AIC 300 CLAIMS IN AN EVOLVING WORLD
ACTUAL TEST PAPER QUESTIONS AND
ANSWERS VERIFIED REVIEW
●● 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
Answer: 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
Answer: 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?
Answer: 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)
, Answer: Claim representative
●● As methods of communication evolve, it's important for claims
professionals to remember that any written claims communication may
be
Answer: subpoenaed
●● 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
●● This is a true statement regarding third party administrators
Answer: 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?
Answer: Open ended
ACTUAL TEST PAPER QUESTIONS AND
ANSWERS VERIFIED REVIEW
●● 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
Answer: 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
Answer: 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?
Answer: 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)
, Answer: Claim representative
●● As methods of communication evolve, it's important for claims
professionals to remember that any written claims communication may
be
Answer: subpoenaed
●● 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
●● This is a true statement regarding third party administrators
Answer: 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?
Answer: Open ended
