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AIC 3003 | Claims in an Evolving World | Fall 2026 | 100 Simulated MCQs – Fraud, Subrogation, Data Analytics, Litigation

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This document contains 100 simulated exam-style multiple-choice questions with correct answers for AIC 3003 – Claims in an Evolving World, designed for university-level instruction in the Fall 2026 semester. The questions are tailored to reflect real-world insurance scenarios and current industry practices, offering students a realistic and rigorous tool for exam preparation. Major areas covered include insurance fraud (soft and hard), subrogation cooperation, litigation and motion practices, claim settlement strategies, predictive modeling, telematics, reserve-setting methods (stairstepping, roundtable), the DICE method, IoT usage, and good-faith claims handling. Each question is directly linked to an answer, with terminology and logic consistent with professional standards in the insurance and claims industry. This document is ideal for students studying Risk Management, Insurance, Business Law, Finance, Actuarial Science, and Legal Studies, as well as those preparing for professional certifications like AIC, CPCU, or ARM. It is also suitable for use in capstone insurance courses or practical seminars on claims handling. Students will gain a deeper understanding of the end-to-end claims process, from policy interpretation and documentation to litigation defense and ethical responsibilities. Whether you're aiming to pass an academic final exam or gearing up for a certification assessment, this resource is structured to build both confidence and competence in claims-related topics. Keywords: claims handling, subrogation, soft fraud, hard fraud, insurance litigation, DICE method, predictive modeling, claim documentation, settlement negotiation, bad-faith claims, IoT in claims, reserve setting, motion to dismiss, insurance analytics, staff underwriter

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Aic 300
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Institution
Aic 300
Course
Aic 300

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Uploaded on
November 23, 2025
Number of pages
12
Written in
2025/2026
Type
Exam (elaborations)
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AIC 300 - Simulated Exam Questions
and Answers | Fall 2026 | 100% Correct

Insurers and claim representatives must keep the promises specified in

insurance policies, as well as those created by the law. In insurance

transactions, the insured pays a premium for the insurer's promise to - 🧠

ANSWER ✔✔Handle claims in good faith.


Maja handled a large liability claim that settled above the policy limits. The

insured is now charging the claim was handled in bad faith. During their

investigation of the bad-faith claim, Maja and defense counsel discovered

that the claimant had received the payment from the insurer, but not the

amount above the policy limits that was to come from the insured's assets.

Which one of the following defenses would Maja's defense most likely

invoke? - 🧠 ANSWER ✔✔Insured's collusion with the claimant.


Bettina's apartment is burglarized and several items are stolen. In filing her

claim, she tells her insurer that her stolen television was both newer and

, larger than it actually was. This constitutes which one of the following types

of fraud? - 🧠 ANSWER ✔✔Soft Fraud.


In liability claims, the claims rep will require an authorization from the

injured party to - 🧠 ANSWER ✔✔Obtain medical records.


Antonia has a general liability policy with a self-insured retention of

$50,000. The policy has an occurrence limit of $250,000 and an aggregate

limit of $500,000. She had submitted one prior claim this policy term for

which $100,000 was paid by the insurer. How much will Antonia's insurer

pay on a subsequent claim under the same policy period that is valued at

$400,000? - 🧠 ANSWER ✔✔$250,000


Claims rep Miguel is conducting a settlement with a claimant. He constructs

his first offer so that the claimant will likely find it undesirable. This

becomes the basis of comparison for the second offer that he makes.

Miguel understands that people - 🧠 ANSWER ✔✔Feel empowered when

given a choice.

Joy Insurance Company is interested in using data mining to solve a

problem it is having with claims fraud in one of its product lines. The first

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