AIC 300-The Institutes-Claims in an Evolving
World Questions with Correct Answers
The first key to communicating empathetically as a claims professional is
Listening
Aaron works for a multi-line insurer. He works with insurance producers and
applicants to evaluate new business submissions and conduct renewal underwriting.
Aaron is a
Line underwriter
Mia tracks loss adjustment expense (LAE) as part of her management of the claims
department for an insurer. Mia considers LAE to be the
Cost to investigate, defend, and settle claims
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?
Proper releases taken
In her role with an insurer, Katarina has opportunity to collaborate with not only
employees from her company, but also external experts with particular expertise. For
example, as part of her investigation, she hired an engineer to conduct a review of a
machine that was involved in a personal injury. Katarina is a(n)
Claim representative
As methods of communication evolve, it's important for claims professionals to
remember that any written claims communication may be
, subpoenaed
In which one of the following scenarios is a public adjuster most likely to become
involved?
An insured's negotiations with the insurer on a complex claim are not going well
This is a true statement regarding third party administrators
TPA's handle claims, keep claims records, and perform statistical analyses
When Mehmet interviews witnesses as part of his claims 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?
Open ended
In the process of assigning a claim, an internal claims handler will often transfer
information to the insurer's standard form, called the
First notice of loss (FNOL) form
Which one of the following methods of establishing case reserves is used most often
when there are small variations in loss size for a particular type of claim?
Average value method
Carolina is a claim representative handling a liability claim. She is speaking to the
claimant over the phone and has informed him that his statements must be true under
penalty of perjury. When completed, she sent a transcription of the conversation to the
claimant for him to sign before a notary. Carolina has taken a(n)
World Questions with Correct Answers
The first key to communicating empathetically as a claims professional is
Listening
Aaron works for a multi-line insurer. He works with insurance producers and
applicants to evaluate new business submissions and conduct renewal underwriting.
Aaron is a
Line underwriter
Mia tracks loss adjustment expense (LAE) as part of her management of the claims
department for an insurer. Mia considers LAE to be the
Cost to investigate, defend, and settle claims
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?
Proper releases taken
In her role with an insurer, Katarina has opportunity to collaborate with not only
employees from her company, but also external experts with particular expertise. For
example, as part of her investigation, she hired an engineer to conduct a review of a
machine that was involved in a personal injury. Katarina is a(n)
Claim representative
As methods of communication evolve, it's important for claims professionals to
remember that any written claims communication may be
, subpoenaed
In which one of the following scenarios is a public adjuster most likely to become
involved?
An insured's negotiations with the insurer on a complex claim are not going well
This is a true statement regarding third party administrators
TPA's handle claims, keep claims records, and perform statistical analyses
When Mehmet interviews witnesses as part of his claims 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?
Open ended
In the process of assigning a claim, an internal claims handler will often transfer
information to the insurer's standard form, called the
First notice of loss (FNOL) form
Which one of the following methods of establishing case reserves is used most often
when there are small variations in loss size for a particular type of claim?
Average value method
Carolina is a claim representative handling a liability claim. She is speaking to the
claimant over the phone and has informed him that his statements must be true under
penalty of perjury. When completed, she sent a transcription of the conversation to the
claimant for him to sign before a notary. Carolina has taken a(n)
