AIC 30 Chapter 6 Part 4 Questions with
complete solution 2025
Because insurance fraud results in an enormous cost to insurers, it's
important for claims reps to understand: - correct answer ✔The resources
available in the fight against fraud.
These groups all play a part in the United States' efforts to detect and deter
fraud as well as prosecute and punish those who commit it: - correct answer
✔Insurers, state and federal governments, and insurance industry
organizations.
Insurers are the first line of defense against insurance fraud because: - correct
answer ✔They're most likely to detect and report it.
A Special investigation unit S I U is: - correct answer ✔A division set up to
investigate suspicious claims, premium fraud, or application fraud.
Blockchain is: - correct answer ✔A distributed digital ledger that facilitates
secure transactions without the need for a third party.
Telematics is: - correct answer ✔The use of technological devices to
transmit data via wireless communication and GPS tracking.
The Internet of Things I o T is: - correct answer ✔A network of objects that
transmit data to and from each other without human interaction.
To assist claims reps in detecting and reporting insurance fraud, insurers have
created special investigation units S I U's to: - correct answer ✔Investigate
claims that raise suspicions of fraud.
, Many states now mandate that insurers: - correct answer ✔Maintain an S I
U, as part of their anti-fraud efforts.
Many S I U personnel have: - correct answer ✔Law enforcement and
investigative experience.
And some have: - correct answer ✔Criminal justice degrees.
Such qualifications help S I U personnel conduct: - correct answer ✔The
intensive investigations that are often necessary to substantiate claim denials
based on fraud.
Claims reps refer claims to S I U's based on criteria that: - correct answer
✔Varies by insurer.
Some insurers refer: - correct answer ✔Every claim that raises suspicions to
an S I U.
Others refer claims based on: - correct answer ✔The extent of the suspected
fraud, the prospects of obtaining proof of the suspected fraud, the size of the
claim, or the type of coverage.
Insurers can also help combat fraud by educating: - correct answer
✔Individual consumers about the costs associated with insurance fraud.
Some insurers are making efforts to bring awareness of the problem to: -
correct answer ✔Schools, organizations, and consumer groups.
complete solution 2025
Because insurance fraud results in an enormous cost to insurers, it's
important for claims reps to understand: - correct answer ✔The resources
available in the fight against fraud.
These groups all play a part in the United States' efforts to detect and deter
fraud as well as prosecute and punish those who commit it: - correct answer
✔Insurers, state and federal governments, and insurance industry
organizations.
Insurers are the first line of defense against insurance fraud because: - correct
answer ✔They're most likely to detect and report it.
A Special investigation unit S I U is: - correct answer ✔A division set up to
investigate suspicious claims, premium fraud, or application fraud.
Blockchain is: - correct answer ✔A distributed digital ledger that facilitates
secure transactions without the need for a third party.
Telematics is: - correct answer ✔The use of technological devices to
transmit data via wireless communication and GPS tracking.
The Internet of Things I o T is: - correct answer ✔A network of objects that
transmit data to and from each other without human interaction.
To assist claims reps in detecting and reporting insurance fraud, insurers have
created special investigation units S I U's to: - correct answer ✔Investigate
claims that raise suspicions of fraud.
, Many states now mandate that insurers: - correct answer ✔Maintain an S I
U, as part of their anti-fraud efforts.
Many S I U personnel have: - correct answer ✔Law enforcement and
investigative experience.
And some have: - correct answer ✔Criminal justice degrees.
Such qualifications help S I U personnel conduct: - correct answer ✔The
intensive investigations that are often necessary to substantiate claim denials
based on fraud.
Claims reps refer claims to S I U's based on criteria that: - correct answer
✔Varies by insurer.
Some insurers refer: - correct answer ✔Every claim that raises suspicions to
an S I U.
Others refer claims based on: - correct answer ✔The extent of the suspected
fraud, the prospects of obtaining proof of the suspected fraud, the size of the
claim, or the type of coverage.
Insurers can also help combat fraud by educating: - correct answer
✔Individual consumers about the costs associated with insurance fraud.
Some insurers are making efforts to bring awareness of the problem to: -
correct answer ✔Schools, organizations, and consumer groups.
