Coinsurance

Term from Insurance industry explained for recruiters

Coinsurance is a common insurance concept where the policyholder and insurance company share the cost of covered services. It's usually shown as a percentage split (like 80/20, where the insurance company pays 80% and the customer pays 20%). Insurance professionals work with this concept daily when explaining policies, processing claims, or designing insurance plans. This term is important in health insurance, property insurance, and other types of coverage. Understanding coinsurance is essential for roles in insurance companies, agencies, and healthcare organizations.

Examples in Resumes

Explained Coinsurance concepts to over 200 clients annually, achieving 95% customer satisfaction

Processed claims involving Coinsurance calculations for a portfolio of 500+ policies

Developed training materials to help new agents understand Coinsurance requirements

Typical job title: "Insurance Professionals"

Also try searching for:

Insurance Agent Claims Adjuster Insurance Underwriter Benefits Coordinator Insurance Sales Representative Policy Administrator Insurance Broker

Example Interview Questions

Senior Level Questions

Q: How would you handle a complex situation where a client disputes their coinsurance responsibility?

Expected Answer: A senior professional should explain their approach to reviewing policy documentation, gathering evidence, communicating clearly with the client, and following company procedures while maintaining customer satisfaction.

Q: Describe how you would train a team on explaining coinsurance to clients.

Expected Answer: Should demonstrate leadership ability by describing training methods, use of real examples, role-playing scenarios, and ways to simplify complex insurance concepts for both staff and clients.

Mid Level Questions

Q: How do you explain coinsurance to clients who are confused about their coverage?

Expected Answer: Should show ability to break down complex terms into simple language, use relevant examples, and demonstrate strong communication skills in explaining percentage splits and payment responsibilities.

Q: What factors do you consider when determining appropriate coinsurance levels for different policies?

Expected Answer: Should discuss client needs assessment, risk evaluation, industry standards, and balance between coverage and cost considerations.

Junior Level Questions

Q: What is coinsurance and how does it work?

Expected Answer: Should be able to explain the basic concept of cost-sharing between insurer and insured, provide simple examples of percentage splits, and demonstrate understanding of common coinsurance ratios.

Q: How do you calculate a client's coinsurance payment?

Expected Answer: Should show ability to perform basic percentage calculations and explain how to determine the client's share of costs based on their policy's coinsurance percentage.

Experience Level Indicators

Junior (0-2 years)

  • Basic understanding of insurance terms
  • Simple policy explanations
  • Basic coinsurance calculations
  • Customer service skills

Mid (2-5 years)

  • Detailed policy knowledge
  • Complex claims processing
  • Client relationship management
  • Problem-solving abilities

Senior (5+ years)

  • Advanced policy expertise
  • Team leadership
  • Training and development
  • Strategic planning

Red Flags to Watch For

  • Unable to explain coinsurance in simple terms
  • Lack of customer service experience
  • Poor understanding of basic mathematics and percentages
  • No knowledge of insurance regulations and compliance