Preview Questions Claims Adjuster | Role Specific Skill

Question 1: How should an adjuster handle claims documentation when new information arises after the claim has been filed?

Which action should you take?

Choose only one option

Continue with the existing documentation, assuming no major changes

Ignore the new information to avoid delays

Update the report with relevant new information, ensuring transparency

Delete previous findings to accommodate new data

Question 2: When preparing a claim report for a business interruption claim, which is the most crucial detail to include?

Which action should you take?

Choose only one option

The business's financial performance prior to the incident

The history of the business's location and building structure

A subjective assessment of the claimant's needs

The claimant's emotional state during the incident

Question 3: How do you address "Missing Documentation" in the claims process, and what is your protocol for requesting additional information from the claimant?

Which action should you take?

Choose only one option

I assume the missing documents will be submitted at a later stage

I proceed with the claim using the documents available and disregard missing items

I close the claim immediately without further action

I send a clear request for missing documents, providing a list of required items and setting deadlines for submission

Question 4: A client refuses to accept your explanation of policy coverage. What is your next step?

Which action should you take?

Choose only one option

Involve a supervisor

Clarify using examples

Repeat the explanation

Offer a partial settlement

Question 5: How do you investigate the "Cause of Loss" in a claim, particularly in complex cases where multiple factors may be involved?

Which action should you take?

Choose only one option

The cause of loss is only important if it involves property damage

The cause of loss is irrelevant as long as the claimant has the necessary documentation

The cause of loss is assumed to be clear from the claimant's statement

The cause of loss is determined by collecting all evidence, interviewing witnesses, inspecting property, and collaborating with experts to analyze all potential factors

Question 6: In the event of conflicting evidence during a claim investigation, what is the most appropriate course of action?

Which action should you take?

Choose only one option

Rely on client statements and close the case quickly

Accept the most favorable evidence without cross-verification

Settle the claim based on gut feeling

Seek additional evidence and perform a deeper analysis before making any conclusions