize Draw for the Winter 2024-25 session and winning £150 of gift vouchers is Zhao Liang Tay. Congratulations to Zhao Liang. If you fancy winning £150 worth of gift vouchers (from a major UK store) for the Summer 2025 exam sitting for just a few minutes of your time throughout the session, please see our website at https://www.acted.co.uk/further-info.html?pat=feedback#feedback-prize for more information on how you can make sure your name is included in the draw at the end of the session.
  • Please be advised that the SP1, SP5 and SP7 X1 deadline is the 14th July and not the 17th June as first stated. Please accept out apologies for any confusion caused.

Re-opened Claim

W

WTang

Member
Hi

Could someone please give me some examples of how claims can be re-opened?
Does it tend to be the characteristic of liability insurance?

Thanks
W
 
Reopened claims are not just restricted to liability policies they can occur on other types of policies as well (eg property damage).

Some examples would be as follows:

A claimant involved in an accident discovers after the original claim is settled that they have suffered from an injury/illness which was not apparent at the time the original claim was settled and thus returns to the insurer for additional compensation. This may be as a result of a claims management company contacting the individual.

The repairs to a vehicle carried out under a property damage claim are completed poorly and have to be redone at a later stage.
 
Darren Michaels said:
Reopened claims are not just restricted to liability policies they can occur on other types of policies as well (eg property damage).

Some examples would be as follows:

A claimant involved in an accident discovers after the original claim is settled that they have suffered from an injury/illness which was not apparent at the time the original claim was settled and thus returns to the insurer for additional compensation. This may be as a result of a claims management company contacting the individual.

The repairs to a vehicle carried out under a property damage claim are completed poorly and have to be redone at a later stage.
Click to expand...

Darren, it makes sense now. Many thanks to your response.
 
I think it can also occur for process reasons, as well as the nature of the risk.
A claim may be reported, and not followed up with required documentation.
A company may have a policy of closing such claims in its systems after a certain period. If the customer does follow up then the claim should be reopened.
 
Yes tiger that's another good example of why a claim may be reopened.

Depending on the precise practices of the insurer there could be many different reasons for a claim to be reopened.
 
Darren Michaels said:
Yes tiger that's another good example of why a claim may be reopened.

Depending on the precise practices of the insurer there could be many different reasons for a claim to be reopened.
Click to expand...

Thanks that's useful!
Based on Tiger's point, would you say it makes "re-opened claim possible" always a general point to make in claims characteristic questions?
 
In theory yes, but I would recommend, as always, that you customise your answer so that it fits the specifics of the question.

Therefore I would say whether re-opened were likely/unlikely/very unlikely depending on the class of business and ideally give an example of a situation specific to the class of business under consideration which might give rise to re-opened claims.
 
You must log in or register to reply here.
Back
Top