AIC 300 - Claims in an Evolving World | 105 ACTUAL EXAM QUESTIONS
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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. - (Correct
Answer)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.
D. Subpoenaed.
你是想要一篇“眼睛容易阅读
的”中文文章
Any written claims communication may be subpoenaed. - (Correct Answer)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.
D. Subpoenaed.
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. - (Correct Answer)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.
B. TPAs handle claims, keep claims records, and perform statistical analyses. - (Correct
Answer)Which one of the following statements regarding third-party administrators (TPAs) is
most accurate?
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.
你是想要一篇“眼睛容易阅读
的”中文文章
A. Proper releases taken
Proper releases taken is a qualitative audit factor; the others are quantitative. - (Correct
Answer)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
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. - (Correct Answer)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. Listening.
你是想要一篇“眼睛容易阅读
Claims professionals should first listen carefully to understand what the claimant is saying. -
的”中文文章
(Correct Answer)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.
C. Being prepared with all documentation relating to the claim.
D. Listening.
C. Cost to investigate, defend, and settle claims.
Cost to investigate, defend, and settle claims. LAE is the expense that an insurer incurs to
investigate, defend, and settle claims according to the terms specified in the insurance policy. -
(Correct Answer)Mia tracks loss adjustment expense (LAE) as part of her management of the
claims department for an insurer. Mia considers LAE to be the
Select one:
, A. Total amount of loss reserves of all claims.
B. Paid portion of claims.
C. Cost to investigate, defend, and settle claims.
D. Total incurred amount of claims.
D. Claim representative.
Claim reps collaborate with more than other insurer employees. Many insurers employ a panel of
experts that the claims rep can select according to the investigation's needs. - (Correct Answer)In
her role with an insurer, Katarina has opportunity to collaborate with not only employees from
her company, but also external experts with particular expertise. For example, as part of her
investigation, she hired an engineer to conduct a review of a machine that was involved in a
personal injury. Katarina is a(n)
Select one:
A. Medical provider.
你是想要一篇“眼睛容易阅读
B. Expert Witness.
的”中文文章
C. Premium auditor.
D. Claim representative.
A. Open-ended
Open-ended questions can be used to clarify an interviewee's statements. - (Correct
Answer)When Mehmet interviews witnesses as part of his claims investigation, he asks different
types of questions based on need, such as open-ended, direct, indirect, and leading. Which type
of question should Mehmet ask when he wants to set the interviewee at ease and he is looking for
explanation or elaboration of details in the interviewee's own words?
Select one:
A. Open-ended
B. Direct
C. Indirect
AND 100% RATED CORRECT ANSWERS | 100% VERIFIED | GET A+
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. - (Correct
Answer)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.
D. Subpoenaed.
你是想要一篇“眼睛容易阅读
的”中文文章
Any written claims communication may be subpoenaed. - (Correct Answer)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.
D. Subpoenaed.
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. - (Correct Answer)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.
B. TPAs handle claims, keep claims records, and perform statistical analyses. - (Correct
Answer)Which one of the following statements regarding third-party administrators (TPAs) is
most accurate?
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.
你是想要一篇“眼睛容易阅读
的”中文文章
A. Proper releases taken
Proper releases taken is a qualitative audit factor; the others are quantitative. - (Correct
Answer)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
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. - (Correct Answer)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. Listening.
你是想要一篇“眼睛容易阅读
Claims professionals should first listen carefully to understand what the claimant is saying. -
的”中文文章
(Correct Answer)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.
C. Being prepared with all documentation relating to the claim.
D. Listening.
C. Cost to investigate, defend, and settle claims.
Cost to investigate, defend, and settle claims. LAE is the expense that an insurer incurs to
investigate, defend, and settle claims according to the terms specified in the insurance policy. -
(Correct Answer)Mia tracks loss adjustment expense (LAE) as part of her management of the
claims department for an insurer. Mia considers LAE to be the
Select one:
, A. Total amount of loss reserves of all claims.
B. Paid portion of claims.
C. Cost to investigate, defend, and settle claims.
D. Total incurred amount of claims.
D. Claim representative.
Claim reps collaborate with more than other insurer employees. Many insurers employ a panel of
experts that the claims rep can select according to the investigation's needs. - (Correct Answer)In
her role with an insurer, Katarina has opportunity to collaborate with not only employees from
her company, but also external experts with particular expertise. For example, as part of her
investigation, she hired an engineer to conduct a review of a machine that was involved in a
personal injury. Katarina is a(n)
Select one:
A. Medical provider.
你是想要一篇“眼睛容易阅读
B. Expert Witness.
的”中文文章
C. Premium auditor.
D. Claim representative.
A. Open-ended
Open-ended questions can be used to clarify an interviewee's statements. - (Correct
Answer)When Mehmet interviews witnesses as part of his claims investigation, he asks different
types of questions based on need, such as open-ended, direct, indirect, and leading. Which type
of question should Mehmet ask when he wants to set the interviewee at ease and he is looking for
explanation or elaboration of details in the interviewee's own words?
Select one:
A. Open-ended
B. Direct
C. Indirect
