AIC 300 - Claims in an Evolving World EXAM
QUESTIONS WITH Detailed Answer Key For
(2026) Exam, A+ Solutions
Save
Terms in this set (105)
Insurers usually send denial letters B. By certified mail with a return receipt
Select one: requested.
A. By email to ensure prompt
receipt by the insured. Some will also send a copy via regular mail in
B. By certified mail with a return case the certified letter is not accepted.
receipt requested.
C. By overnight courier.
D. By registered mail.
As methods of communication D. Subpoenaed.
evolve, it's important for claims
professionals to remember that any Any written claims communication may be
written claims communication may subpoenaed.
be
Select one:
A. Replaced with verbal
communication.
B. Misinterpreted.
C. Edited later.
D. Subpoenaed.
,In which one of the following D. An insured's negotiations with the insurer on a
scenarios is a public adjuster most complex claim are not going well.
likely to become involved?
Select one: If a claim is complex, or if settlement negotiations
A. An insurer finds it financially are not progressing with the insurer, the insured
unfeasible to hire its own claims may hire a public adjuster to protect his or her
staff in a given state. interests.
B. An insured is unable to afford
legal representation to contest a
claim.
C. A catastrophic disaster strikes,
involving damage to many
properties.
D. An insured's negotiations with the
insurer on a complex claim are not
going well.
Which one of the following B. TPAs handle claims, keep claims records, and
statements regarding third-party perform statistical analyses.
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.
,Hugo is conducting an audit of a A. Proper releases taken
branch office claims operation. He
is evaluating timeliness of reports, Proper releases taken is a qualitative audit factor;
number of files opened, proper the others are quantitative.
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
Aaron works for a multi-line insurer. D. Line underwriter.
He works with insurance producers
and applicants to evaluate new Line underwriter. This describes the duties of a
business submissions and conduct line underwriter, rather than a staff underwriter.
renewal underwriting. Aaron is a There is not enough information to determine
Select one: which line of business is being written. A public
A. Staff underwriter. underwriter does not exist. Line underwriters
B. Public underwriter. evaluate new submissions and perform renewal
C. Personal lines underwriter. underwriting, usually by working directly with
D. Line underwriter. insurance producers and applicants. Staff
underwriters, meanwhile, manage risk selection
by working with line underwriters and
coordinating decisions about products, pricing
and guidelines.
, The first key to communicating D. Listening.
empathetically as a claims
professional is Claims professionals should first listen carefully
Select one: to understand what the claimant is saying.
A. A comprehensive understanding
of relevant insurance policies.
B. Speaking calmly and clearly.
C. Being prepared with all
documentation relating to the
claim.
D. Listening.
Mia tracks loss adjustment expense C. Cost to investigate, defend, and settle claims.
(LAE) as part of her management of
the claims department for an Cost to investigate, defend, and settle claims.
insurer. Mia considers LAE to be the LAE is the expense that an insurer incurs to
Select one: investigate, defend, and settle claims according
A. Total amount of loss reserves of to the terms specified in the insurance policy.
all claims.
B. Paid portion of claims.
C. Cost to investigate, defend, and
settle claims.
D. Total incurred amount of claims.
QUESTIONS WITH Detailed Answer Key For
(2026) Exam, A+ Solutions
Save
Terms in this set (105)
Insurers usually send denial letters B. By certified mail with a return receipt
Select one: requested.
A. By email to ensure prompt
receipt by the insured. Some will also send a copy via regular mail in
B. By certified mail with a return case the certified letter is not accepted.
receipt requested.
C. By overnight courier.
D. By registered mail.
As methods of communication D. Subpoenaed.
evolve, it's important for claims
professionals to remember that any Any written claims communication may be
written claims communication may subpoenaed.
be
Select one:
A. Replaced with verbal
communication.
B. Misinterpreted.
C. Edited later.
D. Subpoenaed.
,In which one of the following D. An insured's negotiations with the insurer on a
scenarios is a public adjuster most complex claim are not going well.
likely to become involved?
Select one: If a claim is complex, or if settlement negotiations
A. An insurer finds it financially are not progressing with the insurer, the insured
unfeasible to hire its own claims may hire a public adjuster to protect his or her
staff in a given state. interests.
B. An insured is unable to afford
legal representation to contest a
claim.
C. A catastrophic disaster strikes,
involving damage to many
properties.
D. An insured's negotiations with the
insurer on a complex claim are not
going well.
Which one of the following B. TPAs handle claims, keep claims records, and
statements regarding third-party perform statistical analyses.
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.
,Hugo is conducting an audit of a A. Proper releases taken
branch office claims operation. He
is evaluating timeliness of reports, Proper releases taken is a qualitative audit factor;
number of files opened, proper the others are quantitative.
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
Aaron works for a multi-line insurer. D. Line underwriter.
He works with insurance producers
and applicants to evaluate new Line underwriter. This describes the duties of a
business submissions and conduct line underwriter, rather than a staff underwriter.
renewal underwriting. Aaron is a There is not enough information to determine
Select one: which line of business is being written. A public
A. Staff underwriter. underwriter does not exist. Line underwriters
B. Public underwriter. evaluate new submissions and perform renewal
C. Personal lines underwriter. underwriting, usually by working directly with
D. Line underwriter. insurance producers and applicants. Staff
underwriters, meanwhile, manage risk selection
by working with line underwriters and
coordinating decisions about products, pricing
and guidelines.
, The first key to communicating D. Listening.
empathetically as a claims
professional is Claims professionals should first listen carefully
Select one: to understand what the claimant is saying.
A. A comprehensive understanding
of relevant insurance policies.
B. Speaking calmly and clearly.
C. Being prepared with all
documentation relating to the
claim.
D. Listening.
Mia tracks loss adjustment expense C. Cost to investigate, defend, and settle claims.
(LAE) as part of her management of
the claims department for an Cost to investigate, defend, and settle claims.
insurer. Mia considers LAE to be the LAE is the expense that an insurer incurs to
Select one: investigate, defend, and settle claims according
A. Total amount of loss reserves of to the terms specified in the insurance policy.
all claims.
B. Paid portion of claims.
C. Cost to investigate, defend, and
settle claims.
D. Total incurred amount of claims.
