AIC 30 REVIEW QUESTIONS &
SOLUTIONS
if there is significant mismatch between the insured information on the loss notice form
and that contained in the application or policy that cannot be easily resolved and verified
what should be done to provide documentation of identity? - ANSWER Examination
under oath (EUO)
what is the public's attitude towards fraud? - ANSWER many are not certain about
fraud's effect on accessibility of insurance coverage.
what technique can smooth negotiations with unrepresented claimants? - ANSWER
making the first offer to help the claimant understand the value of the claim
Special reporting - ANSWER is beneficial it attempts to recover lost or stolen high-value
property
most states require licensing of - ANSWER public adjusters
when a claim representative receives notice of a complaint he or she should? -
ANSWER first review the defendants named to determine whether coverage exists
under the applicable policy
What should a claim rep be prepared to testify regarding a camera used to take photos?
- ANSWER camera settings
Gramm-Leach-Blilely Act - ANSWER protects the confidentiality and security of
consumers of financial institutions
Additional state provisions (above NAIC) - ANSWER Requiring more than two
competitive estimates in cases of property damage
win-lose - ANSWER used when lawsuit is already filed
shifting eye movement - ANSWER lacks sincerity
claim rep who acknowledges receipt of claim should - ANSWER advise that the claim
was received and provide the name of the claim rep's number and the claim number
receiver - ANSWER the policyholder
interrogatories - ANSWER written answers off no opportunity for follow up questions
padding - ANSWER a significant number of consumers believe it's acceptable
, conceding as deadline approaches - ANSWER offering high settlements before end of
month
diagram - ANSWER visual aid to communicate or clarify the events of a claim and is
considered more succinct that a written report
win-lose - ANSWER sees negotiation as a contest betweent wo parties
derived credibility - ANSWER individual's perceived credibility during interpersonal
communication
statute of limitations - ANSWER the time limit for filing a lawsuit
proof of loss - ANSWER most claim reps prefer the insurer submit a sworn proof of loss
before demanding EUO
Complainant must show claim rep - ANSWER intended the misconduct and the
consequences
if no agency information is provided on the loss notice form the claim ep should review
the policy to determine - ANSWER the producer who submitted the application
photos taken with film - ANSWER for serious or complex claims
medical reports - ANSWER assist in confirming information on the automobile loss
notice
generally, excess liability claims arise from either the insurer's refusal of an opportunity
to settle within policy limits or - ANSWER the insurer's refusal to settle
setting (in which claim negotiations are carried out) - ANSWER one of the most
significant negotiation variables that can affect claim representatives
consumer regulation - ANSWER creates legal duties for insurers
reservation of rights letter - ANSWER used to avoid waiver and estoppel
internet can facilitate inspection of loss by - ANSWER contacting a local rep who can
inspect and report on damage
leased motor vehicles - ANSWER excess mileage on a leased vehicle can result in fees
which has contributed to the increasingly common type of fraudulent claim of claiming
the car was stolen
SOLUTIONS
if there is significant mismatch between the insured information on the loss notice form
and that contained in the application or policy that cannot be easily resolved and verified
what should be done to provide documentation of identity? - ANSWER Examination
under oath (EUO)
what is the public's attitude towards fraud? - ANSWER many are not certain about
fraud's effect on accessibility of insurance coverage.
what technique can smooth negotiations with unrepresented claimants? - ANSWER
making the first offer to help the claimant understand the value of the claim
Special reporting - ANSWER is beneficial it attempts to recover lost or stolen high-value
property
most states require licensing of - ANSWER public adjusters
when a claim representative receives notice of a complaint he or she should? -
ANSWER first review the defendants named to determine whether coverage exists
under the applicable policy
What should a claim rep be prepared to testify regarding a camera used to take photos?
- ANSWER camera settings
Gramm-Leach-Blilely Act - ANSWER protects the confidentiality and security of
consumers of financial institutions
Additional state provisions (above NAIC) - ANSWER Requiring more than two
competitive estimates in cases of property damage
win-lose - ANSWER used when lawsuit is already filed
shifting eye movement - ANSWER lacks sincerity
claim rep who acknowledges receipt of claim should - ANSWER advise that the claim
was received and provide the name of the claim rep's number and the claim number
receiver - ANSWER the policyholder
interrogatories - ANSWER written answers off no opportunity for follow up questions
padding - ANSWER a significant number of consumers believe it's acceptable
, conceding as deadline approaches - ANSWER offering high settlements before end of
month
diagram - ANSWER visual aid to communicate or clarify the events of a claim and is
considered more succinct that a written report
win-lose - ANSWER sees negotiation as a contest betweent wo parties
derived credibility - ANSWER individual's perceived credibility during interpersonal
communication
statute of limitations - ANSWER the time limit for filing a lawsuit
proof of loss - ANSWER most claim reps prefer the insurer submit a sworn proof of loss
before demanding EUO
Complainant must show claim rep - ANSWER intended the misconduct and the
consequences
if no agency information is provided on the loss notice form the claim ep should review
the policy to determine - ANSWER the producer who submitted the application
photos taken with film - ANSWER for serious or complex claims
medical reports - ANSWER assist in confirming information on the automobile loss
notice
generally, excess liability claims arise from either the insurer's refusal of an opportunity
to settle within policy limits or - ANSWER the insurer's refusal to settle
setting (in which claim negotiations are carried out) - ANSWER one of the most
significant negotiation variables that can affect claim representatives
consumer regulation - ANSWER creates legal duties for insurers
reservation of rights letter - ANSWER used to avoid waiver and estoppel
internet can facilitate inspection of loss by - ANSWER contacting a local rep who can
inspect and report on damage
leased motor vehicles - ANSWER excess mileage on a leased vehicle can result in fees
which has contributed to the increasingly common type of fraudulent claim of claiming
the car was stolen
