QUESTIONS AND CORRECT ANSWERS)
Insurance & Claims (The Institutes) | Key Domains: Claims Process, Legal Concepts, Insurance Contracts,
Liability, Property Insurance, Claims Handling, Ethics, and Regulatory Compliance | Expert-Aligned
Structure | Exam-Ready Practice Format
Introduction
This original AIC 301-style practice exam for 2026–2027 is designed for study and preparation. It is not
represented as an actual, leaked, or verified live certification exam. It emphasizes claims handling, legal
principles, insurance contracts, and regulatory compliance relevant to professional claims practice.
Answer Format
All correct answers appear in bold cyan, accompanied by concise rationales explaining business and
regulatory reasoning and why alternative options are less appropriate.
File Format Requirement
The final output has been generated and provided as a downloadable .docx file.
Claims Process
1. What is generally the first step in the claims process after a loss is reported?
A. Acknowledging and setting up the claim
B. Closing the file
C. Issuing payment immediately
D. Filing a lawsuit
Correct Answer: A. Acknowledging and setting up the claim
Rationale: Claims handling typically begins with acknowledging the notice of loss and establishing
the claim file so investigation can proceed.
2. Why is prompt initial contact with the insured important?
A. It guarantees no dispute will arise
B. It helps gather facts early and supports good service
C. It eliminates the need for documentation
D. It replaces coverage review
Correct Answer: B. It helps gather facts early and supports good service
, Rationale: Prompt contact helps preserve facts, manage expectations, and demonstrate responsive
service.
3. Which document is most useful for recording facts, contacts, and actions taken throughout the
life of a claim?
A. Marketing brochure
B. Underwriting advertisement
C. Claim diary or claim notes
D. Commission schedule
Correct Answer: C. Claim diary or claim notes
Rationale: The claim file diary or notes create a record of investigation, communications, and
decisions.
4. A reservation of rights letter is generally used when
A. The adjuster wants to deny all claims automatically
B. Payment has already been made in full
C. The insured requests a copy of the policy only
D. Coverage questions exist and the insurer is continuing its investigation
Correct Answer: D. Coverage questions exist and the insurer is continuing its investigation
Rationale: A reservation of rights letter notifies the insured that the insurer is investigating while
preserving its position on potential coverage issues.
5. Which action best supports an effective claim investigation?
A. Obtaining relevant statements, records, and physical evidence
B. Relying only on the first version of events
C. Avoiding contact with witnesses
D. Ignoring policy terms until the end
Correct Answer: A. Obtaining relevant statements, records, and physical evidence
Rationale: A sound investigation gathers relevant evidence from multiple sources and compares it
with policy terms and facts.
6. What is the primary purpose of verifying coverage early in the claim process?
A. To increase subrogation recoveries
B. To determine whether the policy may respond to the loss