Preview Questions Claims Adjuster | Role Specific Skill

Question 1: What is the difference between "proximate cause" and "remote cause" in insurance claims?

Which action should you take?

Choose only one option

Proximate cause directly causes the loss, while remote cause is indirectly related

Proximate cause applies to damages in property claims, while remote cause applies to liability claims

Proximate cause is considered the root cause, while remote cause is an incidental factor

There is no difference between the two

Question 2: How should you interpret the phrase ?as soon as practicable? in an insurance policy's notice requirements?

Which action should you take?

Choose only one option

Based on reasonable circumstances

Immediately upon occurrence

Within 24 hours

Within the statutory reporting period

Question 3: What is the most important consideration when preparing a claim report for an external audit?

Which action should you take?

Choose only one option

Present only the final payout and avoid detailed documentation of the process

Ensure the report aligns with the company's interests

Ensure that all information is factual, well-documented, and compliant with regulatory standards

Focus primarily on the financial aspects, ignoring procedural details

Question 4: What is a critical feature of an effective claims documentation system for BFSI?

Which action should you take?

Choose only one option

A system designed only for high-value claims

A paper-based system with minimal integration

Integration with policy management, legal, and financial systems

Focus solely on ease of use for the adjuster

Question 5: How do you assess the "Risk vs Reward" of making a larger settlement offer during negotiations, especially in uncertain or contentious cases?

Which action should you take?

Choose only one option

I assess the long-term impact of the settlement, weighing the potential financial risk of litigation or reputational damage against the cost of settlement

I make larger settlement offers to expedite the negotiation, regardless of risk

I avoid making large settlement offers regardless of the circumstances

I always opt for the highest possible settlement to avoid conflict

Question 6: What is the best approach to "Writing Recommendations" in a claims report, and how do you ensure they are actionable and relevant?

Which action should you take?

Choose only one option

Recommendations should be based on the findings of the report, ensuring they are specific, feasible, and aligned with the policy terms

Recommendations should be made without considering the insurer's policies

Recommendations should be general and not directly tied to the findings

Recommendations should be vague to leave room for interpretation