CCA Claims Handling and Investigation

Question 1

What is the first step in the claims handling process?

Accepted Answer

Acknowledge and set up the claim

Answer

The initial step in the claims process is to acknowledge and record the claim, establishing the claim file and beginning the investigation.

Question 2

Which of the following is a key purpose of claims investigation?

Accepted Answer

To determine if fraud occurred

Answer

Investigation helps verify the facts of loss and determine coverage, liability, and potential fraud.

Question 3

What is the role of the recorded statement in claims investigation?

Accepted Answer

To document claimant’s account of the incident

Answer

Recorded statements allow the adjuster to capture the claimant’s version of events, which is essential for verifying facts and consistency.

Question 4

Which tool is most commonly used to document physical damage during a claims inspection?

Accepted Answer

Photographs of the damage

Answer

Photographs provide visual evidence of damages and support the written findings in the adjuster’s report.

Question 5

Why is it important to maintain accurate documentation throughout the claims process?

Accepted Answer

To support claim decisions and legal compliance

Answer

Accurate documentation ensures transparency, protects against legal liability, and provides a record of actions taken.

(CCA) Certified Claims Adjuster Practice Test