Preview Questions Claims Adjuster | Role Specific Skill

Question 1: In claims documentation, what is the significance of "Version Control"?

Which action should you take?

Choose only one option

To manage the storage space allocated for each claim

To automate the claims approval process

To track changes and updates made to the claim files over time

To determine the priority of different claims

Question 2: When investigating a business interruption claim in BFSI, what key factor must be thoroughly verified?

Which action should you take?

Choose only one option

The claimant's previous claims history without verifying specific incident details

The claimants' profitability without considering other factors

The extent and cause of the business disruption, supported by external documentation

The claimant's financial stability before the claim

Question 3: When faced with a claimant who is unwilling to accept a reasonable settlement, what is the best course of action in the negotiation process?

Which action should you take?

Choose only one option

I continue to engage with them calmly, offer additional information, and explore creative solutions that could lead to a fair settlement

I quickly escalate the matter to legal or a higher authority

I refuse to negotiate further and issue a final settlement offer

I agree to the claimant's unrealistic demands to avoid escalation

Question 4: If a policyholder has underinsured motorist coverage, which of the following would it most likely cover in case of an accident?

Which action should you take?

Choose only one option

Vehicle repairs without deductible

Damages caused by the driver's negligence

All medical expenses for the policyholder

Medical bills exceeding the at-fault party's policy limits

Question 5: How should an adjuster respond when a claimant accuses them of bias during the negotiation process?

Which action should you take?

Choose only one option

Avoid responding to the accusation

Offer a settlement increase to reduce tensions

Remain professional, document the accusation, and address the claimant's concerns factually

Escalate the case to management without attempting to resolve the issue

Question 6: When a life insurance policy has a contestability period, which of the following can affect the claim during this period?

Which action should you take?

Choose only one option

Claims can be denied if the policyholder misrepresented their health status during the application

Only accidental deaths can be contested

Claims are automatically approved regardless of health issues

Claims are processed after a 2-year waiting period