Describe a situation where you had to make a decision with limited information. How did you handle it?

In my previous role as a Claims Assistant, I encountered a situation where I had to make a decision with limited information. A claim was received with incomplete documentation, and there was only a brief description of the incident provided. As the assigned claims handler, I had to decide whether to accept or deny the claim based on the limited information available. To handle the situation, I requested additional information from the claimant through phone and email communication. I also reached out to other departments within the company to gather any relevant information they may have had. By proactively seeking more information, I was able to make an informed decision and ensure that the claim was processed accurately and efficiently.

In my previous role as a Claims Assistant, I encountered a situation where I had to make a decision with limited information. A claim was received for a car accident, but the claimant provided incomplete documentation and only a brief description of the incident. To handle this situation, I immediately contacted the claimant to gather more information about the accident, such as the date, time, and location. I also requested any supporting documents, such as police reports or medical records, that could provide clarity. Simultaneously, I reached out to our internal department responsible for accident investigations to see if any additional information was available. By thoroughly gathering all possible information, I was able to make an informed decision on the claim and ensure that it was processed accurately and efficiently.

In my previous role as a Claims Assistant, I encountered a situation where I had to make a decision with limited information. A claim was received for a car accident, but the claimant provided incomplete documentation and only a brief description of the incident. To handle this situation, I immediately contacted the claimant to gather more information about the accident, such as the date, time, and location. I also requested any supporting documents, such as police reports or medical records, that could provide clarity. Simultaneously, I reached out to our internal department responsible for accident investigations to see if any additional information was available. After thorough investigation, I discovered that the claimant had failed to mention that they were at fault in the accident. This crucial piece of information was not included in the initial documentation. With this new information, I evaluated the claim and determined that it was not valid based on our policy terms. I communicated my findings to the claimant, explaining the reasons for the denial and offering guidance on the next steps they could take. This decision prevented an unnecessary payout and protected the company's interests. It also highlighted the importance of thorough information gathering and analysis when making claims decisions.