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AIC 300 - CLAIMS IN AN EVOLVING WORLD ACTUAL EXAM 100 QUESTIONS AND WELL ELABORATED ANSWERS TOP RATED VERSION FOR 2024-2025 ALREADY A GRADED HIGHLYRECOMMENDED BY EXPERTS|NEW AND REVISED An insured's negotiations with the insurer on a complex claim are not going well. If a claim is complex, or if settlement negotiations are not progressing with the insurer, the insured may hire a public adjuster to protect his or her interests. ANSWER-In which one of the following scenarios is a public adjuster most likely to become involved? Select one: A. An insurer finds it financially unfeasible to hire its own claims staff in a given state. B. An insured is unable to afford legal representation to contest a claim. C. A catastrophic disaster strikes, involving damage to many properties. D. An insured's negotiations with the insurer on a complex claim are not going well. B. TPAs handle claims, keep claims records, and perform statistical analyses. ANSWER-Which one of the following statements regarding third-party administrators (TPAs) is most accurate? Select one: A. TPAs are typically used by businesses that have chosen not to self-insure. B. TPAs handle claims, keep claims records, and perform statistical analyses. C. TPAs are generally found in an insurer's claims department. D. TPAs are employed only by independent adjusting firms. A. Proper releases taken Proper releases taken is a qualitative audit factor; the others are quantitative. ANSWER-Hugo is conducting an a Purchase document to see full attachment