AIC 300 - CLAIMS IN AN EVOLVING WORLD REAL
LATEST AND VERIFIED QUESTIONS WITH CORRECT
ELABORATE SOLUTIONS| ALREADY GRADED A|
ACE YOUR GRADES.
Open-ended questions can be used to clarify an interviewee's statements. When
Mehmet interviews witnesses as part of his claims investigation, he asks different
types of questions based on need, such as open-ended, direct, indirect, and
leading. Which type of question should Mehmet ask when he wants to set the
interviewee at ease and he is looking for explanation or elaboration of details in
the interviewee's own words?
Select one:
A. Open-ended
B. Direct
C. Indirect
D. Leading
Most insurers have guidelines outlining when and under what circumstances large
loss reports should be prepared. Charlotte is handling a new claim and she
has set the initial reserves at $1,000,000. She has been asked to complete an
internal report summarizing all the file status information for distribution to
management and updated as more information is received. The report Charlotte
is completing is most likely a
Select one:
A. Status report.
B. Summarized report.
,C. Preliminary report.
D. Large loss report.
The right of subrogation allows an insurer to recover payment from a negligent
third party. In which one of the following scenarios is the right of subrogation
most likely to be employed by the insurer?
Select one:
A. An insured files a homeowners claim for stolen jewelry. An investigation
reveals that the jewelry is still in the insured's possession.
B. An investigation reveals that an insured set her own business on fire.
C. An insured files a claim for collision damage from a hit and run accident, when
in fact he backed into a utility pole.
D. A claims rep discovers that their insured's car accident was caused by a road
contractor who left equipment lying in the travel lanes of a highway.
All bodily injury claims, including workers compensation claims, require a medical
investigation. In claims investigation, all bodily injury claims require
Select one:
A. Statements from all witnesses.
B. Multiple claims payments
C. An attorney.
D. A medical investigation.
,Before making initial contact with an insured or claimant, a claims representative
should prepare a list of questions for the insured, along with information on how
the claim will be handled. Before making initial contact with an insured or
claimant, a claims representative should
Select one:
A. Research similar losses in the same geographical area.
B. Contact company counsel for a reservation of rights letter.
C. Prepare an approximate estimate based on similar losses.
D. Prepare a list of questions for the insured.
Some will also send a copy via regular mail in case the certified letter is not
accepted. Insurers usually send denial letters
Select one:
A. By email to ensure prompt receipt by the insured.
B. By certified mail with a return receipt requested.
C. By overnight courier.
D. By registered mail.
Any written claims communication may be subpoenaed. As methods of
communication evolve, it's important for claims professionals to remember that
any written claims communication may be
Select one:
, A. Replaced with verbal communication.
B. Misinterpreted.
C. Edited later.
D. Subpoenaed.
If a claim is complex, or if settlement negotiations are not progressing with the
insurer, the insured may hire a public adjuster to protect his or her interests.
In which one of the following scenarios is a public adjuster most likely to
become involved?
Select one:
A. An insurer finds it financially unfeasible to hire its own claims staff in a given
state.
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.
(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.
LATEST AND VERIFIED QUESTIONS WITH CORRECT
ELABORATE SOLUTIONS| ALREADY GRADED A|
ACE YOUR GRADES.
Open-ended questions can be used to clarify an interviewee's statements. When
Mehmet interviews witnesses as part of his claims investigation, he asks different
types of questions based on need, such as open-ended, direct, indirect, and
leading. Which type of question should Mehmet ask when he wants to set the
interviewee at ease and he is looking for explanation or elaboration of details in
the interviewee's own words?
Select one:
A. Open-ended
B. Direct
C. Indirect
D. Leading
Most insurers have guidelines outlining when and under what circumstances large
loss reports should be prepared. Charlotte is handling a new claim and she
has set the initial reserves at $1,000,000. She has been asked to complete an
internal report summarizing all the file status information for distribution to
management and updated as more information is received. The report Charlotte
is completing is most likely a
Select one:
A. Status report.
B. Summarized report.
,C. Preliminary report.
D. Large loss report.
The right of subrogation allows an insurer to recover payment from a negligent
third party. In which one of the following scenarios is the right of subrogation
most likely to be employed by the insurer?
Select one:
A. An insured files a homeowners claim for stolen jewelry. An investigation
reveals that the jewelry is still in the insured's possession.
B. An investigation reveals that an insured set her own business on fire.
C. An insured files a claim for collision damage from a hit and run accident, when
in fact he backed into a utility pole.
D. A claims rep discovers that their insured's car accident was caused by a road
contractor who left equipment lying in the travel lanes of a highway.
All bodily injury claims, including workers compensation claims, require a medical
investigation. In claims investigation, all bodily injury claims require
Select one:
A. Statements from all witnesses.
B. Multiple claims payments
C. An attorney.
D. A medical investigation.
,Before making initial contact with an insured or claimant, a claims representative
should prepare a list of questions for the insured, along with information on how
the claim will be handled. Before making initial contact with an insured or
claimant, a claims representative should
Select one:
A. Research similar losses in the same geographical area.
B. Contact company counsel for a reservation of rights letter.
C. Prepare an approximate estimate based on similar losses.
D. Prepare a list of questions for the insured.
Some will also send a copy via regular mail in case the certified letter is not
accepted. Insurers usually send denial letters
Select one:
A. By email to ensure prompt receipt by the insured.
B. By certified mail with a return receipt requested.
C. By overnight courier.
D. By registered mail.
Any written claims communication may be subpoenaed. As methods of
communication evolve, it's important for claims professionals to remember that
any written claims communication may be
Select one:
, A. Replaced with verbal communication.
B. Misinterpreted.
C. Edited later.
D. Subpoenaed.
If a claim is complex, or if settlement negotiations are not progressing with the
insurer, the insured may hire a public adjuster to protect his or her interests.
In which one of the following scenarios is a public adjuster most likely to
become involved?
Select one:
A. An insurer finds it financially unfeasible to hire its own claims staff in a given
state.
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.
(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.
