Mock exam Flashcards

1
Q

If more than one peril has caused a loss and one of those perils is excluded from risks insured under
the policy, it is necessary to establish the
A. contributing factor of the loss.
B. initial cause of the loss.
C. last cause of the loss.
D. proximate cause of the loss.

A

D proximate cause of the loss.

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2
Q
The failure of an insured to notify the police in the event of a theft from its premises will most
likely cause its household insurer to
A. cancel the theft cover.
B. cancel the whole policy.
C. reduce the amount of the settlement.
D. refuse to pay the claim
A

D refuse to pay the claim

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3
Q
  1. Most household insurance policies require that claims are notified to them
    A. after the insured’s costs have been calculated.
    B. as soon as reasonably possible.
    C. within 14 days of the loss.
    D. within 30 days of the loss.
A

B. as soon as reasonably possible.

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4
Q
  1. When, if at all, does an insured’s duty to mitigate a loss exist?
    A. It always exists regardless of whether it is stated with the policy.
    B. It always falls to the insurer and never to the insured.
    C. Only if specifically requested by the insurer after a loss has occurred.
    D. Only when it is expressly stated within the policy.
A

A. It always exists regardless of whether it is stated with the policy.

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5
Q

. Mark, an adviser employed by a firm of insurance brokers, sold an insurance policy to Alison. When
dealing with a claim under this policy, the onus of proof that it is a valid claim legally rests with
A. Alison.
B. the firm of insurance brokers.
C. the insurer.
D. Mark.

A

A. Alison.

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6
Q
  1. Where a policy condition is classed as an express condition, this means that it
    A. can be removed by payment of an extra premium.
    B. is based on common law requirements.
    C. is stated in writing within the terms of the policy.
    D. only applies for an initial period.
A

C. is stated in writing within the terms of the policy.

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7
Q
  1. For a vehicle theft to be considered under a motor insurance policy, the insured must notify the
    A. Driver and Vehicle Licensing Agency (DVLA).
    B. Financial Conduct Authority.
    C. Motor Insurers’ Bureau.
    D. Police.
A

D. Police.

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8
Q
  1. A week before James returns from a holiday, a storm dislodges tiles from his roof and water enters
    his house causing significant staining to carpets and soft furnishings. What is the proximate cause
    of the loss?
    A. The dislodged tiles.
    B. The staining.
    C. The storm.
    D. The vacant property.
A

C. The storm.

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9
Q
9. When an insurer assumes the rights of the insured to attempt to recover from a responsible third
party, this is known as
A. arbitration.
B. contribution.
C. litigation.
D. subrogation.
A

D. subrogation.

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10
Q
  1. An insured has a condition in his commercial theft policy that tools must NOT be left in the vehicle
    overnight. The insured fails to abide by this condition and the tools are stolen. What action will the
    insurer most likely take?
    A. Avoid the policy.
    B. Cancel the policy.
    C. Pay the claim.
    D. Repudiate the claim.
A

D. Repudiate the claim.

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11
Q

Jane has a motor vehicle accident which results in damage to a third party’s car. Her motor
insurance policy will most likely include a condition which states that she must NOT admit
responsibility for the accident without having first obtained
A. independent legal advice.
B. the insurer’s written consent.
C. a police accident report.
D. proof of the third’s party’s financial loss.

A

B. the insurer’s written consent.

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12
Q
. What is the usual maximum payment period for temporary total disablement under a personal
accident policy?
A. 26 weeks.
B. 52 weeks.
C. 104 weeks.
D. 208 weeks.
A

C. 104 weeks.

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13
Q

Rosie drops her mobile telephone in the street and the screen cracks. She has gadget insurance
and telephones the insurer’s helpline for assistance. What will the helpline most likely do?
A. Advise Rosie that only theft and breakdown are covered.
B. Immediately send Rosie a replacement phone.
C. Refer Rosie to her household insurer in the first instance.
D. Take details of the claim and request she send supporting documents.

A

D. Take details of the claim and request she send supporting documents.

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14
Q
A business interruption insurance policy is designed primarily to cover a
A. loss caused by bad debts.
B. loss caused by a drop in share value.
C. loss of profits.
D. loss of turnover
A

C. loss of profits.

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15
Q

A legal expenses extension of a motor insurance policy would normally cover the costs in relation
to
A. defending a liability claim on behalf of the insured.
B. pursuing a claim for breach of contract with an insurer.
C. pursuing a recovery on behalf of the insurer.
D. pursuing an uninsured loss claim on behalf of the insured

A

D. pursuing an uninsured loss claim on behalf of the insured

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16
Q
What type of motor insurance policy provides cover in respect of accidental damage to the insured
vehicle?
A. Comprehensive.
B. Road Traffic Act only.
C. Third party only.
D. Third party fire and theft.
A

A. Comprehensive.

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17
Q

During a night out with friends, Mike starts a fight. As a result of his injuries he is unable to work
for six months and fails to submit the claim until a year after the incident. He has cover for
temporary disablement at £250 per week under his personal accident policy, but his insurer refuses
to settle his claim. What is the most likely reason for this?
A. The claim is excluded under the terms of his policy.
B. The claim falls under an employers’ liability policy.
C. The claim is against public policy.
D. The claim is within the policy excess.

A

A. The claim is excluded under the terms of his policy.

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18
Q

. Which insurance policy would cover liability arising from, or in connection with, advice, design or
specification provided by the policyholder to a third party for a fee?
A. Employers’ liability.
B. Products liability.
C. Professional indemnity.
D. Public liability.

A

C. Professional indemnity.

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19
Q

The purpose of a specified suppliers extension to the business interruption section of a commercial
property insurance policy is to indemnify
A. the policyholder in respect of a loss of profit arising as a consequence of insured damage at a
named supplier’s premises.
B. the policyholder in respect of a loss of profit arising from a named supplier’s failure to fulfil a
contractual obligation as a consequence of insolvency.
C. a named supplier in respect of a loss of profit arising as a consequence of insured damage at the
policyholder’s premises.
D. a named supplier in respect of material damage and any associated loss of profit arising as a
consequence of an insured event at its own premises.

A

B. the policyholder in respect of a loss of profit arising from a named supplier’s failure to fulfil a
contractual obligation as a consequence of insolvency.

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20
Q

The flat roof to Jon’s garage is 15 years old and has suddenly started leaking causing damage to his
contents. He puts in a claim for the full replacement value of the roof and the damaged contents.
Which part(s) of Jon’s claim, if any, would his insurer usually agree to settle?
A. None of the claim.
B. The contents damage only.
C. The replacement roof only.
D. Both the contents and the roof damage.

A

B. The contents damage only.

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21
Q
What level of cover does an insured have under a driving other cars extension of a comprehensive
motor insurance policy?
A. Comprehensive.
B. Road Traffic Act only.
C. Third party only.
D. Third party, fire and theft.
A

C. Third party only.

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22
Q

Assam’s two-year-old freezer is damaged due to refrigerant fumes escaping. He has a household
policy which includes a standard freezer extension. He claims for a new freezer, replacing spoiled
food and lost wages for his time spent dealing with the damage. Which part(s) of the claim will the
insurer most likely pay?
A. The spoiled food only.
B. The new freezer only.
C. The spoiled food and new freezer only.
D. The spoiled food, new freezer and lost wages.

A

C. The spoiled food and new freezer only.

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23
Q

A warehouse stores gardening equipment. The manager arrives for work one morning and
discovers that some power tools and £500 of cash have been stolen. He reports the theft to the
police and submits a claim under his theft insurance. How would the insurer most likely respond to
the claim?
A. Decline the whole claim.
B. Pay the claim for the stolen cash only.
C. Pay the claim for the power tools only.
D. Pay the claim in full.

A

C. Pay the claim for the power tools only.

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24
Q

The purpose of technical reserves is to provide
A. catastrophe claims reserves only.
B. dividends given to shareholders.
C. funds to cover all outstanding underwriting liabilities.
D. incurred but not reported (IBNR) claims reserves only

A

C. funds to cover all outstanding underwriting liabilities.

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25
Q

The main advantage to a liability insurer of handling the negotiations with a third party who makes
a claim against its insured is that the insurer can
A. always secure a subrogation recovery prior to settling with the third party.
B. ensure that the full limit of indemnity is paid.
C. limit the number of claims that can be made against the insured.
D. use its expertise and resources to obtain a favourable settlement.

A

D. use its expertise and resources to obtain a favourable settlement.

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26
Q
. What is the maximum binding award that the Financial Ombudsman Service can make against an
insurer?
A. £50,000
B. £150,000
C. £250,000
D. £500,000
A

B. £150,000

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27
Q
What is the main long-term effect of successful insurance fraud against an insurer on all its
customers?
A. Claims will take longer to process.
B. Excesses will be higher.
C. Premiums will be higher.
D. Underwriters will be more selective.
A

C. Premiums will be higher.

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28
Q

An insurer will only raise the common law defence of contributory negligence when defending a
claim made by which parties to an insurance contract?
A. First parties.
B. First parties and second parties.
C. Second parties and third parties.
D. Third parties.

A

D. Third parties.

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29
Q
Where a claims department publishes a set of service standards, this is usually done in order to
manage
A. cash flow.
B. customer expectations.
C. moral hazards.
D. risk exposure.
A

B. customer expectations.

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30
Q

An intermediary realises that he is acting as an agent for two separate insureds that are both
parties to the same loss. In addition to disclosing the conflict, how should the intermediary handle
the claim?
A. Have one account handler administering both claims.
B. Have two separate account handlers administering each party’s claim.
C. Inform both insureds that they will have to deal directly with their insurers.
D. Only be involved with the claim administration for the insured that first notified the loss.

A

B. Have two separate account handlers administering each party’s claim.

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31
Q

In addition to the general claims handling rules, the Insurance: Conduct of Business sourcebook
provides specific guidance for claims arising from which class of business?
A. Household Buildings and Contents.
B. Motor Liability.
C. Personal Accident and Sickness.
D. Travel.

A

B. Motor Liability.

32
Q

Jack has owned his house for 6 years and has never had any contents insurance. He has recently
purchased contents cover and a week later he wishes to claim for a broken washing machine. What
is the most likely reason the insurer will fully investigate this claim?
A. To check the value of the contents.
B. To ensure the washing machine is less than 10 years old.
C. There are possible fraud indicators present.
D. There may be dual insurance.

A

C. There are possible fraud indicators present.

33
Q

A recently completed high-rise office building leaks when it rains. The estimated cost of repair
exceeds several million pounds. The developer’s insurer alleges negligence against a number of its
contractors. If none of the contractors admit liability the insurer may suggest trying to resolve the
issue and avoid a trial by using
A. adjudication.
B. arbitration.
C. mediation.
D. subrogation.

A

C. mediation.

34
Q
The department responsible for setting individual case reserves is
A. actuarial.
B. claims.
C. finance.
D. internal audit.
A

B. claims.

35
Q

. What factor makes claims under the glass section of a household insurance policy less likely to be
fraudulent than claims under many other classes of insurance?
A. The pre-policy checks.
B. The post-claim checks.
C. The settlement method.
D. The timescales involved.

A

C. The settlement method.

36
Q

. Many household insurers now choose to settle claims relating to electrical items, bicycles and other
home contents products with vouchers rather than a cash payment. What is the main benefit of
doing this?
A. To improve the customer experience.
B. To reduce claims cost.
C. To reduce fraud.
D. To speed up the claims settlement process.

A

B. To reduce claims cost.

37
Q

. Jim reverses into Barbara’s car and causes damage. They both hold valid comprehensive motor
insurance policies, each with a £250 excess. Which organisation is Barbara most likely to appoint to
claim her excess?
A. A loss adjusting company.
B. A loss assessing company.
C. The Motor Insurers’ Bureau.
D. An uninsured loss recovery company.

A

D. An uninsured loss recovery company.

38
Q

Whilst having building work carried out on his house, one of Adam’s windows was broken and was
replaced by an insurer’s authorised repairer. Who is the repairer most likely to invoice for this
work?
A. Adam.
B. Adam’s insurer.
C. The builder.
D. The builder’s insurer

A

B. Adam’s insurer.

39
Q

When dealing with a claim under a business interruption insurance policy, what does the indemnity
period represent?
A. The maximum period for notifying a claim.
B. The maximum period between the claim notification and the claim settlement.
C. The maximum period the insurer will consider a claim for loss of profits.
D. The maximum period between settling a claim and submitting a new claim.

A

C. The maximum period the insurer will consider a claim for loss of profits.

40
Q

When making a claim under a creditor insurance policy in relation to employment, what must the
insured initially prove to his insurer?
A. That he has tried to find work.
B. That he has taken lower paid work.
C. That he is not working.
D. That he was responsible for his employment being terminated.

A

C. That he is not working.

41
Q

During construction of a car park, structural defects are discovered. As a result, remedial works are
required and delays incurred. The architects involved put their insurers on notice of a potential
claim. Which policy is most likely to respond?
A. Business interruption.
B. Products liability.
C. Professional indemnity.
D. Third party liability.

A

C. Professional indemnity.

42
Q

A policyholder submits three claims of a similar nature within a policy year for accidental damage to
his property. What steps is the claims handler expected to take upon receipt of the latest claim?
A. Advise underwriters and appoint a loss adjuster to submit a report.
B. Appoint repairers to liaise directly with the policyholder.
C. Inform the police of a possible fraud at the property.
D. Inform the policyholder that the latest claim will be declined

A

A. Advise underwriters and appoint a loss adjuster to submit a report.

43
Q
With what type of commercial property claim would an approved repairer typically be used?
A. All risks.
B. Fire and special perils.
C. Glass.
D. Theft.
A

C. Glass.

44
Q
Insurers need to be aware of pre-action protocols when dealing with
A. complaints.
B. the Financial Ombudsman Service.
C. replacement and reinstatement.
D. third party claims.
A

D. third party claims.

45
Q

Why is the claims department of a household insurer likely to insist upon the provision of an
original receipt, or some other proof of purchase or ownership, in support of any claim relating to
lost or damaged items which exceed a certain value threshold?
A. To comply with policy conditions.
B. To facilitate accurate application of the policy excess.
C. To speed up the claims settlement process.
D. To validate the claim amount.

A

D. To validate the claim amount.

46
Q

Some personal lines insurers follow a claims-handling process where a flag reserve is applied to
some types of claims on first notification. How is this flag reserve calculated?
A. An accurate assessment of the potential ultimate value of the claim that is neither deliberately
optimistic or pessimistic.
B. A maximum amount manually set by the claims handler to represent a worst case scenario.
C. A minimum amount manually set by the claims handler until such time as more detailed
information is available.
D. A statistically derived average amount.

A

D. A statistically derived average amount.

47
Q
To which party is a private motor insurer likely to make a claim payment in settlement of a
straightforward broken windscreen claim?
A. The policyholder.
B. The policyholder’s agent.
C. The windscreen repair company.
D. The loss adjuster.
A

C. The windscreen repair company.

48
Q

When an insurer uses a panel of authorised repairers instead of allowing the policyholder to choose
his own repairer, what effect should this have on the price and quality of the repair work?
A. Higher price and higher quality.
B. Lower price and higher quality.
C. Higher price and lower quality.
D. Lower price and lower quality.

A

B. Lower price and higher quality.

49
Q

Risk control techniques are normally used by a property insurer to
A. assist an underwriter in determining categories of risk.
B. ensure policy exclusions are applied vigorously.
C. limit the number of claims an insured can make.
D. mitigate the potential effects of a loss.

A

D. mitigate the potential effects of a loss.

50
Q

. If a policyholder puts the wrong fuel into his car and it then breaks down, what must he do
immediately under the terms of his comprehensive motor insurance policy?
A. Contact his breakdown provider.
B. Contact the emergency services.
C. Contact a local vehicle repairer.
D. Contact his motor insurer’s helpline

A

D. Contact his motor insurer’s helpline

51
Q

The main objective of a computerised claims system is to
A. accurately record claims details.
B. identify fraudulent claims.
C. assist in the calculation of premiums.
D. ensure that the regulator’s requirements are complied with.

A

A. accurately record claims details.

52
Q

An insurer offers a legal advice helpline as part of its household insurance policy. What is the most
likely relationship between the insurer and the individual providing the advice?
A. The adviser will be a senior manager employed by the insurer.
B. The adviser will be contracted by an outsourcing company appointed by the insurer.
C. The adviser will be the insured’s nearest panel solicitor who will be paid a fixed fee by the insurer
on a freelance basis.
D. The adviser will be the insurer’s in-house solicitor.

A

B. The adviser will be contracted by an outsourcing company appointed by the insurer.

53
Q

A policyholder is unsure what he should be claiming for in the event of a flood affecting his
property. Who would be the appropriate person to negotiate a settlement on his behalf?
A. A loss adjuster.
B. A loss assessor.
C. A mediator.
D. An uninsured loss recovery agent.

A

B. A loss assessor.

54
Q

. A claims handler receives a household claim for damage to furniture as a result of burst pipes.
Which type of organisation is the claims handler most likely to appoint to evaluate the damage?
A. A disaster recovery company.
B. A loss adjuster.
C. A loss control surveyor.
D. A specialist loss assessor.

A

B. A loss adjuster.

55
Q

Why is it important for an insurer to ensure that its claims system is set up to capture accurate
causes of loss?
A. To enable underwriters to check and confirm that the loss is covered by the terms and
conditions of the corresponding policy wording.
B. To enable underwriters and pricing teams to reflect claims trends in their risk selection, terms
and conditions and pricing.
C. To enable the insurer to provide accurate and complete treaty profile returns to its reinsurers
with a view to obtaining the most advantageous terms.
D. To satisfy the Financial Conduct Authority’s reporting requirements and support insurance
industry data collection.

A

B. To enable underwriters and pricing teams to reflect claims trends in their risk selection, terms
and conditions and pricing.

56
Q
Which specialist area of a claims department is likely to deal with activity relating to pursuit of the
insurer’s subrogation rights?
A. Compliance team.
B. Fraud unit.
C. Recoveries unit.
D. Rehabilitation team
A

C. Recoveries unit.

57
Q

. Lucy has a public liability policy with a limit of indemnity of £1,000,000. A court has found Lucy to
be negligent and awarded the claimant £2,000,000 in damages. How much will Lucy’s public
liability insurer have to pay?
A. £500,000
B. £1,000,000
C. £2,000,000
D. £3,000,000

A

B. £1,000,000

58
Q

Geoff suffers £12,000 worth of damage to his contents in a fire at his house. He makes a claim
against his home contents policy which has a £20,000 sum insured. During investigations the
insurer discovers that the value of the contents of Geoff’s home prior to the fire was £30,000. As a
result the insurer offers £8,000 to settle the claim. What policy condition is the insurer applying to
the settlement?
A. Average.
B. Contribution.
C. Salvage.
D. Subrogation

A

A. Average.

59
Q
. An insurer’s right to recover its outlay from a negligent third party is known as
A. arbitration.
B. contribution.
C. mediation.
D. subrogation.
A

D. subrogation.

60
Q

. Application of the arbitration clause might occur under a standard fire policy as a result of a dispute
between the insurer and the insured regarding
A. the amount of a claim.
B. the amount of the premium.
C. policy cover.
D. policy renewal terms.

A

A. the amount of a claim.

61
Q

Which organisation was established to provide compensation in the event of a road traffic accident
when compensation CANNOT be obtained from another source?
A. The Association of British Insurers.
B. The Financial Conduct Authority.
C. MIAFTR2.
D. The Motor Insurers’ Bureau.

A

D. The Motor Insurers’ Bureau.

62
Q

Karen submits a total loss claim under her buildings insurance policy which exceeds her sum
insured. If the average clause is successfully applied to this claim, what will the maximum
settlement amount be based on?
A. The sum insured.
B. The value of the building.
C. Rebuilding costs.
D. Reinstatement costs.

A

A. The sum insured.

63
Q
When an insurer receives a claim, it sets aside a sum of money in respect of the probable cost of
the claim. This process is known as
A. average.
B. reserving.
C. salvage.
D. settlement.
A

B. reserving.

64
Q

When an insurer sells salvage, this reduces
A. the level of the insured’s deductible.
B. the likelihood of fraudulent claims.
C. the final incurred claim cost.
D. uninsured loss recoveries.

A

C. the final incurred claim cost.

65
Q

Where two or more insurers are involved in a claim where they are party to a market agreement,
this is likely to
A. identify and minimise leakage.
B. improve the accuracy of reserving.
C. reduce the cost of dealing with claims.
D. reduce fraudulent activity

A

C. reduce the cost of dealing with claims.

66
Q

An insurance policy has a franchise of £2,500. Following a loss totalling £10,000, how much, if
anything, will the insurer pay in respect of the claim?
A. Nil.
B. £2,500
C. £7,500
D. £10,000

A

D. £10,000

67
Q

Which phase of a standard commercial claims-handling process typically occurs for the first time
immediately after initial notification of a new claim and is repeated periodically throughout the life
of the claim?
A. Complaints handling.
B. Negotiation.
C. Recoveries.
D. Reserving.

A

D. Reserving.

68
Q
An insurer is able to accurately forecast its results if it has in place sophisticated systems to monitor
A. financial performance.
B. fraud.
C. leakage.
D. regulatory protocols.
A

A. financial performance.

69
Q
Ensuring that all possible recoveries have been made will directly reduce what aspect of the
insurer’s costs?
A. Equalisation reserves.
B. Leakage levels.
C. Subrogation costs.
D. Unearned premiums.
A

B. Leakage levels.

70
Q

. If an insurer starts to monitor its claims more actively and takes appropriate action, what is the
most likely impact on the insurer’s financial results?
A. They would fluctuate.
B. They would improve.
C. They would stay the same.
D. They would worsen.

A

B. They would improve.

71
Q
Who is responsible for formulating an insurer’s day-to-day claims strategy and procedures?
A. The claims manager.
B. The finance director.
C. The marketing director.
D. The underwriting manager.
A

A. The claims manager.

72
Q

The experience and specialist knowledge of a claims manager is usually required to handle
A. claims recoveries from reinsurers.
B. complex claims.
C. incurred but not reported (IBNR) claims.
D. salvage recoveries.

A

B. complex claims.

73
Q

. Tom submits a claim for a written-off vehicle, for which he originally paid £5,000, but is now worth
£3,000. The policy has an excess of £150. A junior claims handler offers Tom a net settlement
figure of £5,000 and Tom accepts. What is the amount of leakage on Tom’s claim?
A. £150
B. £2,000
C. £2,150
D. £4,850

A

C. £2,150

74
Q

. What is the main risk of an insurer carrying insufficient reserves?
A. A fine by the Financial Ombudsman Service.
B. An inability to apply average to claim settlements.
C. An inability to meet its liabilities.
D. An increase in significant leakage.

A

C. An inability to meet its liabilities.

75
Q
Insurers set internal budgets and regularly monitor financial progress against set targets so that
they can
A. deter fraudulent claims.
B. forecast results.
C. minimise leakage.
D. set appropriate reserves.
A

B. forecast results.