Preview Questions Claims Adjuster | Role Specific Skill

Question 1: What role does "Body Language" play in negotiation, and how do you use non-verbal cues to assess the claimant's true position during discussions?

Which action should you take?

Choose only one option

Non-verbal cues help gauge the claimant's comfort level, level of trust, and openness to negotiation, and I adjust my approach accordingly

I focus solely on verbal communication and ignore body language

Body language is irrelevant in claims negotiations

Body language is only useful when the claimant is in a face-to-face meeting

Question 2: What steps do you take to ensure "Transparency" in the claims documentation process, especially when dealing with high-value or complex claims?

Which action should you take?

Choose only one option

I maintain clear and complete records of all decisions, communications, and steps taken during the claims process

I limit transparency to reduce potential exposure to future claims

I leave out any decisions that could potentially be disputed in the future

I keep only the essential documentation and exclude any unnecessary details

Question 3: What is the best way to manage a claimant's frustration over a delayed settlement?

Which action should you take?

Choose only one option

Focus on the reasons for the delay

Apologize and expedite

Provide regular updates

Offer an interim payment

Question 4: What is the most critical factor to evaluate when determining high-risk clients in a health insurance claim?

Which action should you take?

Choose only one option

The duration of the insurance policy

Client's pre-existing conditions, lifestyle habits, and claims history

The client's financial situation and income level

The number of dependents and dependents' health

Question 5: During a property damage claim investigation, which document is most crucial for verifying the extent of the loss?

Which action should you take?

Choose only one option

Social media posts by the claimant

The claimant's insurance policy

The claimant's financial statements

Police or fire department reports

Question 6: Under ERISA, what is the significance of the "fiduciary responsibility" for claims adjusters handling pension claims?

Which action should you take?

Choose only one option

They must act in the best interest of the plan participants and beneficiaries

They are responsible for investing the pension fund's assets

They are required to maximize the insurer's profits

They must follow the instructions of the policyholder without question