AIC 300 FINAL PAPER CLAIMS IN AN
EVOLVING WORLD 2026 COMPLETE
QUESTIONS AND SOLUTIONS
◉ The first key to communicating empathetically as a claims
professional is... Answer: Listening.
Claims professionals should first listen carefully to understand what
the claimant is saying.
◉ The Office of Foreign Assets Control requires claims payors to
check payees against a database of... Answer: Known terrorists &
drug traffickers
◉ Mia tracks loss adjustment expense (LAE) as part of her
management of the claims department for an insurer. Mia considers
LAE to be the... Answer: Cost to investigate, defend & settle claims
◉ In which one of the following scenarios is a public adjuster most
likely to become involved? Answer: 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.
◉ When Mehmet interviews witnesses as part of his claim
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? Answer: Open-Ended.
Open-Ended questions can be used to clarify an interviewee's
statements.
◉ Tobias is a claims representative who understands the
importance of good-faith claims handling, including fair evaluation,
good-faith negotiation, complete and accurate documentation, and
timely contact with all parties to a claim. Which one of Tobias' good-
faith claims handling practices helps his employer because the
parties will be more likely to remember details of the loss
accurately? Answer: Timely contact with all parties to a claim.
Timely contact with all parties to a claim helps ensure that parties
will be more likely to remember details of the loss accurately.
, ◉ In seeking to identify claims that will potentially develop into
complex and more costly claims, the data science team at Great
Midsouthwest Insurance ranks a series of attributes by their
importance to the data model. Which one of the following terms best
describes the level of predictive power of each attribute? Answer:
Information Gain.
Information gain is a measure of the predictive power of one or
more attributes.
◉ Not long after Valteri issued a denial and closed the claim, the
insured sued for coverage and alleged bad-faith claim handling
against the insurer. Valteri was able to demonstrate for his superiors
that he had made a good-faith investigation and determined that the
claim was not covered by the policy. The insurer maintains that
Valteri had reasonable justification in fact for denying the claim. The
insurer is employing the... Answer: Debatable reasonable basis
defense.
Debatable reasonable basis defense. The insurer may establish that
defense that it has a reasonable basis for questioning whether a
claim was covered.
◉ Which one of the following best described the term
'professionalism' as it relates to claims professionals? Answer: The
behaviors necessary to implement an ethical decision.
EVOLVING WORLD 2026 COMPLETE
QUESTIONS AND SOLUTIONS
◉ The first key to communicating empathetically as a claims
professional is... Answer: Listening.
Claims professionals should first listen carefully to understand what
the claimant is saying.
◉ The Office of Foreign Assets Control requires claims payors to
check payees against a database of... Answer: Known terrorists &
drug traffickers
◉ Mia tracks loss adjustment expense (LAE) as part of her
management of the claims department for an insurer. Mia considers
LAE to be the... Answer: Cost to investigate, defend & settle claims
◉ In which one of the following scenarios is a public adjuster most
likely to become involved? Answer: 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.
◉ When Mehmet interviews witnesses as part of his claim
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? Answer: Open-Ended.
Open-Ended questions can be used to clarify an interviewee's
statements.
◉ Tobias is a claims representative who understands the
importance of good-faith claims handling, including fair evaluation,
good-faith negotiation, complete and accurate documentation, and
timely contact with all parties to a claim. Which one of Tobias' good-
faith claims handling practices helps his employer because the
parties will be more likely to remember details of the loss
accurately? Answer: Timely contact with all parties to a claim.
Timely contact with all parties to a claim helps ensure that parties
will be more likely to remember details of the loss accurately.
, ◉ In seeking to identify claims that will potentially develop into
complex and more costly claims, the data science team at Great
Midsouthwest Insurance ranks a series of attributes by their
importance to the data model. Which one of the following terms best
describes the level of predictive power of each attribute? Answer:
Information Gain.
Information gain is a measure of the predictive power of one or
more attributes.
◉ Not long after Valteri issued a denial and closed the claim, the
insured sued for coverage and alleged bad-faith claim handling
against the insurer. Valteri was able to demonstrate for his superiors
that he had made a good-faith investigation and determined that the
claim was not covered by the policy. The insurer maintains that
Valteri had reasonable justification in fact for denying the claim. The
insurer is employing the... Answer: Debatable reasonable basis
defense.
Debatable reasonable basis defense. The insurer may establish that
defense that it has a reasonable basis for questioning whether a
claim was covered.
◉ Which one of the following best described the term
'professionalism' as it relates to claims professionals? Answer: The
behaviors necessary to implement an ethical decision.
