The Association of Settlement Companies and the American Association of Resellers of Structured Settlement pay a lot of attention to their worksheets. It is easy for them to look at any data set they want to see and decide which questions are too difficult and which are too simple. The truth is that the information presented on their worksheets can be manipulated to fit any desired results. The key is to recognize when this happens and to stop the process. In order to do that, you will need to know what an ASA and AAS Congruence Worksheet answer means and what it means to you.
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When a company creates a worksheet answering the questions above, what they are really doing is asking the company’s representative whether the claims made in the policy are covered by that particular policy. If it is not covered, then that company cannot get paid. On the other hand, if the policy covers all the facts that were described in the worksheet, then that worksheet answers to question one. Then, all the answers to the remaining questions would be figured into the policy. Now, you may wonder why this matters.
First, if you do not get paid, you will have to file a new claim or file an insurance claim for the same loss. Second, if your claim is denied, then you have no way of getting the amount of settlement that was claimed for. Since the insurance company chose to deny the claim, it means that there was something wrong with the policy or that the claim did not fit into the stated terms in the policy.
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All that being said, let us consider the three questions in the worksheet. The first question is: “Can we get paid for this claim?”. The second question is: “Did our agent to follow up with the customer? If not, then it must be in error.”
The third question is: “Did the company follows up with us and ask for more information about our claim?” You can see here the companies’ answer choices. Some of the answers are highlighted. You can see from these that the company researched our work. It is therefore safe to assume that the company’s answers fit in with what we wrote on the worksheet.
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There are two answers that we can give for the first question: Yes and No. When you have a valid AAS or ASA license and you have written an insurance claim on your own behalf, then yes, you can get paid. When you work for a claims processor company, however, you have to work within their guidelines. Some claims processors would say that you have to work within their guidelines before they pay you. To make it easy for the companies to pay you, they have made it easy for the claims processors to have access to all of the relevant information.
The fourth question is: “Did the company follows up with me?” This works in the same way as the third question. If you have not received payment within 60 days, then it must be due to us not following up with you. If you have received payment, then the company’s follow-up question will be: “Did the company follows up with you and request more information about your claim?”
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All the answers here should be provided by the company that you work for. Information that you provide on the worksheet may not be used by other companies to prepare its own worksheets. However, if you have all the answers to the questions above, then it shows that you are thorough and accurate. Your knowledge and skills in managing questionnaire is important. And therefore, these worksheets can help you get an AAS or ASA.
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