MedVR
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About the Case

Isla Caldwell is disputing the denial of her $6,000 travel insurance claim for a canceled anniversary trip to Italy, which she had to forgo due to her elderly mother’s sudden illness. She believes the decision is unfair and demands clarification on why a family emergency isn’t covered. 

As the Insurance Investigator, your role is to review the claim thoroughly, clarify the policy’s terms, and address Isla’s concerns with professionalism and empathy.

Learning Objectives:
  • Understanding the claimant’s frustration while staying professional
  • Explaining the process and findings clearly to build trust
  • Resolving disagreements by focusing on common ground
  • Maintaining credibility and confidence with evidence-based explanations
  • Offering solutions or clarifications to reach a fair resolution
Skills Assessed
  • Empathy
  • Transparency
  • Conflict Resolution
  • Professional Authority
  • Negotiation Skills

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Balancing Authority and Empathy

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