Chapter 3
IN THIS LESSON YOU’LL LEARN ABOUT UNFAIR CLAIM PRACTICES (70 MINS)
tips of the trade
The biggest legal risk patterns are misrepresenting facts/policy, delaying without a reason, and failing to explain the basis for an offer or denial.
Tips of the trade
Don’t deny or reduce scope without a documented investigation.
Tie decisions to: facts → policy language → conclusion.
If liability is clear, push toward prompt, fair settlement steps.