CIP C112 Exam Newest Exam 2026 | Practical
Issues in Claims Management Exam | All
Questions and Correct Answers | Verified
Answers | Just Released
What does claims management encompass ? ---------CORRECT ANSWER--------------
---1. Handling individual claims 2. Departmental claims processes and procedures.
(What term/s do the ) courts use to determine bad faith? ---------CORRECT
ANSWER-----------------harsh, vindictive, reprehensible, high-handed, oppressive,
malicious
What benchmark are adjusters held to? ---------CORRECT ANSWER-----------------
Utmost good faith
Broader claims management functions (6) ---------CORRECT ANSWER-----------------
1. establish procedures, 2. providing administrative support, 3. establish a system
of record keeping, 4. align operations to corporate vision and strategy, 5. ensuring
regulatory compliance, 6. staffing and educating claims department.
,5 ways monitor claims operation ---------CORRECT ANSWER-----------------Supervisor
or team lead reviews all files of new adjusters, Claims audit, Customer survey,
Letters to claimant to confirm payments, Statistical claims reports
(Examples of) claims Reports ---------CORRECT ANSWER-----------------Open / close
ratios, Exceptional claims for special attention, Trends
(What is the) claims managers role (8 items)? ---------CORRECT ANSWER--------------
---Planning - day to day claims procedure, Official spokes person, Decision maker
at the departmental level, Review strengths and weakness of department, Admin
functions, Inspire staff, Handle conflicts
3 types of claims operations ---------CORRECT ANSWER-----------------Centralized,
Decentralized, Hybrid
Describe Hierarchical Configuration ---------CORRECT ANSWER-----------------Like
multilayer wedding cake, More employees (room for advancement,
specialization)
Describe Flat configuration ---------CORRECT ANSWER-----------------Single layer
cake, Fewer designated managers, Staff are more multiline.
,Successful claims strategies must demonstrate (guidelines):- ---------CORRECT
ANSWER-----------------be specific, be challenging, be capable of being measured.
Approaches to learning (6) ---------CORRECT ANSWER-----------------learning by
doing, self paced learning, interactive e-learning, coaching and mentoring,
classroom instruction, case study approach
Processes & procedures accomplish:- ---------CORRECT ANSWER-----------------
promote productivity, reduce errors, control expenses.
support for customers ---------CORRECT ANSWER-----------------treat with respect,
receive help in time of crisis, claims resolved efficiently, payments made speedily
File leakage ---------CORRECT ANSWER-----------------claims overpaid, exaggerated
claims not controlled, fraud not identified.
Reasons for site visits (4) ---------CORRECT ANSWER-----------------Complex claims,
severe losses, potential denials, identify subrogation, Good customer service.
, Reasons to use IA's ---------CORRECT ANSWER-----------------volume of claims,
holiday/ busy periods, specialist knowledge, remote areas.
Who controls the claim if IA employed ---------CORRECT ANSWER-----------------
Examiner
Examiner duties (4) ---------CORRECT ANSWER-----------------analyse reports,
determine further action, document the file, ensure policy conditions are applied.
Appraisers are retained for (4) ---------CORRECT ANSWER-----------------automobiles,
motorcycles, boats, other equipment
(6 steps for) claims handlig ---------CORRECT ANSWER-----------------1.coverage
analysis
2. loss reserving
3. reporting to others
4. investigation
5. evaluation
6. negotiation and settlement.
Issues in Claims Management Exam | All
Questions and Correct Answers | Verified
Answers | Just Released
What does claims management encompass ? ---------CORRECT ANSWER--------------
---1. Handling individual claims 2. Departmental claims processes and procedures.
(What term/s do the ) courts use to determine bad faith? ---------CORRECT
ANSWER-----------------harsh, vindictive, reprehensible, high-handed, oppressive,
malicious
What benchmark are adjusters held to? ---------CORRECT ANSWER-----------------
Utmost good faith
Broader claims management functions (6) ---------CORRECT ANSWER-----------------
1. establish procedures, 2. providing administrative support, 3. establish a system
of record keeping, 4. align operations to corporate vision and strategy, 5. ensuring
regulatory compliance, 6. staffing and educating claims department.
,5 ways monitor claims operation ---------CORRECT ANSWER-----------------Supervisor
or team lead reviews all files of new adjusters, Claims audit, Customer survey,
Letters to claimant to confirm payments, Statistical claims reports
(Examples of) claims Reports ---------CORRECT ANSWER-----------------Open / close
ratios, Exceptional claims for special attention, Trends
(What is the) claims managers role (8 items)? ---------CORRECT ANSWER--------------
---Planning - day to day claims procedure, Official spokes person, Decision maker
at the departmental level, Review strengths and weakness of department, Admin
functions, Inspire staff, Handle conflicts
3 types of claims operations ---------CORRECT ANSWER-----------------Centralized,
Decentralized, Hybrid
Describe Hierarchical Configuration ---------CORRECT ANSWER-----------------Like
multilayer wedding cake, More employees (room for advancement,
specialization)
Describe Flat configuration ---------CORRECT ANSWER-----------------Single layer
cake, Fewer designated managers, Staff are more multiline.
,Successful claims strategies must demonstrate (guidelines):- ---------CORRECT
ANSWER-----------------be specific, be challenging, be capable of being measured.
Approaches to learning (6) ---------CORRECT ANSWER-----------------learning by
doing, self paced learning, interactive e-learning, coaching and mentoring,
classroom instruction, case study approach
Processes & procedures accomplish:- ---------CORRECT ANSWER-----------------
promote productivity, reduce errors, control expenses.
support for customers ---------CORRECT ANSWER-----------------treat with respect,
receive help in time of crisis, claims resolved efficiently, payments made speedily
File leakage ---------CORRECT ANSWER-----------------claims overpaid, exaggerated
claims not controlled, fraud not identified.
Reasons for site visits (4) ---------CORRECT ANSWER-----------------Complex claims,
severe losses, potential denials, identify subrogation, Good customer service.
, Reasons to use IA's ---------CORRECT ANSWER-----------------volume of claims,
holiday/ busy periods, specialist knowledge, remote areas.
Who controls the claim if IA employed ---------CORRECT ANSWER-----------------
Examiner
Examiner duties (4) ---------CORRECT ANSWER-----------------analyse reports,
determine further action, document the file, ensure policy conditions are applied.
Appraisers are retained for (4) ---------CORRECT ANSWER-----------------automobiles,
motorcycles, boats, other equipment
(6 steps for) claims handlig ---------CORRECT ANSWER-----------------1.coverage
analysis
2. loss reserving
3. reporting to others
4. investigation
5. evaluation
6. negotiation and settlement.
