Miscellaneous Left
When completing ClaimIQ when should you review the recommended range?
A. After entering your evaluated liability percentage.
B. Before entering your evaluated liability percentage.
C. The recommended range is not reviewed by ICS adjusters. Only the CSCA can approve the ranges.
D. Before inputting the breaches for each party.
B. Before entering your evaluated liability percentage.
If a coverage investigation concludes that the insured was using their vehicle for rideshare at the time of loss, which type of letter would be sent to the insured?
A. Denial of Coverage
B. Disclaimer of Coverage
C. Coverage Problem Worksheet
D. Reservation of Rights
B. Disclaimer of Coverage
How will you 'be the champion' for our customer if they disagree with the liability decision?
A. Transfer them to your supervisor.
B. Advise them that we are experts in making these decisions and trust that our decision is correct.
C. Apologize for the misunderstanding and change the liability decision to what they want.
D. Explain the process for the decision, the duties and responsibilities for each driver and the breaches of those duties.
D. Explain the process for the decision, the duties and responsibilities for each driver and the breaches of those duties.
What type of loss would be selected if something fell onto our insured's vehicle?
A. Act of Nature
B. Animal
C. Personal Injury
D. Vehicle
A. Act of Nature
In ClaimIQ, after inputting all the duty breaches and deciding the proximate cause, what populates that you must review prior to finalizing your decision?
A. Accident Scenario
B. Bypass Options
C. Recommended Liability Range
D. Record Exchanges
C. Recommended Liability Range
When taking an FNOL with the claimant they state they do not want to be recorded because they don't feel comfortable. What is the next step in the process?
A. Select 'verbal interview' and ask questions while recording the conversation without their knowledge.
B. Select 'record interview' and advise the claimant that if they want the claim to be paid, they must do a recording.
C. Select 'verbal interview' and ask the same questions without recording the conversation, then document the details.
D. Document into notes that they refused and then disconnect the call.
C. Select 'verbal interview' and ask the same questions without recording the conversation, then document the details.
When investigating for a CC31/34 due to a cancelled policy for non-payment, what evidence needs to be obtained?
A. Bill of sale
B. Police report
C. PORS & CANS
D. Confirmation of the date of loss
C. PORS & CANS
When evaluating the duties in ClaimIQ, what resource can be used to understand whether the duty applies to the given scenario?
A. ClaimIQ Job Aids
B. ClaimIQ Manual
C. ClaimIQ Guidance
D. ClaimIQ Reference
C. ClaimIQ Guidance
If the claimant states they are hurt and they have a doctor’s appointment for tomorrow, how will you update the 'treatment' indicator?
A. 'Yes' and assign to the appropriate level.
B. 'No' and assign to the appropriate level.
C. Leave blank until they can confirm same day treatment.
D. 'No' and gather their doctor's contact information.
A. 'Yes' and assign to the appropriate level.
Our insured, Damon Salvatore, and his brother Stefan Salvatore were on the freeway. Damon was driving when claimant Tyler Lockwood, who was driving his friend Caroline Forbes’s vehicle, attempted to merge into insured's lane and collided. Which party/parties would be selected as Negligence Free Party (NFP)? Select all that apply.
A. Damon Salvatore
B. Stefan Salvatore
C. Tyler Lockwood
D. Caroline Forbes
B. Stefan Salvatore
D. Caroline Forbes
A business that has a financial interest in the claim (body shop, attorney, adverse carrier) is an example of this...
A. Interested Party
B. Associated Party
C. Related Contact
D. None of the above.
B. Associated Party
If a coverage investigation concludes that the policy was cancelled prior to the date of loss. Which type of letter would be sent to the insured?
A. Denial of coverage
B. Disclaimer of coverage
C. Coverage problem worksheet
D. Reservation of rights
A. Denial of coverage
When denying liability, when must the denial letter be sent?
A. Within 10 days.
B. Within 15 days.
C. Within 30 days.
D. Denial letters cannot be sent until after advising both parties over the phone first.
B. Within 15 days.
Which of the following inspection types must have a good pay code (inspect and pay)? Select all that apply.
A. Easy Photo Estimate
B. Auto Repair Express
C. Vehicle Inspection Center
D. Field Inspection
B. Auto Repair Express
C. Vehicle Inspection Center
When investigating a CC50 Named Driver Exclusion (NDE), what evidence needs to be obtained?
A. Bill of Sale
B. UE119
C. Police Report
D. PORS & CANS
B. UE119
Our insured, Walter White, was 30% responsible for an Intersectional loss with claimant Jesse Pinkman, causing Jesse Pinkman's vehicle to collide with Gus Fring's parked and unoccupied vehicle. In a joint and several state, what percent of Gus Fring's damage is our insured responsible for?
A. 100% or 30%
B. 100% or 70%
C. 30%
D. 70%
A. 100% or 30%
What needs to be confirmed to resolve a CC99 (loss occurred within the first 55 days of the policy inception)? (select all that apply)
A. Date of loss
B. Policy changes in EDGE
C. Payment cleared in EDGE
D. Adverse carrier liability decision
A. Date of loss
C. Payment cleared in EDGE
Claimant reports they were rear-ended by the insured while they were stopped at a red light. What would be selected for the accident type during the FNOL?
A. At-Fault - Policyholder rear-ended claimant
B. Non-Fault - Claimant rear-ended policyholder
C. At-Fault Intersectional loss
D. Fault Unknown - Loss still under investigation
D. Fault Unknown - Loss still under investigation
When completing ‘responsible parties’ under the ‘recoveries tab’ who is selected as the 'responsible party'?
A. Claimant Owner
B. Claimant Driver
C. Adverse Carrier
D. Insured Owner
A. Claimant Owner
What are some advisements for the customer when setting up an appointment for a Vehicle Inspection Center? Select all that apply.
A. Obtain authorization to tow the vehicle.
B. Their vehicle is a total loss and to begin looking for a replacement.
C. Remove all personal belongings from the vehicle.
D. New quotes for a replacement vehicle.
A. Obtain authorization to tow the vehicle.
C. Remove all personal belongings from the vehicle.
After completing your liability investigation, you determine our insured is 40% at-fault. If the loss occurred in a 'not greater than' state, how will you complete the record exchange in ClaimIQ?
A. Select 'offer', date decision was made, enter 60% for liability, and check the 'accepted' box.
B. Select 'denial', date decision was made, enter 60% for liability, and check the 'accepted' box.
C. Select 'offer', date decision was made, enter 40% for liability, and check the 'accepted' box.
D. Select 'denial', date decision was made, enter 40% for liability, and check the 'accepted' box.
D. Select 'denial', date decision was made, enter 40% for liability, and check the 'accepted' box.
The term “occupying” means this in regard to Medical Payments coverage...
A. Reside or have one's place of business.
B. To fill, exist in, or use a place or period of time.
C. In or upon or entering into or alighting from.
D. To keep someone busy or interested.
C. In or upon or entering into or alighting from.
After completing your liability investigation, you determine our insured is 60% at-fault. If the loss occurred in a 'less than' state, how will you complete the record exchange in ClaimIQ?
A. Select 'offer', date decision was made, enter 60% for liability, and check the 'accepted' box.
B. Select 'offer', date decision was made, enter 60% for liability, and leave the 'accepted' box blank.
C. Select 'denial', date decision was made, enter 40% for liability, and check the 'accepted' box.
D. Select 'denial', date decision was made, enter 60% for liability, and check the 'accepted' box.
A. Select 'offer', date decision was made, enter 60% for liability, and check the 'accepted' box.
Which of the following are requirements for advancing the insured's deductible? Select all that apply.
A. Payment issued to the insured or an estimate is in the claim if the inspection type is an Auto Repair Xpress.
B. Adverse carrier has liability pending.
C. Adverse carrier has accepted liability.
D. Adverse carrier is a member of Arbitration Forums.
E. Adverse carrier is not a member of Arbitration Forums.
F. All adverse carrier contact information is secured in ATLAS, including their claim number.
G. Adverse carrier has issued payment to the insured.
H. Adverse carrier has not issued payment to the insured.
A. Payment issued to the insured or an estimate is in the claim if the inspection type is an Auto Repair Xpress.
C. Adverse carrier has accepted liability.
D. Adverse carrier is a member of Arbitration Forums.
F. All adverse carrier contact information is secured in ATLAS, including their claim number.
H. Adverse carrier has not issued payment to the insured.
What tool in ATLAS sends automatic communications to the insured/claimant or creates a queue activity for an adjuster to call when there is not an email on file?
A. Claim Navigator
B. Connect
C. Eloquence
D. Flexible Tasks
B. Connect