IRDAI Surveyor Engineering (S-05) flashcards
IRDAI Surveyor Engineering (S-05) · Build recall with a focused review session.
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- Licence validity period
- A surveyor licence granted under IRDAI (Insurance Surveyors and Loss Assessors) Regulations, 2015 is valid for five years and must be renewed before expiry, failing which it lapses.
- Categories of surveyor licence
- Licences are granted in Category A (life), B (general) and C (both), and by class of business such as fire, marine, motor, engineering and miscellaneous; practice beyond licensed classes is a violation.
- Renewal application deadline
- Renewal must be applied for at least 30 days before expiry with the prescribed fee; late applications may require a fresh licence and re-compliance with eligibility conditions.
- Surveyor fee payment timeline
- The insurer must pay the surveyor's fee within 15 days of receipt of the final survey report; fees follow the prescribed slab rates based on the assessed loss amount.
- Record retention requirement
- Surveyors must preserve claim records, working papers and reports for at least five years and produce them to IRDAI on demand during inspection or investigation.
- Professional indemnity requirement
- Licensed surveyors must hold professional indemnity insurance covering errors and omissions in loss assessment, protecting both the surveyor and the insured against negligence claims.
- Conflict of interest rule
- A surveyor must decline appointment where a relationship exists with the insured, intermediary or claimant; accepting remuneration from the insured for the same claim is prohibited.
- Disciplinary powers of IRDAI
- IRDAI may warn, fine, suspend or cancel a surveyor's licence for misconduct; appeals against such orders lie to the Securities Appellate Tribunal under the Insurance Act, 1938.
- Principle of indemnity
- The insured is restored to the pre-loss financial position, no better and no worse; it applies to property and liability insurance but not to life or personal accident benefits.
- Insurable interest timing
- Insurable interest must exist at the time of loss for property insurance and at inception for life insurance; absence of interest defeats the claim.
- Utmost good faith
- Both parties must disclose all material facts; non-disclosure or misrepresentation of a material fact makes the contract voidable at the insurer's option.
- Proximate cause
- The nearest effective cause of loss determines liability; where several causes operate, the dominant and effective cause governs the claim outcome.
- Subrogation right
- After paying a claim, the insurer acquires the insured's right of recovery against the third party responsible; the insured cannot recover twice for the same loss.
- Contribution between policies
- When multiple policies cover the same risk at the same time, each insurer pays rateably; the insured cannot profit from overlapping covers.
- Average clause formula
- Claim payable = (sum insured ÷ value at risk) × loss. It applies where the sum insured is less than the actual value of the property at the date of loss.
- Reinstatement versus indemnity value
- Reinstatement pays the cost of replacing or repairing with new subject to sum insured; indemnity value deducts depreciation for age and wear from the replacement cost.
- Standard fire policy perils
- The standard fire policy covers fire, lightning, explosion of gas and aircraft impact; riot, flood, storm, earthquake and terrorism require add-on covers.
- Fire claim assessment sequence
- Verify policy and endorsements, confirm sum insured and basis, establish cause, quantify loss, apply deductibles and average clause, then compute the net payable.
- Depreciation under indemnity basis
- Under indemnity basis, depreciation is deducted from replacement cost of damaged assets; under reinstatement basis it is not deducted, but betterment and salvage are considered.
- Salvage treatment in claims
- Salvage value of damaged property is deducted from the assessed loss; the insurer may take over salvage or allow the insured to retain it at an agreed value.
- Policy excess deduction
- The policy deductible or excess is deducted from each and every loss; aggregate excess and catastrophe limits may apply to large or multi-location risks.
- Stock valuation for fire claims
- Stock at date of loss is established from purchase records, stock statements and average stock method to test adequacy of sum insured and apply the average clause.
- Business interruption indemnity period
- Consequential loss cover indemnifies gross profit lost during the indemnity period; increased cost of working is limited to the turnover saved from the loss.
- Earthquake and flood verification
- Confirm occurrence date and location against the policy and check the peril is not excluded; structural damage may require engineering survey for quantum assessment.
- Survey report essential contents
- The report states cause of loss, extent of damage, quantum with computation, and recommendation on claim, supported by photographs, invoices and valuation workings.
- Motor OD document verification
- Verify policy, registration certificate, driving licence, fitness certificate and permit for commercial vehicles, and confirm the driver was authorised and not excluded.
- Motor depreciation application
- Depreciation for plastic, rubber, glass and metal parts is applied per the policy schedule and standard percentages on labour and parts under India Motor Tariff practice.
- Constructive total loss threshold
- Where repair cost exceeds 75% of the IDV, the vehicle is treated as a total loss; IDV is the maximum liability, less salvage and policy excess.
- Third-party motor liability
- Third-party claims are governed by the Motor Vehicles Act, 1988; the surveyor assesses damage and settlement proceeds through MACT or Lok Adalat.
- Motor theft claim evidence
- Theft claims require an FIR, non-traceable certificate, and surrender of all keys and documents; delay in lodging the FIR can raise suspicion of fraud.
- Machinery breakdown assessment
- Ascertain the mechanical or electrical cause, confirm the machine was maintained and operated within rated capacity, and assess repair versus replacement cost.
- CAR/EAR claim considerations
- Verify the stage of construction and design responsibility; losses from defective design or workmanship are usually excluded under construction and erection all-risk covers.