Navigating Good Faith and Bad Faith Claims in Insurance

Categories: TEXAS
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About Course

This course provides insurance professionals with a comprehensive understanding of good and bad faith principles in claims handling. It explores the legal and ethical obligations required to foster trust and fairness, highlights the consequences of bad faith practices, and equips participants with strategies to prevent bad faith claims. Through real-world case studies and legal precedents, participants will gain practical insights into maintaining compliance and ethical excellence in their roles.

This course is designed to enhance professionalism, compliance, and ethical decision-making, equipping participants with the tools to excel in their roles while fostering trust in the insurance industry.

What Will You Learn?

  • Understand the importance of good faith practices in insurance.
  • Recognize legal and ethical obligations for insurers and adjusters.
  • Identify and avoid actions that may constitute bad faith.
  • Implement strategies to prevent bad faith claims.
  • Apply insights from case studies to real-world situations.

Course Content

Module 1: Introduction to Good Faith and Bad Faith
Good Faith is what defines any insurance contract. This is because it is an agreement between insurers and policyholders to do business with honesty, fairness, and transparency during the time covered by any insurance contract. With good faith, claim payments are made effortlessly, trust is strengthened, and the whole insurance system operates according to plan. However, this is not possible if the element is not observed, which ultimately results in bad faith and negative consequences for insurers. This module will proceed to discuss what bad faith actually entails and how it occurs, as such information is vital to any person in the insurance business field.

  • Definition of Good Faith
  • Definition of Bad Faith
  • Types of Bad Faith
  • Module 1: Quiz
  • Importance of Good Faith in Insurance
  • Legal Framework Governing Good Faith and Bad Faith
  • Module 1: Quiz 2
  • Case Study: Roof Leak in a Florida House
  • Module 1 Summary: Quiz

Module 2: Legal and Ethical Obligations

Module 3: Identifying Bad Faith Actions

Module 4: Preventing Bad Faith Claims
As insurance professionals, are so important in the lives of your clients. They come to you at the most vulnerable moments of their lives, trusting that you will see them through challenges and give them the help they need. That trust is the foundation upon which we do business in this industry. It's just that when such trust gets breached denied claims, needless delays, and incompetence in conducting thorough investigations the likelihood of bad faith claims arises, which is a position nobody would want to face. Preventing bad faith claims has little to do with just legalizing your practice or staying out of trouble; it's about being that kind of professional on whom your clients can rely. It is a matter of integrity to oneself, protection of reputation, and building lasting relations with people who count on the professional. It is also about empowerment. When you know how to communicate clearly, manage claims fairly, and address issues promptly, you are not just doing your job, you are making a difference. You are showing your clients that they matter and that their trust in you is well-placed.

Module 5: Case Studies and Legal Precedents

Module 6: Course Review and Assessment

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