Florida Life and Health Insurance License Practice Test

Question: 1 / 400

Which of the following is a potential outcome of a discretionary decision in insurance?

Automated claim approval

Variance in claim denial based on individual assessments

The correct choice highlights that a discretionary decision in insurance can lead to variability in claim denials based on individual assessments. In the context of insurance, discretionary decisions allow underwriters and claims adjusters the flexibility to evaluate claims based on the unique circumstances surrounding each case. This means that two claims for similar incidents might be handled differently depending on the specifics of the policies, the details of the claims, and the individual circumstances involved.

Discretionary decision-making is essential in cases that require judgment and nuanced understanding of the policy terms, claims history, and other relevant factors. As a result, this approach acknowledges that not all situations are identical, and hence, the outcomes can vary significantly based on personalized assessments rather than applying a one-size-fits-all standard.

In contrast, automated claim approval, standardized payouts, and uniform rights for all policyholders suggest fixed processes or policies that do not account for the individual details of each case, which do not align with the characteristics of discretionary decision-making.

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Standardized payouts for all claims

Uniform rights for all policyholders

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