Insurance · Bad Faith and Ethics

What is 'bad faith' in insurance claims handling?

  1. A An insured lying on their application
  2. B An insurer failing to act reasonably and in good faith in investigating, evaluating, or paying a covered claim — a violation that exposes the insurer to extra-contractual damages
  3. C An adjuster making a small mistake in valuation
  4. D Denying any disputed claim

Why this is the answer

Insurance bad faith is a legal claim against an insurer for unreasonable handling of a covered claim. Common bad faith acts: failing to investigate promptly; denying claims without adequate investigation; misrepresenting policy provisions; offering unconscionably low settlements; unreasonably delaying payment. In addition to the policy benefits owed, bad faith can result in extra-contractual damages (attorney fees, consequential damages, punitive damages in egregious cases). Adjusters must handle every claim reasonably and document their reasoning thoroughly.
Source: Adjuster Exam, Bad Faith Claims Handling

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