QA Account Training - Aetna

25 Questions

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Account Quizzes & Trivia

Assess your knowledge of the Quality Assurance process as pertains to the AETNA account.


Questions and Answers
  • 1. 
    When criminal searches are requested (CHOOSE ONE):
    • A. 

      Order a Statewide Repository search for each location.

    • B. 

      Order a County Criminal search for each location.

    • C. 

      Order both a Statewide and County search for each location.

    • D. 

      Refer to the CIF to determine whether Statewide or County should be ordered for each location.

  • 2. 
    TRUE OR FALSE: A Federal Criminal Search should always be ordered.
    • A. 

      True

    • B. 

      False

  • 3. 
    When a Federal Criminal search is required, we should order (CHOOSE ONE):
    • A. 

      The Federal District search for each provided & developed location.

    • B. 

      The Federal District search for the current residence location only.

    • C. 

      The National Federal search.

    • D. 

      The GlobalWatch search.

  • 4. 
    When an international location is provided (CHOOSE ONE):
    • A. 

      Contact the account manager for permission to add an international criminal search.

    • B. 

      Order the international search to cover the location.

    • C. 

      Order a GlobalWatch search to cover the location.

    • D. 

      Do not order any criminal searches for international locations.

  • 5. 
    TRUE OR FALSE: Criminal search names and locations are developed regardless of timeframe.
    • A. 

      True

    • B. 

      False

  • 6. 
    Which of the following Criminal searches should be developed? (CHOOSE ONE)
    • A. 

      All names and locations regardless of age.

    • B. 

      All name and locations within the past 7 years.

    • C. 

      All names regardless of age and locations within the past 7 years.

    • D. 

      Primary name and address only.

  • 7. 
    Criminal search locations should be developed from (CHOOSE ALL THAT APPLY):
    • A. 

      Provided Current Residence

    • B. 

      Provided Former Residences

    • C. 

      Name and Address History / Trace Report

    • D. 

      Provided Employment

    • E. 

      Provided Education

    • F. 

      Developed Employment

    • G. 

      Developed Education

    • H. 

      Driving History / MVR

    • I. 

      Credit History

  • 8. 
    Which of the following FELONY records should NOT be reported? (CHOOSE ALL THAT APPLY)
    • A. 

      Felony convictions older than 7 years

    • B. 

      Felonies where the applicant was under 18 as of the conviction date

    • C. 

      Felonies where the disposition is still pending

    • D. 

      Felonies where the disposition is dismissed

    • E. 

      Active diversions where the charge is a Felony

  • 9. 
    Which of the following MISDEMEANOR records should NOT be reported? (CHOOSE ALL THAT APPLY)
    • A. 

      Misdemeanor convictions older than 7 years

    • B. 

      Misdemeanors where the applicant was under 18 as of the conviction date

    • C. 

      Misdemeanors where the disposition is still pending

    • D. 

      Misdemeanors where the disposition is dismissed

    • E. 

      Active diversions where the charge is a Misdemeanor

  • 10. 
    TRUE OR FALSE: Any criminal record reported to the client must be graded as a Review.
    • A. 

      True

    • B. 

      False

  • 11. 
    TRUE OR FALSE: If a criminal search location is Statewide, the corresponding Civil search should also be Statewide.
    • A. 

      True

    • B. 

      False

  • 12. 
    Civil Records should be reported (CHOOSE ONE):
    • A. 

      Only within the 7-year timeframe

    • B. 

      Regardless of age

    • C. 

      Only if the record is a child support or divorce settlement

    • D. 

      Regardless of age except for child support or divorce settlements

  • 13. 
    TRUE OR FALSE: A civil record can be reported even if it has been dismissed.
    • A. 

      True

    • B. 

      False

  • 14. 
    When Education verification is requested, verify (CHOOSE ONE):
    • A. 

      Only the most recent dates of graduation/attendance

    • B. 

      Highest level completed beginning with High School

    • C. 

      Highest level completed beginning with Associates

    • D. 

      All provided Education

  • 15. 
    TRUE OR FALSE: All provided health/medical related education should be verified.
    • A. 

      True

    • B. 

      False

  • 16. 
    TRUE OR FALSE: All provided health/medical related professional credentials should be verified.
    • A. 

      True

    • B. 

      False

  • 17. 
    Re-verification must be conducted when (CHOOSE ALL THAT APPLY):
    • A. 

      Applicant indicates a degree was received and source does not confirm the degree

    • B. 

      Education dates provided by the applicant differ from dates verified by source

    • C. 

      Education major provided by the applicant differs from major verified by source

    • D. 

      Applicant’s provided name does not match verified Name Attended Under

  • 18. 
    When the application is not attached to the case, the QA Analyst should (CHOOSE ONE):
    • A. 

      Find the application in Fax Manager and attach it to the case

    • B. 

      Reject the case indicating that the application is not attached

    • C. 

      Enter a Cherwell ticket to have the application attached

    • D. 

      Email a supervisor or manager for advice

  • 19. 
    TRUE OR FALSE: Verifications should remove an employment from the report if the applicant indicates they never worked there.
    • A. 

      True

    • B. 

      False

  • 20. 
    Which of the following examples should be graded as a gap in employment? (CHOOSE ONE)
    • A. 

      8/1/2009 to 9/1/2010 and 10/1/2010 to Present

    • B. 

      2/1/2002 to 8/1/2009 and 10/1/2010 to Present

    • C. 

      2/1/2002 to 8/1/2009 and 6/1/2010 to Present

    • D. 

      All of the above

    • E. 

      None of the above

  • 21. 
    TRUE OR FALSE: The MVR should not be graded for a Speeding charge if it was admitted on the application.
    • A. 

      True

    • B. 

      False

  • 22. 
    In order to satisfactorily verify provided employment from 2005 to 2008, the applicant must (CHOOSE ONE):
    • A. 

      Provide W-2 forms to cover 2007 and 2008

    • B. 

      Provide W-2 forms to cover 2005, 2006, 2007, 2008, and 2009

    • C. 

      Provide a reference who will vouch for their period of employment

    • D. 

      Swear in court that the provided employment dates are correct

  • 23. 
    TRUE OR FALSE: Grading does not apply for a gap in employment if education is verified that covers the gap period.
    • A. 

      True

    • B. 

      False

  • 24. 
    TRUE OR FALSE: If education has been provided that would resolve a gap in employment, the education should be verified even if it is not the highest level completed.
    • A. 

      True

    • B. 

      False

  • 25. 
    TRUE OR FALSE: If current employment can be verified through a fee based system, it is not necessary to wait until Day 4 to verify the employment.
    • A. 

      True

    • B. 

      False