FIL 355 CH.6 CLAIMS EXAM QUESTIONS |
GUARANTEED ACCURATE ANSWERS |LATEST
VERSION 2025\26 |ACTUAL!!
Term 1 of
61
To determine if a person is a named "insured" under a policy, the claims
representative would generally need to review
Choose one answer.
A. The Declarations section and Definitions section.
,B. The Declarations section and the Exclusions section.
C. The Definitions section and the Insuring Agreement.
D. The Condition section and the Exclusions section.
Give this one a try later!
A. The Declarations section
D. Third-party administrators. and
Definitions section.
B. He would confirm that a "newly
B. A field claim
representative. acquired auto" meets the policy definition
of "your covered auto."
Don't know?
Term 2 of 61
,Soon after a loss has been assigned and initial reserves have been
established, a claim representative contacts the insured or the insured's
representative.
Which one of the following statements is correct with respect to that contact?
Choose one answer.
A. At the initial contact, claim representatives typically find that insureds
fully understand the details of their insurance coverage.
B.Claim representatives must be careful not to give the impression that a
claim will be paid if potential grounds exist to deny the claim.
C. Claim representatives should usually avoid highlighting any possible
policy violations, exclusions, or limitations that can affect coverage.
D.The initial contact is when claim representatives complete the proof of
loss form to document the details and the value of the claim.
Give this one a try later!
A. If a disagreement arises over the
value of a claim, alternative dispute D. The insured may retain an independent
resolution methods may be used to adjuster if settlement negotiations with the
resolve the insurer are not progressing satisfactorily.
situation.
, B.Claim representatives must be
careful not to give the A. Claim information systems might allow
impression different authority levels for different
that a claim will be paid if types of employees.
potential grounds exist to deny
the claim.
Don't know?
Term 3 of 61
All of the following explain when the use of independent adjusters might be
advantageous, EXCEPT:
Choose one answer.
A. Insurers may use independent adjusters for specific types of losses, for
example, aircraft accidents, in which specialized expertise is required to settle
the claim.
B.In the case of a catastrophic loss such as a hurricane, an insurer may not
have sufficient staff to manage the claim volume and may temporarily
depend upon independent adjusters to handle the excess.
GUARANTEED ACCURATE ANSWERS |LATEST
VERSION 2025\26 |ACTUAL!!
Term 1 of
61
To determine if a person is a named "insured" under a policy, the claims
representative would generally need to review
Choose one answer.
A. The Declarations section and Definitions section.
,B. The Declarations section and the Exclusions section.
C. The Definitions section and the Insuring Agreement.
D. The Condition section and the Exclusions section.
Give this one a try later!
A. The Declarations section
D. Third-party administrators. and
Definitions section.
B. He would confirm that a "newly
B. A field claim
representative. acquired auto" meets the policy definition
of "your covered auto."
Don't know?
Term 2 of 61
,Soon after a loss has been assigned and initial reserves have been
established, a claim representative contacts the insured or the insured's
representative.
Which one of the following statements is correct with respect to that contact?
Choose one answer.
A. At the initial contact, claim representatives typically find that insureds
fully understand the details of their insurance coverage.
B.Claim representatives must be careful not to give the impression that a
claim will be paid if potential grounds exist to deny the claim.
C. Claim representatives should usually avoid highlighting any possible
policy violations, exclusions, or limitations that can affect coverage.
D.The initial contact is when claim representatives complete the proof of
loss form to document the details and the value of the claim.
Give this one a try later!
A. If a disagreement arises over the
value of a claim, alternative dispute D. The insured may retain an independent
resolution methods may be used to adjuster if settlement negotiations with the
resolve the insurer are not progressing satisfactorily.
situation.
, B.Claim representatives must be
careful not to give the A. Claim information systems might allow
impression different authority levels for different
that a claim will be paid if types of employees.
potential grounds exist to deny
the claim.
Don't know?
Term 3 of 61
All of the following explain when the use of independent adjusters might be
advantageous, EXCEPT:
Choose one answer.
A. Insurers may use independent adjusters for specific types of losses, for
example, aircraft accidents, in which specialized expertise is required to settle
the claim.
B.In the case of a catastrophic loss such as a hurricane, an insurer may not
have sufficient staff to manage the claim volume and may temporarily
depend upon independent adjusters to handle the excess.
