AIC 300 - Claims in an Evolving World
Questions and Answers | Fall 2026 |
100% Correct
As methods of communication evolve, it's important for claims
professionals to remember that any written claims communication may be
a. Replaced with verbal communication
b. Misinterpreted
c. Edited later
d. Subpoenaed - 🧠 ANSWER ✔✔d. Subpoenaed
Soft fraud occurs when a claim is exaggerated and is also referred to as
a. Opportunity fraud
b. Financial fraud
,c. Reimbursement fraud
d. Victimless fraud - 🧠 ANSWER ✔✔a. Opportunity fraud
In which one of the following scenarios is the right of subrogation most
likely to be employed by the insurer?
a. An insured files a homeowners claim for stolen jewelry. An investigation
reveals that the jewelry is still in the insured's possession.
b. A claims rep discovers that their insured's car accident was caused by a
road contractor who left equipment lying in the travel lanes of a highway.
c. An investigation reveals that an insured set her own business on fire.
d. An insured files a claim for collision damage from a hit and run accident,
when in fact he backed into a utility pole. - 🧠 ANSWER ✔✔b. A claims rep
discovers that their insured's car accident was caused by a road contractor
who left equipment lying in the travel lanes of a highway.
In which one of the following scenarios is a public adjuster most likely to
become involved?
, a. A catastrophic disaster strikes, involving damage to many properties.
b. An insurer finds it financially unfeasible to hire its own claims staff in a
given state.
c. An insured is unable to afford legal representation to contest a claim.
d. An insured's negotiations with the insurer on a complex claim are not
going well. - 🧠 ANSWER ✔✔d. An insured's negotiations with the insurer on
a complex claim are not going well.
Carla is investigating a claim for a stolen car. The insured provided a copy
of the police report, but she notices that the account in the police report
differs from the insured's version of events. At this point, Carla should
a. Refer the case to the SIU.
b. Deny the claim.
c. Contact the police.
d. Continue with her investigation. - 🧠 ANSWER ✔✔d. Continue with her
investigation
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
Questions and Answers | Fall 2026 |
100% Correct
As methods of communication evolve, it's important for claims
professionals to remember that any written claims communication may be
a. Replaced with verbal communication
b. Misinterpreted
c. Edited later
d. Subpoenaed - 🧠 ANSWER ✔✔d. Subpoenaed
Soft fraud occurs when a claim is exaggerated and is also referred to as
a. Opportunity fraud
b. Financial fraud
,c. Reimbursement fraud
d. Victimless fraud - 🧠 ANSWER ✔✔a. Opportunity fraud
In which one of the following scenarios is the right of subrogation most
likely to be employed by the insurer?
a. An insured files a homeowners claim for stolen jewelry. An investigation
reveals that the jewelry is still in the insured's possession.
b. A claims rep discovers that their insured's car accident was caused by a
road contractor who left equipment lying in the travel lanes of a highway.
c. An investigation reveals that an insured set her own business on fire.
d. An insured files a claim for collision damage from a hit and run accident,
when in fact he backed into a utility pole. - 🧠 ANSWER ✔✔b. A claims rep
discovers that their insured's car accident was caused by a road contractor
who left equipment lying in the travel lanes of a highway.
In which one of the following scenarios is a public adjuster most likely to
become involved?
, a. A catastrophic disaster strikes, involving damage to many properties.
b. An insurer finds it financially unfeasible to hire its own claims staff in a
given state.
c. An insured is unable to afford legal representation to contest a claim.
d. An insured's negotiations with the insurer on a complex claim are not
going well. - 🧠 ANSWER ✔✔d. An insured's negotiations with the insurer on
a complex claim are not going well.
Carla is investigating a claim for a stolen car. The insured provided a copy
of the police report, but she notices that the account in the police report
differs from the insured's version of events. At this point, Carla should
a. Refer the case to the SIU.
b. Deny the claim.
c. Contact the police.
d. Continue with her investigation. - 🧠 ANSWER ✔✔d. Continue with her
investigation
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
