Banking and Insurance Answer Key
Banking and Insurance Answer Key
ANSWER KEY
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b) IGMS likely stands for Integrated Grievance Management System.
This is a common term used in various organizations, including government
agencies, corporations, and educational institutions, to describe a centralized
system for managing and resolving customer complaints or grievances.
Key features and functions of an IGMS typically include:
Complaint Logging: A system for recording and tracking customer
complaints.
Categorization: Classifying complaints based on various criteria,
such as product, service, or department.
Assignment: Assigning complaints to appropriate departments or
individuals for resolution.
Tracking: Monitoring the progress of complaints and ensuring timely
resolution.
Analysis: Analyzing complaint data to identify trends and areas for
improvement.
Reporting: Generating reports on complaint volume, resolution
times, and customer satisfaction.
3. Enhanced Decision-Making:
5. Risk Mitigation:
1. Functional structure
For instance, a large retailer might have distinct departments for sales,
marketing, and finance. These departments each have a leader and team, and
they all answer to the CEO or COO. This structure makes it easy to assign
specific tasks to individuals.
2. Divisional structure
For example, a big retail company might have different divisions for
clothing, electronics and home appliances. The CEO or COO would oversee
each of these divisions. Nevertheless, each division would have a separate
reporting leader. This structure allows for more flexibility and autonomy for
each division. As a result, they might be able to respond to the unique
demands of their product or service line more effectively.
3. Hierarchical structure
A hierarchical structure is yet another way that businesses set up their various
levels of management. In this case, the management's authority and
accountability rise with each level.
For example, in a big retail company, the CEO would be at the top of the
hierarchy, followed by the COO. The department managers would come
next, followed by the regular employees. Each level reports to the level
above it. Although this structure is simple, it can also be rigid and less
flexible.
4. Matrix structure
5. Line structure
For example, a small manufacturing company might have a CEO at the top.
The plant manager, production supervisor, and production staff all come after
the CEO. The decision-makers are in charge here, and the employees are at
the bottom.
6. Network structure
7. Flat structure
For example, a small startup might have a flat structure where all employees
report directly to the CEO or founder. This structure allows for more direct
communication and less bureaucracy.
8. Team-based structure
Businesses can divide their workforce into smaller groups that collaborate on
specific tasks by using a team-based structure. Each team is given complete
autonomy in resolving problems while completing a specific task.
For example, a software development company might have teams that work
on different projects. Each team may include various roles, such as
developers, designers, and quality assurance. Regardless, they are all
accountable to a common project manager. This structure promotes
collaboration, flexibility and innovation.
9. Process-based structure
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Principles of Insurance
As we discussed before, insurance is actually a form of contract. Hence there
are certain principles that are important to ensure the validity of the contract.
Both parties must abide by these principles.
1] Utmost Good Faith
A contract of insurance must be made based on utmost good faith ( a contract of
uberrimate fidei). It is important that the insured disclose all relevant facts to the
insurance company. Any facts that would increase his premium amount, or
would cause any prudent insurer to reconsider the policy must be disclosed.
If it is later discovered that some such fact was hidden by the insured, the
insurer will be within his rights to void the insurance policy.
2] Insurable Interest
This means that the insurer must have some pecuniary interest in the subject
matter of the insurance. This means that the insurer need not necessarily be the
owner of the insured property but he must have some vested interest in it. If the
property is damaged the insurer must suffer from some financial losses.
3] Indemnity
Insurances like fire and marine insurance are contracts of indemnity. Here the
insurer undertakes the responsibility of compensating the insured against any
possible damage or loss that he may or may not suffer. Life insurance is not
a contract of indemnity.
4] Subrogation
This principle says that once the compensation has been paid, the right of
ownership of the property will shift from the insured to the insurer. So the
insured will not be able to make a profit from the damaged property or sell it.
5] Contribution
This principle applies if there are more than one insurers. In such a case, the
insurer can ask the other insurers to contribute their share of the compensation.
If the insured claims full insurance from one insurer he losses his right to claim
any amount from the other insurers.
6] Proximate Cause
This principle states that the property is insured only against the incidents that
are mentioned in the policy. In case the loss is due to more than one such peril,
the one that is most effective in causing the damage is the cause to be
considered.
CO4 K4 19 a. Grievance Redressal System in the Insurance Sector
The insurance sector, like any other industry, is prone to disputes and
grievances between insurers and policyholders. To address these concerns
and ensure fair treatment for all parties involved, a robust grievance redressal
system is in place. This system typically involves a series of steps that
policyholders can follow to resolve their complaints.
1. Internal Complaint Redressal:
Contacting the Insurer Directly: The first step for a policyholder is to
contact the insurance company directly to express their grievance.
This can be done through various channels such as phone, email, or in
person.
Internal Complaint Handling: The insurer is obligated to acknowledge
and investigate the complaint within a specified timeframe. They will
typically assign a dedicated representative to handle the matter and
provide updates on the progress.
2. Insurer's Internal Grievance Redressal Officer (IGRO):
Escalation: If the policyholder is dissatisfied with the insurer's
response or the resolution provided, they can escalate the complaint to
the insurer's Internal Grievance Redressal Officer (IGRO).
Independent Review: The IGRO is an independent authority within
the insurance company responsible for reviewing complaints and
providing a fair resolution.
3. Insurance Ombudsman:
External Intervention: If the IGRO is unable to resolve the complaint
to the policyholder's satisfaction, they can escalate the matter to the
Insurance Ombudsman.
Independent Investigation: The Insurance Ombudsman is an
independent authority appointed by the Insurance Regulatory and
Development Authority of India (IRDAI) to investigate complaints
against insurance companies. They have the power to summon
witnesses, gather evidence, and recommend appropriate remedies.
4. Insurance Appellate Tribunal (IAT):
Legal Recourse: As a last resort, policyholders can file an appeal with
the Insurance Appellate Tribunal (IAT). The IAT is a quasi-judicial
body that has the authority to adjudicate disputes between insurance
companies and policyholders.
Key Points to Remember:
Timelines: There are specific timelines within which each step of the
grievance redressal process must be completed.
Documentation: It is essential to maintain proper documentation of all
correspondence, communications, and evidence related to the
complaint.
Legal Assistance: Policyholders may seek legal advice if they believe
their rights have been violated or if the grievance redressal process is
not progressing satisfactorily.
By following these steps and utilizing the available grievance redressal
mechanisms, policyholders can effectively address their concerns and seek
appropriate remedies in case of disputes with insurance companies.
or
1. Risk Identification:
2. Risk Assessment:
3. Risk Mitigation:
4. Risk Transfer:
6. Risk Financing: