AIC 300 CLAIMS IN AN EVOLVING WORLD EXAM
QUESTIONS AND ANSWERS (VERIFIED & HIGHLIGHTED
ANSWERS) LATEST UPDATE 2025/2026 GRADED A+
As methods of communication evolve, it's important for claims professionals to remember that any
written claims communication may be
a. Replaced with verbal communication
b. Misinterpreted
c. Edited later
d. Subpoenaed
d. Subpoenaed
Soft fraud occurs when a claim is exaggerated and is also referred to as
a. Opportunity fraud
b. Financial fraud
c. Reimbursement fraud
d. Victimless fraud
a. Opportunity fraud
The Office of Foreign Assets Control requires claims payors to check payees against a database of
a. Policyholders of other insurers.
b. Those who have collected a payment for the same loss.
c. Known terrorists and drug traffickers.
d. Known perpetrators of insurance fraud.
c. Known terrorists and drug traffickers
Which one of the following is a data mining technique an insurer applies when it knows what
information it wants to predict?
a. Association rule learning
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, b. Classification
c. Machine learning
d. Cluster analysis
b. Classification
Claims may be paid in any of three ways: by check, by bank transfer or
a. By the issuance of a credit on the premium for the next policy period.
b. By electronic funds transfer.
c. In a direct transfer of goods or services, as with a contractor performing repairs.
d. In cash.
b. By electronic funds transfer
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
a. Preliminary report.
b. Summarized report.
c. Status report.
d. Large loss report.
d. Large loss report
In which one of the following scenarios is the right of subrogation most likely to be employed by the
insurer?
a. An insured files a homeowners claim for stolen jewelry. An investigation reveals that the jewelry is
still in the insured's possession.
b. 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.
c. An investigation reveals that an insured set her own business on fire.
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QUESTIONS AND ANSWERS (VERIFIED & HIGHLIGHTED
ANSWERS) LATEST UPDATE 2025/2026 GRADED A+
As methods of communication evolve, it's important for claims professionals to remember that any
written claims communication may be
a. Replaced with verbal communication
b. Misinterpreted
c. Edited later
d. Subpoenaed
d. Subpoenaed
Soft fraud occurs when a claim is exaggerated and is also referred to as
a. Opportunity fraud
b. Financial fraud
c. Reimbursement fraud
d. Victimless fraud
a. Opportunity fraud
The Office of Foreign Assets Control requires claims payors to check payees against a database of
a. Policyholders of other insurers.
b. Those who have collected a payment for the same loss.
c. Known terrorists and drug traffickers.
d. Known perpetrators of insurance fraud.
c. Known terrorists and drug traffickers
Which one of the following is a data mining technique an insurer applies when it knows what
information it wants to predict?
a. Association rule learning
Page 1 of 15
, b. Classification
c. Machine learning
d. Cluster analysis
b. Classification
Claims may be paid in any of three ways: by check, by bank transfer or
a. By the issuance of a credit on the premium for the next policy period.
b. By electronic funds transfer.
c. In a direct transfer of goods or services, as with a contractor performing repairs.
d. In cash.
b. By electronic funds transfer
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
a. Preliminary report.
b. Summarized report.
c. Status report.
d. Large loss report.
d. Large loss report
In which one of the following scenarios is the right of subrogation most likely to be employed by the
insurer?
a. An insured files a homeowners claim for stolen jewelry. An investigation reveals that the jewelry is
still in the insured's possession.
b. 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.
c. An investigation reveals that an insured set her own business on fire.
Page 2 of 15
