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AIC 3002 | Claims in an Evolving World | Fall 2026 | 100 MCQs – Fraud, Subrogation, Litigation, Data Mining

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This document offers a full collection of 100 multiple-choice questions with correct answers for the course AIC 3002 – Claims in an Evolving World, intended for university-level studies in the Fall 2026 academic session. The content reflects real-world insurance principles and legal practices, making it highly valuable for students preparing for academic exams, professional certifications, or careers in claims and insurance management. Key topics covered include subrogation rights and obligations, types of insurance fraud (hard and soft), litigation procedures, motion practices (e.g., motions to dismiss or suppress), negotiation strategies, telematics, data science applications in claims (e.g., predictive modeling, classification trees), claims documentation practices, reserve-setting techniques (stairstepping, roundtable), and regulatory frameworks such as the NAIC model act. The questions are contextual, scenario-based, and aligned with current industry standards. This document is highly relevant for students in Insurance, Risk Management, Actuarial Science, Business Administration, Finance, and Legal Studies. It is especially useful for those enrolled in claims adjusting, insurance operations, or law-related modules. Professionals preparing for CPCU, AIC, or similar insurance certifications will also benefit greatly from this study set. Every question is paired with its correct answer, making it ideal for rapid review, exam readiness, and practical application of theoretical knowledge. Whether used independently or alongside textbooks, this file offers an efficient and focused way to master the evolving world of insurance claims. Keywords: claims handling, litigation process, subrogation, insurance fraud, predictive modeling, reserve setting, NAIC model act, telematics, IoT in insurance, claim negotiation, bad-faith claims, workers compensation, data mining, proof of loss, motion to dismiss

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AIC 300 - Claims in an Evolving World
Questions and Answers | Fall 2026 |
100% Correct

Adam manages a claims department for an insurer. He measures the

department's performance by best practices, claims audits, customer

satisfaction data, and loss ratio. Which one of Adam's measures refers to a

system of identified internal practices that claims representatives perform to

produce superior performance?




A. Claims audits

B. Best practices

C. Loss ratio


D. Customer satisfaction data - 🧠 ANSWER ✔✔B. Best practices

,Best practices generally refers to a system of identified internal practices

that are shared with claims reps and produce superior performance.

DaJuan, a claims representative, sets a low case reserve for a seemingly

simple claim. A few weeks later it becomes apparent that the initial reserve

was too low, and he increases it in order to issue payments. More bills

related to the claim arrive a few months later, and he increases the reserve

again. This process is known as

Select one:

A. Readjusting.

B. Stairstepping

C. Reopening.


D. Incremental reserving. - 🧠 ANSWER ✔✔B. Stairstepping.




Correct. The process of repeatedly increasing the reserve for a claim is

called stairstepping.

Olivia is careful to keep proper claim status notes when she handles a

claim. For example, she makes sure to only include neutral, objective

comments about the parties involved. This is because claim notes

,Select one:

A. Are potentially discoverable in a trial.

B. Continue for as long as the claim is open.

C. Present a chronology of the life of the claim.


D. Must be able to speak for themselves. - 🧠 ANSWER ✔✔A. Are

potentially discoverable in a trial.




Correct. Are potentially discoverable in a trial. Seemingly innocuous

comments can be devastating when read to a jury.

Ciara is going to college with the goal of working as a data scientist for an

insurer. She will need a strong foundation in mathematics and statistics,

computer programming, domain knowledge, and data science. Which one

of Ciara's skills will require her to understand the insurance profession to

which the data is being applied?

Select one:

A. Mathematics and statistics

B. Data science



COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, C. Computer programming


D. Domain knowledge - 🧠 ANSWER ✔✔Domain knowledge




...is the understanding of the discipline, profession, or activity to which the

data is being applied.

rin helps her employer, a multi-line insurer, to determine actual exposure

and premium for coverage. She does this by conducting detailed

examinations of policyholder operations, records, and accounting. Erin is

a(n)

Select one:

A. Underwriter

B. Premium auditor.

C. Claims adjuster.


D. Producer. - 🧠 ANSWER ✔✔Premium auditor.




Premium auditors provide inventory values, contractors' equipment lists,

and other facts that are important to the claims function.

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