Project Management & Workflow Flashcards
7 cards from real CA practice questions. Tap to flip, then mark Knew It or Still Learning โ missed cards come back until you master them.
Read the first 7 Project Management & Workflow flashcards as text
Which project management concept is most applicable when an adjuster must coordinate a structural engineer, a contractor, and a public adjuster on a single large loss?
Answer: Stakeholder coordination
Managing multiple external parties on a complex claim requires active stakeholder coordination to keep the process on track.
What distinguishes a 'supplemental estimate' from an original estimate in the claims workflow?
Answer: A supplemental estimate captures additional damages discovered after the initial estimate
Supplemental estimates address hidden or overlooked damage found during or after repairs, ensuring full indemnification.
An insurer's claims department adopts a 'fast-track' process for losses under $5,000. What is the main benefit of this workflow?
Answer: Reduces cycle time and administrative costs on small, straightforward claims
Fast-track processes streamline low-complexity claims, freeing adjuster capacity for larger, more complex files.
What is 'scope creep' in the context of a large property claim?
Answer: Uncontrolled expansion of repairs beyond the covered loss scope
Scope creep inflates claim costs by including repairs unrelated to the covered loss, which adjusters must identify and exclude.
In workflow terms, what does 'cycle time' measure in claims handling?
Answer: The total time from claim opening to final closure
Cycle time is a key performance metric reflecting how efficiently claims are resolved from intake to closure.
Which tool is most useful for identifying the root cause of a recurring workflow breakdown in a claims department?
Answer: Fishbone (Ishikawa) diagram
A fishbone diagram maps potential causes of a problem to identify systemic workflow failures.
An adjuster is assigned a workers' compensation claim and a general liability claim arising from the same accident. What workflow consideration is critical?
Answer: Maintain separate files to avoid commingling coverage and liability analysis
Separate files ensure each claim is evaluated under its own policy terms, preventing coverage analysis errors.