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AIC 300 - Claims in an Evolving World
Questions and Correct Answers/ Latest
Update / Already Graded
Insurers usually send denial letters
Select one:
A. By email to ensure prompt receipt by the insured.
B. By certified mail with a return receipt requested.
C. By overnight courier.
D. By registered mail.
Ans: B. By certified mail with a return receipt requested.
Some will also send a copy via regular mail in case the certified
letter is not accepted.
As methods of communication evolve, it's important for claims
professionals to remember that any written claims communication
may be
Select one:
A. Replaced with verbal communication.
B. Misinterpreted.
C. Edited later.
All rights reserved © 2025/ 2026 |
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D. Subpoenaed.
Ans: D. Subpoenaed.
Any written claims communication may be subpoenaed.
In which one of the following scenarios is a public adjuster most likely
to become involved?
Select one:
A. An insurer finds it financially unfeasible to hire its own claims staff in
a given state.
B. An insured is unable to afford legal representation to contest a
claim.
C. A catastrophic disaster strikes, involving damage to many
properties.
D. An insured's negotiations with the insurer on a complex claim are
not going well.
Ans: D. An insured's negotiations with the insurer on a complex
claim are not going well.
If a claim is complex, or if settlement negotiations are not
progressing with the insurer, the insured may hire a public
adjuster to protect his or her interests.
All rights reserved © 2025/ 2026 |
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Which one of the following statements regarding third-party
administrators (TPAs) is most accurate?
Select one:
A. TPAs are typically used by businesses that have chosen not to self-
insure.
B. TPAs handle claims, keep claims records, and perform statistical
analyses.
C. TPAs are generally found in an insurer's claims department.
D. TPAs are employed only by independent adjusting firms.
Ans: B. TPAs handle claims, keep claims records, and perform
statistical analyses.
Hugo is conducting an audit of a branch office claims operation. He is
evaluating timeliness of reports, number of files opened, proper
releases taken, and accuracy of data entry. Which one of Hugo's
metrics is a qualitative audit factor?
Select one:
A. Proper releases taken
B. Timeliness of reports
C. Number of files opened
D. Accuracy of data entry
All rights reserved © 2025/ 2026 |
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Ans: A. Proper releases taken
Proper releases taken is a qualitative audit factor; the othe rs
are quantitative.
Aaron works for a multi-line insurer. He works with insurance
producers and applicants to evaluate new business submissions and
conduct renewal underwriting. Aaron is a
Select one:
A. Staff underwriter.
B. Public underwriter.
C. Personal lines underwriter.
D. Line underwriter.
Ans: D. Line underwriter.
Line underwriter. This describes the duties of a line
underwriter, rather than a staff underwriter. There is not
enough information to determine which line of business is being
written. A public underwriter does not exist. Line underwriters
evaluate new submissions and perform renewal underwriting,
usually by working directly with insurance producers and
applicants. Staff underwriters, meanwhile, manage risk
All rights reserved © 2025/ 2026 |
AIC 300 - Claims in an Evolving World
Questions and Correct Answers/ Latest
Update / Already Graded
Insurers usually send denial letters
Select one:
A. By email to ensure prompt receipt by the insured.
B. By certified mail with a return receipt requested.
C. By overnight courier.
D. By registered mail.
Ans: B. By certified mail with a return receipt requested.
Some will also send a copy via regular mail in case the certified
letter is not accepted.
As methods of communication evolve, it's important for claims
professionals to remember that any written claims communication
may be
Select one:
A. Replaced with verbal communication.
B. Misinterpreted.
C. Edited later.
All rights reserved © 2025/ 2026 |
, Page |2
D. Subpoenaed.
Ans: D. Subpoenaed.
Any written claims communication may be subpoenaed.
In which one of the following scenarios is a public adjuster most likely
to become involved?
Select one:
A. An insurer finds it financially unfeasible to hire its own claims staff in
a given state.
B. An insured is unable to afford legal representation to contest a
claim.
C. A catastrophic disaster strikes, involving damage to many
properties.
D. An insured's negotiations with the insurer on a complex claim are
not going well.
Ans: D. An insured's negotiations with the insurer on a complex
claim are not going well.
If a claim is complex, or if settlement negotiations are not
progressing with the insurer, the insured may hire a public
adjuster to protect his or her interests.
All rights reserved © 2025/ 2026 |
, Page |3
Which one of the following statements regarding third-party
administrators (TPAs) is most accurate?
Select one:
A. TPAs are typically used by businesses that have chosen not to self-
insure.
B. TPAs handle claims, keep claims records, and perform statistical
analyses.
C. TPAs are generally found in an insurer's claims department.
D. TPAs are employed only by independent adjusting firms.
Ans: B. TPAs handle claims, keep claims records, and perform
statistical analyses.
Hugo is conducting an audit of a branch office claims operation. He is
evaluating timeliness of reports, number of files opened, proper
releases taken, and accuracy of data entry. Which one of Hugo's
metrics is a qualitative audit factor?
Select one:
A. Proper releases taken
B. Timeliness of reports
C. Number of files opened
D. Accuracy of data entry
All rights reserved © 2025/ 2026 |
, Page |4
Ans: A. Proper releases taken
Proper releases taken is a qualitative audit factor; the othe rs
are quantitative.
Aaron works for a multi-line insurer. He works with insurance
producers and applicants to evaluate new business submissions and
conduct renewal underwriting. Aaron is a
Select one:
A. Staff underwriter.
B. Public underwriter.
C. Personal lines underwriter.
D. Line underwriter.
Ans: D. Line underwriter.
Line underwriter. This describes the duties of a line
underwriter, rather than a staff underwriter. There is not
enough information to determine which line of business is being
written. A public underwriter does not exist. Line underwriters
evaluate new submissions and perform renewal underwriting,
usually by working directly with insurance producers and
applicants. Staff underwriters, meanwhile, manage risk
All rights reserved © 2025/ 2026 |
