Question: While verifying coverage on a complicated claim, claims adjuster Melanie discovers a potential coverage issue that might ultimately lead the insurer to deny coverage. However,
While verifying coverage on a complicated claim, claims adjuster Melanie discovers a potential coverage
issue that might ultimately lead the insurer to deny coverage. However, she does not mention this potential
problem to the insured, who assumes from Melanie's continuing investigation that the claim will be paid. By
not mentioning the coverage issue, Melanie places herself and her company in a
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a binding coverage.
b catch situation.
c coverage bind.
d waiver and estoppel situation.While verifying coverage on a complicated claim, claims adjuster Melanie discovers a potential coverage issue that might ultimately lead the insurer to deny coverage. However, she does not mention this potential problem to the insured, who assumes from Melanies continuing investigation that the claim will be paid. By not mentioning the coverage issue, Melanie places herself and her company in a
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