Exam Coverage
The exam coverage includes foundational knowledge of insurance
claims as assessed in AIC 301 - Introduction to Claims, offered by The
Institutes. It focuses on the claims process, including first notice of
loss, investigation, evaluation, documentation, and settlement. The
exam also evaluates understanding of policy interpretation, liability,
subrogation, legal and ethical responsibilities, and communication
with policyholders and other stakeholders. Emphasis is placed on
applying best practices in claims handling, ensuring compliance with
insurance policies, and effectively resolving claims in a fair and timely
manner
,A claim representative is working with Karl to settle a water damage
claim. The loss was extensive and Karl fears retaining the wet property
for inspection as required by his policy will cause a mold problem. The
claim representative informs Karl that he does not need to retain the
wet property. Is the action of the claim representative appropriate?
Select one:
A. Yes, because the claim representative may grant the insured a
waiver of rights from the contract.
B. No, because the claim representative did not have the authority to
make the decision.
C. No, because the adjuster may allow the insured an estoppel against
the policy.
D. Yes, because the claim representative may create a verbal
endorsement changing the loss requirements.
,A. Yes, because the claim representative may grant the insured a
waiver of rights from the contract.
, Physician Betty administered medical services to stroke victim Karl
who was unconscious. She provided medication and direction and
followed all procedures. When Karl woke up, he refused other
medical services and he also indicated that he could not be held
liable for any expenses that he did not personally authorize or to
which he did not consent. It is likely that Karl might be required to pay
the reasonable value of the services received based on
Select one:
A. A unilateral contract.
B. An implied-in-law contract.
C. An implied-in-fact contract.
D. An executory contract.
B. An implied-in-law contract.