In a bad-faith claim scenario, discovering collusion between the insured and the claimant would most likely be used as which defense?

Enhance your claims profession expertise with AIC 300 Claims in an Evolving World Test. Utilize flashcards, multiple choice questions and explanations to ace your exam!

Multiple Choice

In a bad-faith claim scenario, discovering collusion between the insured and the claimant would most likely be used as which defense?

Explanation:
In a bad-faith claim, the key issue is whether the claim itself is legitimate or tainted by fraud. If the insured is found to be colluding with the claimant, the claim is no longer a bona fide demand but a fraudulent or manufactured one. That undermines the premise of bad-faith liability because the insurer wasn’t handling a genuine claim in bad faith—it was responding to a fraudulent scheme. Therefore, the defense that the insured colluded with the claimant best explains why the claim should not support a bad-faith claim against the insurer. Contributory negligence doesn’t address the insurer’s conduct toward a claim in bad-faith context, and advice of counsel and a merely debatable reasonable basis defense revolve around whether the insurer’s decision was reasonable, not on the existence of a collusive fraud that makes the claim illegitimate.

In a bad-faith claim, the key issue is whether the claim itself is legitimate or tainted by fraud. If the insured is found to be colluding with the claimant, the claim is no longer a bona fide demand but a fraudulent or manufactured one. That undermines the premise of bad-faith liability because the insurer wasn’t handling a genuine claim in bad faith—it was responding to a fraudulent scheme. Therefore, the defense that the insured colluded with the claimant best explains why the claim should not support a bad-faith claim against the insurer.

Contributory negligence doesn’t address the insurer’s conduct toward a claim in bad-faith context, and advice of counsel and a merely debatable reasonable basis defense revolve around whether the insurer’s decision was reasonable, not on the existence of a collusive fraud that makes the claim illegitimate.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy