2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
AIC 300 - Claims in an Evolving World
Questions & 100% Correct Answers- Latest
Test | Graded A+ | Passed
Insurers usually send denial letters
Select one:
A. By email to ensure prompt receipt by the insured.
B. By certified mail with a return receipt requested.
C. By overnight courier.
D. By registered mail.
✓ -:- B. By certified mail with a return receipt requested.
Some will also send a copy via regular mail in case the certified letter is not accepted.
As methods of communication evolve, it's important for claims professionals to remember
that any written claims communication may be
Select one:
A. Replaced with verbal communication.
B. Misinterpreted.
C. Edited later.
1|Page | Grade A+| 2024/2025
,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
D. Subpoenaed.
✓ -:- D. Subpoenaed.
Any written claims communication may be subpoenaed.
In which one of the following scenarios is a public adjuster most likely to become involved?
Select one:
A. An insurer finds it financially unfeasible to hire its own claims staff in a given state.
B. An insured is unable to afford legal representation to contest a claim.
C. A catastrophic disaster strikes, involving damage to many properties.
D. An insured's negotiations with the insurer on a complex claim are not going well.
✓ -:- D. An insured's negotiations with the insurer on a complex claim are not going
well.
If a claim is complex, or if settlement negotiations are not progressing with the insurer, the
insured may hire a public adjuster to protect his or her interests.
Which one of the following statements regarding third-party administrators (TPAs) is most
accurate?
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,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
Select one:
A. TPAs are typically used by businesses that have chosen not to self-insure.
B. TPAs handle claims, keep claims records, and perform statistical analyses.
C. TPAs are generally found in an insurer's claims department.
D. TPAs are employed only by independent adjusting firms.
✓ -:- B. TPAs handle claims, keep claims records, and perform statistical analyses.
Hugo is conducting an audit of a branch office claims operation. He is evaluating timeliness
of reports, number of files opened, proper releases taken, and accuracy of data entry.
Which one of Hugo's metrics is a qualitative audit factor?
Select one:
A. Proper releases taken
B. Timeliness of reports
C. Number of files opened
D. Accuracy of data entry
✓ -:- A. Proper releases taken
Proper releases taken is a qualitative audit factor; the others are quantitative.
3|Page | Grade A+| 2024/2025
, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
Aaron works for a multi-line insurer. He works with insurance producers and applicants to
evaluate new business submissions and conduct renewal underwriting. Aaron is a
Select one:
A. Staff underwriter.
B. Public underwriter.
C. Personal lines underwriter.
D. Line underwriter.
✓ -:- D. Line underwriter.
Line underwriter. This describes the duties of a line underwriter, rather than a staff
underwriter. There is not enough information to determine which line of business is being
written. A public underwriter does not exist. Line underwriters evaluate new submissions
and perform renewal underwriting, usually by working directly with insurance producers
and applicants. Staff underwriters, meanwhile, manage risk selection by working with line
underwriters and coordinating decisions about products, pricing and guidelines.
The first key to communicating empathetically as a claims professional is
Select one:
A. A comprehensive understanding of relevant insurance policies.
B. Speaking calmly and clearly.
4|Page | Grade A+| 2024/2025
AIC 300 - Claims in an Evolving World
Questions & 100% Correct Answers- Latest
Test | Graded A+ | Passed
Insurers usually send denial letters
Select one:
A. By email to ensure prompt receipt by the insured.
B. By certified mail with a return receipt requested.
C. By overnight courier.
D. By registered mail.
✓ -:- B. By certified mail with a return receipt requested.
Some will also send a copy via regular mail in case the certified letter is not accepted.
As methods of communication evolve, it's important for claims professionals to remember
that any written claims communication may be
Select one:
A. Replaced with verbal communication.
B. Misinterpreted.
C. Edited later.
1|Page | Grade A+| 2024/2025
,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
D. Subpoenaed.
✓ -:- D. Subpoenaed.
Any written claims communication may be subpoenaed.
In which one of the following scenarios is a public adjuster most likely to become involved?
Select one:
A. An insurer finds it financially unfeasible to hire its own claims staff in a given state.
B. An insured is unable to afford legal representation to contest a claim.
C. A catastrophic disaster strikes, involving damage to many properties.
D. An insured's negotiations with the insurer on a complex claim are not going well.
✓ -:- D. An insured's negotiations with the insurer on a complex claim are not going
well.
If a claim is complex, or if settlement negotiations are not progressing with the insurer, the
insured may hire a public adjuster to protect his or her interests.
Which one of the following statements regarding third-party administrators (TPAs) is most
accurate?
2|Page | Grade A+| 2024/2025
,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
Select one:
A. TPAs are typically used by businesses that have chosen not to self-insure.
B. TPAs handle claims, keep claims records, and perform statistical analyses.
C. TPAs are generally found in an insurer's claims department.
D. TPAs are employed only by independent adjusting firms.
✓ -:- B. TPAs handle claims, keep claims records, and perform statistical analyses.
Hugo is conducting an audit of a branch office claims operation. He is evaluating timeliness
of reports, number of files opened, proper releases taken, and accuracy of data entry.
Which one of Hugo's metrics is a qualitative audit factor?
Select one:
A. Proper releases taken
B. Timeliness of reports
C. Number of files opened
D. Accuracy of data entry
✓ -:- A. Proper releases taken
Proper releases taken is a qualitative audit factor; the others are quantitative.
3|Page | Grade A+| 2024/2025
, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
Aaron works for a multi-line insurer. He works with insurance producers and applicants to
evaluate new business submissions and conduct renewal underwriting. Aaron is a
Select one:
A. Staff underwriter.
B. Public underwriter.
C. Personal lines underwriter.
D. Line underwriter.
✓ -:- D. Line underwriter.
Line underwriter. This describes the duties of a line underwriter, rather than a staff
underwriter. There is not enough information to determine which line of business is being
written. A public underwriter does not exist. Line underwriters evaluate new submissions
and perform renewal underwriting, usually by working directly with insurance producers
and applicants. Staff underwriters, meanwhile, manage risk selection by working with line
underwriters and coordinating decisions about products, pricing and guidelines.
The first key to communicating empathetically as a claims professional is
Select one:
A. A comprehensive understanding of relevant insurance policies.
B. Speaking calmly and clearly.
4|Page | Grade A+| 2024/2025
