AIC 300 - Claims in an Evolving World
Questions And 100% Verified Answers
Latest 2026 Update | Graded A+ | 100%
Success
A summons and complaint is typically received by the insured, who
then shares it with the claims rep, who in turn sends it to the insurer's
defense counsel. - CORRECT ANSWER -In a typical scenario, a summons
and complaint initiating litigation is received by these parties in which
one of the following sequences?
Select one:
A. Defense counsel, insured, claims rep
B. Defense counsel, claims rep, insured
C. Insured, claims rep, defense counsel
D. Claims rep, insured, defense counsel
D. Soft fraud
In soft fraud, a legitimate loss occurs but the value of that loss is
exaggerated. - CORRECT ANSWER -Bettina's apartment is burglarized
,and several items are stolen. In filing her claim, she tells her insurer that
her stolen television was both newer and larger than it actually was.
This constitutes which one of the following types of fraud?
Select one:
A. Concealment
B. Misrepresentation
C. False claim
D. Soft fraud
C. Best practices
Best practices generally refers to a system of identified internal
practices that are shared with claims reps and produce superior
performance. - CORRECT ANSWER -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?
Select one:
A. Customer satisfaction data
B. Loss ratio
,C. Best practices
D. Claims audits
D. An endorsement.
An endorsement can include coverage that is otherwise excluded,
exclude coverage that is otherwise included, or add or delete insureds. -
CORRECT ANSWER -Which one of the following elements of a policy can
include coverage that is otherwise excluded, exclude coverage that is
otherwise included, or add or delete insureds?
Select one:
A. The declarations.
B. The conditions.
C. An exclusion.
D. An endorsement.
B. Examination under oath
Examination under oath is administered by the attorney for the insurer
after notice is issued to appear at the office of the insurer, attorney, or
court reporter. - CORRECT ANSWER -As a claims representative, Joshua
, frequently requests proofs of loss and affidavits, and conducts
examinations under oath and recorded statements. Which one of
Joshua's sworn statements is administered by the insurer's attorney at
the office of the insurer, attorney, or court reporter?
Select one:
A. Affidavit
B. Examination under oath
C. Recorded statement
D. Proof of loss
C. Carefully document their reasoning for denial. - CORRECT ANSWER -
Because a full or partial denial of a claim may result in a bad-faith
lawsuit, a claims representative should
Select one:
A. Seek a supervisor's approval before denying a claim.
B. Make every effort to approve each claim.
C. Carefully document their reasoning for denial.
D. Check with the reinsurer before denying a claim.
C. Are not always sequential, and may overlap. - CORRECT ANSWER -
The activities that make up the claims handling process
Questions And 100% Verified Answers
Latest 2026 Update | Graded A+ | 100%
Success
A summons and complaint is typically received by the insured, who
then shares it with the claims rep, who in turn sends it to the insurer's
defense counsel. - CORRECT ANSWER -In a typical scenario, a summons
and complaint initiating litigation is received by these parties in which
one of the following sequences?
Select one:
A. Defense counsel, insured, claims rep
B. Defense counsel, claims rep, insured
C. Insured, claims rep, defense counsel
D. Claims rep, insured, defense counsel
D. Soft fraud
In soft fraud, a legitimate loss occurs but the value of that loss is
exaggerated. - CORRECT ANSWER -Bettina's apartment is burglarized
,and several items are stolen. In filing her claim, she tells her insurer that
her stolen television was both newer and larger than it actually was.
This constitutes which one of the following types of fraud?
Select one:
A. Concealment
B. Misrepresentation
C. False claim
D. Soft fraud
C. Best practices
Best practices generally refers to a system of identified internal
practices that are shared with claims reps and produce superior
performance. - CORRECT ANSWER -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?
Select one:
A. Customer satisfaction data
B. Loss ratio
,C. Best practices
D. Claims audits
D. An endorsement.
An endorsement can include coverage that is otherwise excluded,
exclude coverage that is otherwise included, or add or delete insureds. -
CORRECT ANSWER -Which one of the following elements of a policy can
include coverage that is otherwise excluded, exclude coverage that is
otherwise included, or add or delete insureds?
Select one:
A. The declarations.
B. The conditions.
C. An exclusion.
D. An endorsement.
B. Examination under oath
Examination under oath is administered by the attorney for the insurer
after notice is issued to appear at the office of the insurer, attorney, or
court reporter. - CORRECT ANSWER -As a claims representative, Joshua
, frequently requests proofs of loss and affidavits, and conducts
examinations under oath and recorded statements. Which one of
Joshua's sworn statements is administered by the insurer's attorney at
the office of the insurer, attorney, or court reporter?
Select one:
A. Affidavit
B. Examination under oath
C. Recorded statement
D. Proof of loss
C. Carefully document their reasoning for denial. - CORRECT ANSWER -
Because a full or partial denial of a claim may result in a bad-faith
lawsuit, a claims representative should
Select one:
A. Seek a supervisor's approval before denying a claim.
B. Make every effort to approve each claim.
C. Carefully document their reasoning for denial.
D. Check with the reinsurer before denying a claim.
C. Are not always sequential, and may overlap. - CORRECT ANSWER -
The activities that make up the claims handling process
