AIC 300 CLAIMS IN AN EVOLVING WORLD
STUDY GUIDE WITH COMPLETE
QUESTIONS AND EXPERT-VERIFIED
ANSWERS FOR GUARANTEED PASS
◍ Kira, a claims representative, receives a summons and complaint from
an insured. In reviewing the facts, she has doubts that the insured's
applicable policy will provide coverage. She should work with counsel
and request a managerial review in order to issue
Select one:
A. A reservation of rights letter.
B. An excess letter.
C. A countersuit.
D. A claim denial. Ans: A. A reservation of rights letter.
The insurer will issue a reservation of rights letter stating that it will
provide defense only until it can establish that there is no coverage.
◍ The claims litigation process begins with the receipt of
Select one:
A. A notice of claim.
,B. A civil violation notice.
C. A summons and complaint.
D. A settlement offer. Ans: C. A summons and complaint.
The claims litigation process begins with the receipt of a summons and
complaint announcing the initiation of a lawsuit.
◍ Linnea is an attorney who is preparing to defend an insurer in a
workers compensation case. Discovery produced several documents that
are being presented as witnesses statements, but the witnesses admit in
the statements to not actually seeing the accident. Linnea would like to
omit these statements from the proceedings, so she is filing a
Select one:
A. Motion to dismiss.
B. Motion to strike.
C. Motion in limine.
D. Motion to suppress. Ans: C. Motion in limine.
This is a pretrial request that certain evidence be excluded from the trial
because it is irrelevant or prejudicial.
◍ Claims rep Lily is negotiating a claim settlement with an
unrepresented claimant and wishes to smooth the process. She is
,matching her demeanor, tone, and mannerisms to those of the claimant.
Lily is using which one of the following negotiation techniques?
Select one:
A. Setting expectations
B. Performing a needs analysis
C. Using traditional sales techniques
D. Collecting extraneous information Ans: C. Using traditional sales
techniques
A common sales technique is mirroring the behavior of the customer.
◍ Greatview Insurance wants to predict which auto liability claims will
most likely go to litigation, so it can assign them to experienced
adjusters early in the process. There are certain known indicators of
litigation that Greatview wants to use in the data mining process. Which
one of the following data mining techniques would Greatview's analyst
most likely use?
Select one:
A. Regression analysis
B. Association rule learning
C. Classification
D. Cluster analysis Ans: C. Classification
, Because Greatview wants to use known characteristics, the analyst
would most likely use classification to predict which auto liability
claims will go to litigation.
◍ In seeking to identify claims that will potentially develop into
complex and more costly claims, the data science team at Great
Midsouthwest Insurance ranks a series of attributes by their importance
to the data model. Which one of the following terms describes the level
of predictive power of each attribute?
Select one:
A. Statistical relevance
B. Information gain
C. Lift
D. Precision factor Ans: B. Information gain
Information gain is a measure of the predictive power of one or more
attributes.
◍ Rin works for an insurer designing and using techniques to process
large amounts of data from various sources and providing knowledge
based on the analysis of that data. Rin is a(n)
Select one:
A. Actuary.
B. Data scientist.
STUDY GUIDE WITH COMPLETE
QUESTIONS AND EXPERT-VERIFIED
ANSWERS FOR GUARANTEED PASS
◍ Kira, a claims representative, receives a summons and complaint from
an insured. In reviewing the facts, she has doubts that the insured's
applicable policy will provide coverage. She should work with counsel
and request a managerial review in order to issue
Select one:
A. A reservation of rights letter.
B. An excess letter.
C. A countersuit.
D. A claim denial. Ans: A. A reservation of rights letter.
The insurer will issue a reservation of rights letter stating that it will
provide defense only until it can establish that there is no coverage.
◍ The claims litigation process begins with the receipt of
Select one:
A. A notice of claim.
,B. A civil violation notice.
C. A summons and complaint.
D. A settlement offer. Ans: C. A summons and complaint.
The claims litigation process begins with the receipt of a summons and
complaint announcing the initiation of a lawsuit.
◍ Linnea is an attorney who is preparing to defend an insurer in a
workers compensation case. Discovery produced several documents that
are being presented as witnesses statements, but the witnesses admit in
the statements to not actually seeing the accident. Linnea would like to
omit these statements from the proceedings, so she is filing a
Select one:
A. Motion to dismiss.
B. Motion to strike.
C. Motion in limine.
D. Motion to suppress. Ans: C. Motion in limine.
This is a pretrial request that certain evidence be excluded from the trial
because it is irrelevant or prejudicial.
◍ Claims rep Lily is negotiating a claim settlement with an
unrepresented claimant and wishes to smooth the process. She is
,matching her demeanor, tone, and mannerisms to those of the claimant.
Lily is using which one of the following negotiation techniques?
Select one:
A. Setting expectations
B. Performing a needs analysis
C. Using traditional sales techniques
D. Collecting extraneous information Ans: C. Using traditional sales
techniques
A common sales technique is mirroring the behavior of the customer.
◍ Greatview Insurance wants to predict which auto liability claims will
most likely go to litigation, so it can assign them to experienced
adjusters early in the process. There are certain known indicators of
litigation that Greatview wants to use in the data mining process. Which
one of the following data mining techniques would Greatview's analyst
most likely use?
Select one:
A. Regression analysis
B. Association rule learning
C. Classification
D. Cluster analysis Ans: C. Classification
, Because Greatview wants to use known characteristics, the analyst
would most likely use classification to predict which auto liability
claims will go to litigation.
◍ In seeking to identify claims that will potentially develop into
complex and more costly claims, the data science team at Great
Midsouthwest Insurance ranks a series of attributes by their importance
to the data model. Which one of the following terms describes the level
of predictive power of each attribute?
Select one:
A. Statistical relevance
B. Information gain
C. Lift
D. Precision factor Ans: B. Information gain
Information gain is a measure of the predictive power of one or more
attributes.
◍ Rin works for an insurer designing and using techniques to process
large amounts of data from various sources and providing knowledge
based on the analysis of that data. Rin is a(n)
Select one:
A. Actuary.
B. Data scientist.
