ANSWERS PACKAGE
◉ Before making initial contact with an insured or claimant, a claims
representative should.
Answer: Prepare a list of questions for the insured
◉ 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).
Answer: Recorded statement
◉ Although most policies are occurrence forms, covering claims that
occur during the policy period, some are claims-made forms. Which
one of the following types of loss is most likely to involve a claims-
made form?.
Answer: A medical malpractice claim
◉ Andrew is a claims representative investigating whether coverage
applies to a new claim. To help ensure that he considers every facet
of the policy before determining coverage, he might use.
Answer: The DICE method
,◉ Mitsuki was severely injured when the safety latch on an
amusement park ride failed and she was thrown from the ride. In
her lawsuit with the amusement park, Mitsuki was awarded
payment for pain and suffering, emotional distress, disfigurement,
and loss of earnings. Which one of Mitsuki's awards is considered
special damages?.
Answer: Loss of earnings
◉ Claims may be paid in any of three ways: by check, by bank
transfer or.
Answer: By electronic funds transfer
◉ Samuel was seriously injured in a car accident caused by a drunk
driver. His settlement included payments for repairs to his vehicle,
medical bills, pain and suffering, and lost wages. Which one of the
payments in Samuel's settlement is considered general damages?.
Answer: Pain and suffering
◉ The Office of Foreign Assets Control requires claims payors to
check payees against a database of.
Answer: Known terrorists and drug traffickers
◉ Linnea is an attorney who is preparing to defend an insurer in a
workers compensation case. Discovery produced several documents
,that are being presented as witnesses statements, but the witnesses
admit in the statements to not actually seeing the accident. Linnea
would like to omit these statements from the proceedings, so she is
filing a.
Answer: Motion in limine
◉ Chloe is an insurer defense attorney who is preparing a trial
strategy. She has researched a court decision that was made in a
similar case and is basing the defense on that precedent. Chloe is
relying on the principle of stare decisis, which is that.
Answer: Lower courts must follow precedents set by higher courts
◉ The claims litigation process begins with the receipt of.
Answer: A summons and complaint
◉ Riko is an experienced settlement negotiator. When negotiating
with claimant representatives, she uses techniques such as timing
settlements effectively, enticing a reasonable demand, making
concessions cautiously, and leaning on the evaluation. She
understands that her current claimant is eager to receive money, so
she is delaying the negotiations as long as possible. Which
negotiation technique is Riko using?.
Answer: Timing settlements effectively
, ◉ Kira, a claims representative, receives a summons and complaint
from an insured. In reviewing the facts, she has doubts that the
insured's applicable policy will provide coverage. She should work
with counsel and request a managerial review in order to issue.
Answer: A reservation of rights letter
◉ Claims rep Lily is negotiating a claim settlement with an
unrepresented claimant and wishes to smooth the process. She is
matching her demeanor, tone, and mannerisms to those of the
claimant. Lily is using which one of the following negotiation
techniques?.
Answer: Using traditional sales techniques
◉ Rin works for an insurer designing and using techniques to
process large amounts of data from various sources and providing
knowledge based on the analysis of that data. Rin is a(n).
Answer: Data scientist
◉ Which one of the following explains why a computer recursively
applies a model?.
Answer: To analyze different splits in the values of attributes
◉ Part of the continuous cycle of data mining is preparing the data
to eliminate missing or inaccurate information. This process is
called.