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CII 820 Practice Questions - Advanced Claims (820) Exam

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About this Exam

Prepare with the CII 820 Practice Questions - Advanced Claims (820) Exam practice quiz. This question bank includes 100 questions covering claims, insurer, loss, primary, and insurance. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

Sample Questions

Question 1
What is the primary strategic objective of aligning an insurer's claims philosophy with its corporate underwriting risk appetite?
To ensure claims payments automatically equal 100% of collected gross written premiums.
To establish consistent indemnity decisions that support product pricing assumptions, protect capital profitability, and uphold market reputation.
To eliminate the need for legal representation in all third-party liability disputes.
To transfer 100% of operational claims handling responsibility to external reinsurance syndicates.
Question 2
Under FCA FG22/5 guidelines on the Consumer Duty, how must a general insurer structure its claims settlement handling process?
Claims handling must be structured to deliver good outcomes for retail customers, avoiding unreasonable delays, burdensome processes, or unjust barriers to valid claims.
Claims must be paid immediately upon notification without verifying policy cover or investigating potential non-disclosure.
Claims handlers must prioritize insurer operational cost reduction over the fair treatment of policyholders.
Claims handling rules apply strictly to commercial corporate risks while completely exempting retail motor and home insurance.
Question 3
In general insurance claims management, how is 'claims leakage' defined?
The statutory tax paid on reinsurance recoveries received from international reinsurers.
Financial losses incurred by an insurer due to unforced overpayments, inefficient handling processes, unrecovered subrogation, or poor claim decisions.
The reduction in case reserves resulting from successful litigation defenses.
The premium refund issued to policyholders following mid-term cancellation.
Question 4
When an insurer outsources commercial claims handling to a Third-Party Administrator (TPA), what is the primary operational risk regarding regulatory compliance?
The insurer retains ultimate regulatory accountability for TPA conduct and Consumer Duty compliance despite delegating operational execution.
The TPA assumes full legal liability for all PRA capital solvency requirements.
Outsourcing automatically revokes the insurer's FCA permission to issue insurance contracts.
The TPA is legally prohibited from communicating directly with policyholders or loss adjusters.
Question 5
What is the primary function of a Service Level Agreement (SLA) in a delegated claims handling contract?
To specify operational metrics, key performance indicators (KPIs), response times, and authority limits expected from the service provider.
To transfer all underwriting profit to the claims service provider.
To waive policy deductibles for all claims managed by external vendors.
To restrict policyholders from filing complaints with the Financial Ombudsman Service.

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Additional Information

CII 820 Practice Questions - Advanced Claims (820) Exam

This practice set contains 100 questions from the matching question bank and focuses on claims, insurer, loss, primary, and insurance. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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Frequently Asked Questions

This quiz contains a total of 100 practice questions carefully selected to test your knowledge on this subject.
Yes, you will have exactly 0 minutes to complete the exam. A countdown timer will be visible once you start.
Yes, you can retake this practice test as many times as you need. The questions and options may be randomized on subsequent attempts to ensure comprehensive learning.

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