AIC-M case studies
AIC-M · Put your knowledge to work in context.
The Associate in Claims–Management (AIC-M™) is a management-level professional designation for claims practitioners who want to move from technical adjusting work into claims leadership. According to The Institutes' designation catalog, it is closely tied to the Associate in Claims (AIC): the catalog states that if you have completed your AIC, you are one course away from earning the Associate in Claims-Management. The AIC-M case studies are 5 cases and about 2,890 words.
1The Compressor Through the Roof Opening: Additional Insured or Independent Negligence?
Northline Builders, general contractor on a six-story office project, subcontracted HVAC work to Vega Mechanical. The subcontract requires Vega to indemnify Northline for claims 'to the extent caused by Vega's negligent acts' and to name Northline as an additional insured on its CGL policy, which carries a 1M occurrence limit and an additional-insured endorsement limited to liability arising out of Vega's ongoing operations.
583 words, about 3 min2The Twenty-One-Day Policy Limits Demand: Pay, Extend, or Defend?
Marisol Ortega, 34, a delivery driver, was injured when retired teacher Harold Pike drove into the intersection and struck her driver's side. Pike told police he 'never saw her' in heavy sun glare.
590 words, about 3 min3Diagnosing a Bodily Injury Backlog: Reserves, Caseloads, and Misleading Metrics
A regional auto insurer's bodily injury unit holds 4,200 open claims staffed by 12 adjusters. Average reserve is $18,400 and pending counts are up 22% year over year.
538 words, about 3 min4The Fourth-Quarter Reserve Request and the Star Performer Problem
You manage a 60-person claims unit at a third-party administrator. In mid-December, the vice president of claims asks you to hold a $4.2M reserve increase on a construction defect file until the first week of January, saying 'it's just timing, the money's the same, and we need the fourth-quarter combined ratio under 104 to hit the client's incentive.' The increase is supported by your supervisor's exposure analysis and a defense counsel report.
596 words, about 3 min5The Three-Week Leak: Water, Mold, Code Upgrades, and a Demand for Appraisal
An HO-3 policy covers a dwelling at 450,000 with a 2,000 all-perils deductible, a 10,000 mold sublimit, ordinance-or-law coverage of 10% of Coverage A, and loss-of-use coverage of 12 months up to 60,000. The insureds were traveling abroad for three weeks.
583 words, about 3 min