ANSWERS(RATED A+)
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?
A. Affadivit
B. Recorded statement
C. Proof of loss
D. Examination under oath - ANSWER D. 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.
Which one of the following can be applied over time to refine a model to better predict
results?
A. Regression
B. Association rule learning
C. Machine learning
D. Statistics - ANSWER C. Machine learning
Machine learning can be applied over time to refine a model to better predict results.
Conor is a claims representative whose supervisor is reviewing his claim status notes.
The supervisor took exception with one of Conor's notes, which read, "The claimant is
obviously lying because his account of how the accident happened keeps changing."
The supervisor should advise Conor that this statement is inappropriate because it is
not:
A. Objective
B. Concise
C. Accurate
D. Clear - ANSWER A. Objective
Claim status notes should contain objective comments about the parties, and this
statement is subjective.
Leila is conducting a claims investigation and is taking a recorded statement from the
claimant. She wants a simple yes-or-no answer to prevent the interviewee from
explaining the answer further. She asks, "You experienced back pain immediately when
you lifted the box, didn't you?" Leila has asked a(n)
A. Direct Question
B. Leading Question
C. Open-Ended Question
D. Indirect Question - ANSWER B. Leading Question
, The NAIC model act specifies that its provisions regarding bad-faith claims are to be
enforced by
A. NAIC personnel.
B. Insurer personnel, on the honor system.
C. State insurance departments.
D. The Federal Trade Commission. - ANSWER C. State insurance departments.
The NAIC model act specifies that its provisions regarding bad-faith claims are to be
enforced by state insurance departments.
Ida was named in a bad-faith lawsuit as the claims representative who handled the file.
The court dismissed the suit, however, because the statute of limitations had expired.
This means that
A. She was immune to prosecution as an employee.
B. The limits of the policy had been exceeded.
C. There was no basis to pierce the corporate veil.
D. Too much time had expired after the claim concluded. - ANSWER D. Too much time
had expired after the claim concluded.
A statute of limitations is a law that stipulates the length of time after an event during
which legal proceedings may be initiated.
Erik is a claims manager for Taunton Insurance. He is leading a team of property claims
representatives responding to a recent tornado in Kentucky. Before sending the
representatives into the field, Erik has decided to use Internet of Things (IoT)
technology to assess the damage and danger in the area. Which one of the following
IoT devices would Erik most likely use in this situation?
A. Telematics
B. Smartphones
C. Sensors
D. Drones - ANSWER D. Drones
Erik would most likely use drones to take photos or videos of the difficult-to-reach area
and assess the damage and danger. By using the drones, he can assess the danger
without risking the safety of the claims representatives. Sensors could be used to
monitor things such as heat, moisture, noise, and air quality, but would not provide an
overall assessment of the damage to the area.
An insurer that finds it economically impractical to establish a claims office in a given
state is likely to use which one of the following to perform the claims handling function?
A. Producers
B. Third-party administrators
C. Public adjusters
D. Independent adjusters - ANSWER D. Independent adjusters
Insurers may contract with independent adjusters to handle claims in strategic locations.
Jose is handling a workers compensation claim. The injured worker claims to have
strained his back when he lifted a box at work. He waited a day to report the injury