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Questions updated at Aug 24, 2026, 11:40 AM CDT
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O. C. G. A. § 33-6-34 identifies refusing to pay claims without conducting a reasonable investigation as an unfair claims settlement practice and also requires prompt investigation/settlement procedures and good-faith settlement when liability becomes reasonably clear.
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Get correct-answer explanations, distractor breakdowns, sources, and full-bank practice.
Get correct-answer explanations, distractor breakdowns, sources, and full-bank practice.
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Complete the necessary investigation and base the decision on the policy and documented facts.
O. C. G. A. § 33-6-34 identifies refusing to pay claims without conducting a reasonable investigation as an unfair claims settlement practice and also requires prompt investigation/settlement procedures and good-faith settlement when liability becomes reasonably clear.
The distractor “Deny immediately, given that lack of easy communication makes any claim presumptively fraudulent.” is tempting because communication difficulty may justify continued documented attempts, but it does not make a claim presumptively fraudulent or excuse a reasonable investigation. Georgia's unfair-claims framework prohibits refusing to pay without conducting a reasonable investigation based on available information. The adjuster should continue the investigation and document cooperation issues rather than deny reflexively. Decisive clue: Reasonable investigation precedes a defensible coverage decision. Likely wrong answer: Deny immediately, given that lack of easy communication makes any claim presumptively fraudulent. Review focus: Georgia Code § 33-6-34 — Unfair Claims Settlement Practices
Georgia's unfair-claims framework requires a reasonable investigation before a claim is refused on the merits. Documenting outreach problems while continuing the investigation protects a defensible claim decision; treating a hard-to-reach insured as presumptively fraudulent can create regulatory and litigation exposure.
Whether the withholding was intentional and material to the claim before applying the concealment/fraud condition.
Determine whether the vessel was operating within the policy’s specified trading limits when the collision occurred.
Negligence does not itself eliminate purchased collision coverage.
Obtain the itemized inventory and supporting records needed to evaluate the contents loss.
Document both estimates and the insurer's required review and response.
The lightning/fire event that produced the physical damage.
Complete 24 hours of biennial CE, including 3 hours of ethics, by the applicable renewal deadline.
Complete the missing evidence and identify unresolved items before issuing the recommendation.
Issue a written denial identifying the specific policy basis and document it.
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