Question
You are the senior claims manager for a large insurance company. Recently you have noticed a large number of claims being submitted for a new
You are the senior claims manager for a large insurance company. Recently you have noticed a large number of claims being submitted for a new condition called chronic apathy. This appears to be some sort of medical condition, but there is considerable disagreement as to how it is diagnosed among doctors. At the moment the claims have been denied, but something needs to be done about them. Using the chart you prepared for question 23(a) (there is no need to reproduce the chart), which of the dispute resolution mechanisms would you select to resolve these claims and why would you select it? Why would you reject the other ones? (6 marks).
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