AIC 300 - Claims in an Evolving World | Q&A
| 100% Correct | The Ultimate Guide for Yr.
2026/2027
Quiz_________________?
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. -
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.
Quiz_________________?
D. Subpoenaed.
Any written claims communication may be subpoenaed. -
Answer
1
, 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.
Quiz_________________?
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. -
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.
2
, D. An insured's negotiations with the insurer on a complex claim are
not going well.
Quiz_________________?
B. TPAs handle claims, keep claims records, and perform statistical
analyses. -
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.
Quiz_________________?
A. Proper releases taken
Proper releases taken is a qualitative audit factor; the others are
quantitative. -
3
, 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
Quiz_________________?
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. -
Answer
4
| 100% Correct | The Ultimate Guide for Yr.
2026/2027
Quiz_________________?
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. -
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.
Quiz_________________?
D. Subpoenaed.
Any written claims communication may be subpoenaed. -
Answer
1
, 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.
Quiz_________________?
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. -
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.
2
, D. An insured's negotiations with the insurer on a complex claim are
not going well.
Quiz_________________?
B. TPAs handle claims, keep claims records, and perform statistical
analyses. -
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.
Quiz_________________?
A. Proper releases taken
Proper releases taken is a qualitative audit factor; the others are
quantitative. -
3
, 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
Quiz_________________?
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. -
Answer
4
