Preview Questions Claims Adjuster | Role Specific Skill

Question 1: In property damage claims, what is the most important factor when reporting claim findings?

Which action should you take?

Choose only one option

Claimant's personal background and history

Accurate assessment of damage, with supporting photographic evidence

Policyholder's financial standing

History of claims by the insurer

Question 2: What steps do you take to ensure that "Claim Documentation" is accessible for future audits or claims reviews?

Which action should you take?

Choose only one option

I store documents in physical form only and do not organize them

I rely on the claimant to keep track of their documentation for future reviews

I store all documents in a single folder without any indexing

I organize the documentation in a standardized, easily searchable format, using a digital repository with proper indexing

Question 3: Which of the following best describes the use of narrative storytelling in claims report writing?

Which action should you take?

Choose only one option

It helps in creating a compelling and engaging report that clearly communicates the investigation's context and findings

It is only useful for marketing purposes

It replaces the need for data and evidence in the report

It is inappropriate and should be avoided

Question 4: When reviewing an insurance policy document in relation to a claim, what is the primary focus?

Which action should you take?

Choose only one option

The claimant's financial status

The claimant's emotional tone

The claim type and limits as defined by the policy

The length of the document

Question 5: In the case of a third-party liability claim, how should the risk be assessed differently compared to a first-party claim?

Which action should you take?

Choose only one option

The Claims Adjuster should consider the actions of both parties involved, their insurance coverage, and applicable laws

Third-party claims are always considered low-risk unless the claimant is unable to prove damages

The risk should focus only on the financial aspects of the claim and exclude liability factors

The risk is evaluated the same as a first-party claim, focusing solely on the claimant's injury or damage

Question 6: How should a Claims Adjuster assess the authenticity of evidence submitted by a claimant?

Which action should you take?

Choose only one option

Checking only for formatting issues in the submitted evidence

Cross-referencing submitted documents with external databases for verification

Relying on the claimant's statement without needing supporting evidence

Accepting documents without further verification