Learn the process¶
Domain guide
The adjudication process as an adjuster practises it. Each topic states the theories, the facts that carry them, what defeats them, and the engine's reading. A lab on every page lets you change what the carrier stated and watch the determination move.
Internal — not given to carriers.
Topics¶
Subrogation
Recovering what the carrier paid from the party responsible. Property and Auto, six theories each, situations, quick reference and self-test.
Coverage
Whether the policy responds, exclusion by exclusion. Each coverage question traced to the policy terms and facts supplied.
Liability
Who is at fault and by how much, under the applicable fault system.
Reserve and authority
What a claim is likely to cost and who may authorise it, given the facts on file.
How to use it¶
Start with the shape of every question. Then take the line of business you are testing — on each theory page, use the lab: change one fact at a time, predict the result. The self-test collects every question.
For a claim in front of you: quick reference.