ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST 2025
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D. Exclusions.
The DICE method reminds a claims professional to check declarations, insuring
agreement, conditions and exclusions. - ANSWERS-Tonya is a claims
representative tasked with determining whether coverage applies to a new
claim. To ensure that she considers all facets of the claim, she uses the DICE
method, which stands for declarations, insuring agreement, conditions and
Select one:
A. Extras.
B. Endorsements.
C. Encumbrances.
,D. Exclusions.
A. Handle claims in good faith.
In insurance transactions, the insured pays a premium for the insurer's promise
to handle claims in good faith. - ANSWERS-Insurers and claim representatives
must keep the promises specified in insurance policies, as well as those created
by the law. In insurance transactions, the insured pays a premium for the
insurer's promise to
Select one:
A. Handle claims in good faith.
B. Settle all losses in the insured's best interests.
C. Comply with federal insurance laws.
D. Compete fairly in the insurance market.
D. Paying fraudulent claims affects insureds.
An insurer that pays a high number of fraudulent claims will have to raise its
premiums. - ANSWERS-Sho is a claims representative. With regard to his
responsibility for defending his employer against fraud, Sho understands that
Select one:
A. Insurers rely only on SIU to defend against fraud.
B. Fraud indicators are proof of fraud.
C. Claims reps are the last defense against fraud.
,D. Paying fraudulent claims affects insureds.
D. Telematics. - ANSWERS-In her investigations into fraudulent claims, Laura
uses information about the driver's history and driving habits to determine
factors such as speed, acceleration, and location. Laura is using
Select one:
A. Internet of Things.
B. Blockchain.
C. Predictive models.
D. Telematics.
C. Motion to dismiss. - ANSWERS-Attorney Grace is representing an insurer in a
case and is preparing a pretrial motion. Her argument is that the court has no
jurisdiction for the cause of action brought by the claimant. Grace is preparing a
Select one:
A. Motion in limine.
B. Motion for summary judgment.
C. Motion to dismiss.
D. Motion to suppress.
A. Proper releases taken
, Proper releases taken is a qualitative audit factor; the others are quantitative. -
ANSWERS-Hugo is conducting an audit of a branch office claims operation. He is
evaluating timeliness of reports, number of files opened, proper releases taken,
and accuracy of data entry. Which one of Hugo's metrics is a qualitative audit
factor?
Select one:
A. Proper releases taken
B. Timeliness of reports
C. Number of files opened
D. Accuracy of data entry
D. Line underwriter.
Line underwriter. This describes the duties of a line underwriter, rather than a
staff underwriter. There is not enough information to determine which line of
business is being written. A public underwriter does not exist. Line underwriters
evaluate new submissions and perform renewal underwriting, usually by
working directly with insurance producers and applicants. Staff underwriters,
meanwhile, manage risk selection by working with line underwriters and
coordinating decisions about products, pricing and guidelines. - ANSWERS-
Aaron works for a multi-line insurer. He works with insurance producers and
applicants to evaluate new business submissions and conduct renewal
underwriting. Aaron is a
Select one:
A. Staff underwriter.
B. Public underwriter.