170k views
3 votes
Who is authorized to adjust or pay claims in excess of an amount determined by the commissioner?

1. The Claims Assistant
2. The Treasurer
3. The Managing General Agent
4. The Executive Financial Committee

1 Answer

5 votes

Final answer:

The authority to adjust or pay large insurance claims is not explicitly outlined for state officials such as the governor or comptroller, but Managing General Agents (MGAs) are commonly authorized by insurance companies to handle such claims, subject to state law and contractual terms.

Step-by-step explanation:

The question refers to who has the authority to adjust or pay claims that exceed a certain amount as determined by the commissioner within a state’s executive department. In the context provided, neither the Claims Assistant, Treasurer, nor the Executive Financial Committee are explicitly mentioned as having this authority. Instead, the executive department of the state, which includes the governor, the lieutenant governor, the comptroller of public accounts, and other key officials such as the attorney general, plays a significant role in the state’s financial and regulatory affairs. The comptroller, in particular, has the responsibility to oversee the state’s finances and ensure that any appropriations bill passed by the legislature is within available revenues before it is signed by the governor.

Managing General Agents (MGAs) are often given authority by insurance companies to underwrite policies and settle claims on their behalf. However, the specific authority to adjust or pay claims, especially those in excess above a certain threshold, would typically be determined by state law and the insurance company’s contractual arrangement with the MGA. Therefore, without specific information about the role of the MGA within the state or an insurance contract, it cannot be definitively concluded that the Managing General Agent holds the authority to adjust or pay such claims without additional context or contractual stipulation.

Considering the roles generally assumed by state executives and the typical roles of MGAs, it is likely that within an insurance context, a Managing General Agent would be the one authorized by an insurance company, and potentially subject to state regulatory limitations or directives from the commissioner, to adjust or pay significant claims.

User Laura Franco
by
8.8k points