Topic module

Claims, Settlement, Subrogation and TRIA

Policy provision items finish with claims duties, cancellation and nonrenewal, supplementary payments, proof of loss, notice, other insurance, subrogation, settlement, consent to settle, and terrorism coverage.

Long-form learning
Concept to Risk to Memory to Check-up

How to study Property & Casualty

Treat every P&C item as an exposure map: identify the property or liability risk, policy form, covered cause, provision, and state-law rule.

Core concepts

Concept 1

Claims provisions decide what the insured must do, what the insurer must do, and how settlement is handled.

Exam cue: Read the post-loss duty before deciding coverage outcome.

Concept 2

Subrogation and other insurance provisions prevent duplicate recovery and preserve recovery rights.

Exam cue: For subrogation, ask whether the insurer has paid and can pursue recovery.

Concept 3

TRIA and terrorism exclusions or offers can appear in commercial policy questions.

Exam cue: For terrorism facts, check whether TRIA applies.

Risk pitfalls and guardrails

Settling a liability claim without checking consent-to-settle wording.

Guardrail: Avoid answers that ignore exclusions, claim duties, valuation method, insured status, or state-specific cancellation and claim rules.

Waiving subrogation after a loss without insurer consent.

Guardrail: Avoid answers that ignore exclusions, claim duties, valuation method, insured status, or state-specific cancellation and claim rules.

Confusing supplementary payments with limits of liability.

Guardrail: Avoid answers that ignore exclusions, claim duties, valuation method, insured status, or state-specific cancellation and claim rules.

Memory anchors

Notice of Claim

Notice of claim tells the insurer about a loss or claim.

Proof of Loss

Proof of loss provides sworn claim details when required.

Supplementary Payments

Supplementary payments are additional claim-related payments described by the policy.

Other Insurance Provision

Other insurance provisions coordinate coverage when multiple policies apply.

Subrogation Rights

Subrogation rights let the insurer recover from a responsible party after payment.

Consent to Settle

Consent to settle provisions can require insured consent before settlement.

Loss Settlement

Loss settlement provisions describe how covered losses are valued and paid.

TRIA

TRIA is the federal Terrorism Risk Insurance Act framework for certified terrorism losses.

Cancellation Provision

A cancellation provision describes how coverage can end during the policy term.

Nonrenewal Provision

A nonrenewal provision describes rules for not continuing coverage at expiration.

Checkpoint rule

Do the check-up only after you can summarize each concept in one sentence and identify one dangerous pitfall from memory.

Knowledge Check (after reading)

Short check-up to confirm understanding of this module.

Check-up Questions

1-2 question checkpoint

A truck strikes the insured building. What is the first purpose of prompt claim notice?

The policy requests a sworn proof of loss. Which submission fits?

Answer all questions to submit.

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