AIC 30 REVIEW QUESTIONS AND ACCURATE ANSWERS.
if there is significant mismatch between the insured information on the loss notice form and that
contained in the application or policy that cannot be easily resolved and verified what should be
done to provide documentation of identity? correct answers Examination under oath (EUO)
what is the public's attitude towards fraud? correct answers many are not certain about fraud's
effect on accessibility of insurance coverage.
what technique can smooth negotiations with unrepresented claimants? correct answers making
the first offer to help the claimant understand the value of the claim
Special reporting correct answers is beneficial it attempts to recover lost or stolen high-value
property
most states require licensing of correct answers public adjusters
when a claim representative receives notice of a complaint he or she should? correct answers
first review the defendants named to determine whether coverage exists under the applicable
policy
What should a claim rep be prepared to testify regarding a camera used to take photos? correct
answers camera settings
Gramm-Leach-Blilely Act correct answers protects the confidentiality and security of consumers
of financial institutions
Additional state provisions (above NAIC) correct answers Requiring more than two competitive
estimates in cases of property damage
win-lose correct answers used when lawsuit is already filed
shifting eye movement correct answers lacks sincerity
claim rep who acknowledges receipt of claim should correct answers advise that the claim was
received and provide the name of the claim rep's number and the claim number
receiver correct answers the policyholder
interrogatories correct answers written answers off no opportunity for follow up questions
padding correct answers a significant number of consumers believe it's acceptable
conceding as deadline approaches correct answers offering high settlements before end of month
, excess liability claim correct answers can arise when the insurer has an opportunity to settle the
claim within the policy limits but fails to do so this opportunity occurs when a claimant demands
the policy limits or an amount within the policy limits to settle the claim
Business rule engines correct answers used to analyze claims for fraud indicators or coverage
issues in order to refer the claim
actuary correct answers supply information required to calculate insurance rates, develop rating
plans and estimate loss reserves
factor that affects claim handling competency correct answers imperfections in the human
memory that cause normal loss of knowledge over time
EUO correct answers can be used if significant mismatch between insured information on the
loss notice form and that contained in the application in policy
if stolen items correct answers used euo of insured
adding lines of questioning correct answers when verbal and nonverbal communication conflict
recorded statements correct answers have little cost associated with them and provide a valuable
method of obtaining and preserving information about the facts of a loss
center for Medicare and Medicaid services correct answers must approve the settlement if the
claimant is a Medicare beneficiary and the settlement amount is at least $250,000
third-party bad faith suit correct answers the insured sues his or her insurer for bad faith in
handling a claim brought by another person against the insured
location correct answers noted on diagram of an accident scene
individual case method considerations correct answers claim circumstances and representative's
experience
fraudulent correct answers deception with the intent to deprive the insurer of something of value
claim negotiation correct answers different from other types of negotiation because primary
focus is how much insurer will pay
words correct answers may be the least significant aspect of communication
states address organized crime rings by correct answers setting strict penalties to reduce the
profit that results from insurance fraud
diagram correct answers visual aid to communicate or clarify the events of a claim and is
considered more succinct that a written report
if there is significant mismatch between the insured information on the loss notice form and that
contained in the application or policy that cannot be easily resolved and verified what should be
done to provide documentation of identity? correct answers Examination under oath (EUO)
what is the public's attitude towards fraud? correct answers many are not certain about fraud's
effect on accessibility of insurance coverage.
what technique can smooth negotiations with unrepresented claimants? correct answers making
the first offer to help the claimant understand the value of the claim
Special reporting correct answers is beneficial it attempts to recover lost or stolen high-value
property
most states require licensing of correct answers public adjusters
when a claim representative receives notice of a complaint he or she should? correct answers
first review the defendants named to determine whether coverage exists under the applicable
policy
What should a claim rep be prepared to testify regarding a camera used to take photos? correct
answers camera settings
Gramm-Leach-Blilely Act correct answers protects the confidentiality and security of consumers
of financial institutions
Additional state provisions (above NAIC) correct answers Requiring more than two competitive
estimates in cases of property damage
win-lose correct answers used when lawsuit is already filed
shifting eye movement correct answers lacks sincerity
claim rep who acknowledges receipt of claim should correct answers advise that the claim was
received and provide the name of the claim rep's number and the claim number
receiver correct answers the policyholder
interrogatories correct answers written answers off no opportunity for follow up questions
padding correct answers a significant number of consumers believe it's acceptable
conceding as deadline approaches correct answers offering high settlements before end of month
, excess liability claim correct answers can arise when the insurer has an opportunity to settle the
claim within the policy limits but fails to do so this opportunity occurs when a claimant demands
the policy limits or an amount within the policy limits to settle the claim
Business rule engines correct answers used to analyze claims for fraud indicators or coverage
issues in order to refer the claim
actuary correct answers supply information required to calculate insurance rates, develop rating
plans and estimate loss reserves
factor that affects claim handling competency correct answers imperfections in the human
memory that cause normal loss of knowledge over time
EUO correct answers can be used if significant mismatch between insured information on the
loss notice form and that contained in the application in policy
if stolen items correct answers used euo of insured
adding lines of questioning correct answers when verbal and nonverbal communication conflict
recorded statements correct answers have little cost associated with them and provide a valuable
method of obtaining and preserving information about the facts of a loss
center for Medicare and Medicaid services correct answers must approve the settlement if the
claimant is a Medicare beneficiary and the settlement amount is at least $250,000
third-party bad faith suit correct answers the insured sues his or her insurer for bad faith in
handling a claim brought by another person against the insured
location correct answers noted on diagram of an accident scene
individual case method considerations correct answers claim circumstances and representative's
experience
fraudulent correct answers deception with the intent to deprive the insurer of something of value
claim negotiation correct answers different from other types of negotiation because primary
focus is how much insurer will pay
words correct answers may be the least significant aspect of communication
states address organized crime rings by correct answers setting strict penalties to reduce the
profit that results from insurance fraud
diagram correct answers visual aid to communicate or clarify the events of a claim and is
considered more succinct that a written report
