While staff claims representatives may have a variety of titles, the role is typically defined by two
things: having a primary focus on claims and
A Being an employee of the insurer.
B Being an outsourced contractor of the insurer.
C Having at least five years of claims experience.
D A focus on inside claims.
Adam manages a claims department for an insurer. He measures the department's performance by
best practices, claims audits, customer satisfaction data, and loss ratio. Which one of Adam's
measures refers to a system of identified internal practices that claims representatives perform to
produce superior performance?
A Best practices
B Customer satisfaction data
C Loss ratio
D Claims audits
An insurer that finds it economically impractical to establish a claims office in a given state is likely to
use which one of the following to perform the claims handling function?
A Third-party administrators
B Independent adjusters
C Producers
D Public adjusters
A claims representative should have the ability to persuade or influence
A Supervisors.
B Insureds.
C Claimants, insureds, supervisors and others.
D Claimants.
, Rodrigo manages a claims department for an insurer and uses loss ratio as a measure of the
department's performance. Rodrigo calculates loss ratio as
A Losses and LAE divided by earned premium.
B Losses divided by earned premium.
C Losses and LAE divided by written premium.
D Losses divided by written premium.
James is an experienced commercial insurance producer. Several policyholder complaints have been
filed recently accusing James of intentionally selling unnecessary insurance and misrepresenting the
nature of coverage to make a sale. Which one of the following is responsible for investigating the
policyholder complaints?
A State insurance department
B National Association of Insurance Commissioners
C State rating bureau
D State insurance commissioner
Jose works for a property-casualty insurer that is pursuing a cost leadership strategy. Part of his
responsibility is to study the value chain model to determine
A Which investment options best match the insurer's underwriting activities.
B Where activities can be improved to reduce expenses and improve efficiencies.
C What products customers want and need, and then deliver them to the customers.
D Which functions should be the insurer's primary functions.
WP Insurance is at Step 4 (Complying with regulatory requirements) in the product development
process for several new endorsements designed for individuals who drive for transportation network
companies. WP Insurance will need to provide state regulators with all of the following, EXCEPT:
A The new policy forms
B Producer names
C Rating plans
D Underwriting guidelines
things: having a primary focus on claims and
A Being an employee of the insurer.
B Being an outsourced contractor of the insurer.
C Having at least five years of claims experience.
D A focus on inside claims.
Adam manages a claims department for an insurer. He measures the department's performance by
best practices, claims audits, customer satisfaction data, and loss ratio. Which one of Adam's
measures refers to a system of identified internal practices that claims representatives perform to
produce superior performance?
A Best practices
B Customer satisfaction data
C Loss ratio
D Claims audits
An insurer that finds it economically impractical to establish a claims office in a given state is likely to
use which one of the following to perform the claims handling function?
A Third-party administrators
B Independent adjusters
C Producers
D Public adjusters
A claims representative should have the ability to persuade or influence
A Supervisors.
B Insureds.
C Claimants, insureds, supervisors and others.
D Claimants.
, Rodrigo manages a claims department for an insurer and uses loss ratio as a measure of the
department's performance. Rodrigo calculates loss ratio as
A Losses and LAE divided by earned premium.
B Losses divided by earned premium.
C Losses and LAE divided by written premium.
D Losses divided by written premium.
James is an experienced commercial insurance producer. Several policyholder complaints have been
filed recently accusing James of intentionally selling unnecessary insurance and misrepresenting the
nature of coverage to make a sale. Which one of the following is responsible for investigating the
policyholder complaints?
A State insurance department
B National Association of Insurance Commissioners
C State rating bureau
D State insurance commissioner
Jose works for a property-casualty insurer that is pursuing a cost leadership strategy. Part of his
responsibility is to study the value chain model to determine
A Which investment options best match the insurer's underwriting activities.
B Where activities can be improved to reduce expenses and improve efficiencies.
C What products customers want and need, and then deliver them to the customers.
D Which functions should be the insurer's primary functions.
WP Insurance is at Step 4 (Complying with regulatory requirements) in the product development
process for several new endorsements designed for individuals who drive for transportation network
companies. WP Insurance will need to provide state regulators with all of the following, EXCEPT:
A The new policy forms
B Producer names
C Rating plans
D Underwriting guidelines
