AIC 300 - Claims in an Evolving World
2025/2026 Exam Questions Marking
Scheme New Update | A+ Rated
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.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
1
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,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:
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2
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,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
C. Computer programming
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
, 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.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
4
PRIVACY STATEMENT. ALL RIGHTS RESERVED
2025/2026 Exam Questions Marking
Scheme New Update | A+ Rated
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.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
1
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,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:
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
2
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,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
C. Computer programming
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
3
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, 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.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
4
PRIVACY STATEMENT. ALL RIGHTS RESERVED
