Aetna QA Ready Assessment

Approved & Edited by ProProfs Editorial Team
The editorial team at ProProfs Quizzes consists of a select group of subject experts, trivia writers, and quiz masters who have authored over 10,000 quizzes taken by more than 100 million users. This team includes our in-house seasoned quiz moderators and subject matter experts. Our editorial experts, spread across the world, are rigorously trained using our comprehensive guidelines to ensure that you receive the highest quality quizzes.
Learn about Our Editorial Process
| By Cchristian
C
Cchristian
Community Contributor
Quizzes Created: 10 | Total Attempts: 1,850
Questions: 30 | Attempts: 41

SettingsSettingsSettings
Aetna QA Ready Assessment - Quiz


Questions and Answers
  • 1. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    The statement is false because the scope of a criminal search and a civil search can vary. While a criminal search may cover the entire state, a civil search may be limited to a specific county or jurisdiction. Therefore, the search locations for criminal and civil searches do not necessarily have to be the same.

    Rate this question:

  • 2. 

    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 Crim Ordering Matrix to determine whether Statewide or County should be ordered for each location.

    Correct Answer
    D. Refer to the Crim Ordering Matrix to determine whether Statewide or County should be ordered for each location.
  • 3. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    A Federal Criminal Search should always be ordered because it provides a comprehensive background check on an individual's criminal history at the federal level. This search is important as it includes offenses such as drug trafficking, white-collar crimes, and other federal offenses that may not be captured in state or county-level searches. By conducting a Federal Criminal Search, employers or individuals can ensure they have a complete understanding of someone's criminal background and make informed decisions regarding employment or personal relationships.

    Rate this question:

  • 4. 

    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.

    Correct Answer
    C. The National Federal search.
    Explanation
    When a Federal Criminal search is required, the most appropriate option is to order the National Federal search. This search covers all federal criminal records across the entire country. It is a comprehensive search that ensures all relevant federal criminal records are included in the search results. The other options, such as the Federal District search for each provided & developed location or the Federal District search for the current residence location only, may not provide a complete picture as they are limited to specific districts or locations. The GlobalWatch search is not specifically focused on federal criminal records and may not be as thorough as the National Federal search.

    Rate this question:

  • 5. 

    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.

      A GlobalWatch search is ordered to cover the location.

    • D.

      We do not order any criminal searches for international locations. Pass through as-is.

    Correct Answer
    C. A GlobalWatch search is ordered to cover the location.
    Explanation
    When an international location is provided, the correct action is to order a GlobalWatch search to cover the location. This suggests that GlobalWatch is a comprehensive search that includes criminal records from international locations. It is important to conduct this search to ensure a thorough background check, especially when dealing with international individuals or locations.

    Rate this question:

  • 6. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Criminal search names and locations are developed regardless of timeframe means that the process of searching for criminals and their whereabouts is conducted without any restrictions on the time period. This suggests that authorities and law enforcement agencies actively search for criminals regardless of how long ago the crimes were committed. It implies that there is no statute of limitations or expiration date on the search for criminals, and they can be pursued and located at any time.

    Rate this question:

  • 7. 

    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.

    Correct Answer
    A. All names and locations regardless of age.
    Explanation
    The correct answer is "All names and locations regardless of age." This option ensures that all criminal searches are conducted without any age restrictions or limitations. It includes searching for criminal records for individuals of all ages and in all locations, providing a comprehensive and thorough search. This approach is important as criminal activity can occur at any age and in any place, and excluding certain age groups or locations may lead to incomplete results.

    Rate this question:

  • 8. 

    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

    Correct Answer(s)
    A. Provided Current Residence
    B. Provided Former Residences
    D. Provided Employment
    E. Provided Education
    F. Developed Employment
    G. Developed Education
    I. Credit History
    Explanation
    When conducting a criminal search, it is important to consider various factors in order to gather comprehensive information. The provided current residence and former residences can provide valuable insights into the individual's whereabouts and potential connections to criminal activities. Similarly, the provided employment and education history can help in identifying any potential links to criminal behavior. Additionally, developed employment and education records can provide further information about the individual's background. Lastly, credit history can also be relevant as it may reveal any financial issues or potential motives for criminal activities.

    Rate this question:

  • 9. 

    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 a straight dismissal

    • E.

      Active diversions where the charge is a Felony

    Correct Answer
    D. Felonies where the disposition is a straight dismissal
    Explanation
    Felonies where the disposition is a straight dismissal should not be reported because a straight dismissal means that the charges have been dropped or dismissed without any conviction. Therefore, there is no record of a felony conviction in this case.

    Rate this question:

  • 10. 

    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 a straight dismissal

    • E.

      Active diversions where the charge is a Misdemeanor

    Correct Answer
    D. Misdemeanors where the disposition is a straight dismissal
    Explanation
    Misdemeanors where the disposition is a straight dismissal should not be reported because a straight dismissal means that the charges were dropped or the case was dismissed without any conviction. Therefore, there is no record of a misdemeanor conviction in this case.

    Rate this question:

  • 11. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Any criminal record reported to the client must be graded as a Review. This means that regardless of the severity or nature of the criminal offense, it should be considered for further investigation and evaluation. The client should not overlook or dismiss any criminal record and should take it into account when making decisions or assessments.

    Rate this question:

  • 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

    Correct Answer
    D. Regardless of age except for child support or divorce settlements
    Explanation
    Civil Records should be reported regardless of age except for child support or divorce settlements. This means that any civil records, such as lawsuits, judgments, or liens, should be reported regardless of how old they are, except for child support or divorce settlements. These exceptions imply that child support or divorce settlements may not need to be reported if they are beyond a certain timeframe or age.

    Rate this question:

  • 13. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    A civil record cannot be reported if it has been dismissed. Dismissal of a civil record means that the case has been dropped or resolved in favor of the defendant. In such cases, the record is typically expunged or sealed, meaning it is no longer accessible to the public or included in background checks. Therefore, it would be incorrect to say that a civil record can be reported even if it has been dismissed.

    Rate this question:

  • 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

    Correct Answer
    C. Highest level completed beginning with Associates
    Explanation
    The correct answer is "Highest level completed beginning with Associates." This means that when an education verification is requested, the verifier should start with the highest level completed, which is an Associates degree in this case, and verify all the education that has been provided beyond that level.

    Rate this question:

  • 15. 

    TRUE OR FALSE: All provided health/medical related professional credentials should be verified regardless of status.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Verification of health/medical related professional credentials is not necessary for all individuals, regardless of their status. This suggests that there may be certain circumstances or criteria that exempt individuals from the need for credential verification. Without further information, it is difficult to determine the specific situations in which verification may not be required. However, it is important to note that in most cases, verifying credentials is crucial to ensure the competence and qualifications of healthcare professionals.

    Rate this question:

  • 16. 

    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

    Correct Answer(s)
    A. Applicant indicates a degree was received and source does not confirm the degree
    C. Education major provided by the applicant differs from major verified by source
    Explanation
    Re-verification must be conducted when the applicant indicates that they received a degree, but the source does not confirm the degree. Additionally, re-verification is necessary when the education major provided by the applicant differs from the major that has been verified by the source.

    Rate this question:

  • 17. 

    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

    Correct Answer
    B. Reject the case indicating that the application is not attached
    Explanation
    If the application is not attached to the case, the QA Analyst should reject the case indicating that the application is not attached. This is because without the application, the QA Analyst cannot properly analyze or test the case. Rejecting the case will prompt the necessary action to attach the application before further processing can be done.

    Rate this question:

  • 18. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The statement is true because verifications should remove an employment from the report if the applicant indicates they never worked there. Verifications are conducted to verify the accuracy of the information provided by the applicant. If the applicant states that they never worked at a particular place, the verification process should confirm this and remove that employment from the report. This ensures that the report only includes accurate and verified information.

    Rate this question:

  • 19. 

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

    • A.

      EMPLOYER 1: 8/1/2009 to 9/1/2010 EMPLOYER 2: 10/1/2010 to Present

    • B.

      EMPLOYER 1: 2/1/2002 to 8/1/2009 EMPLOYER 2: 10/1/2010 to Present

    • C.

      EMPLOYER 1: 2/1/2002 to 8/1/2009 EMPLOYER 2: 6/1/2010 to Present

    • D.

      All of the above

    • E.

      None of the above

    Correct Answer
    B. EMPLOYER 1: 2/1/2002 to 8/1/2009 EMPLOYER 2: 10/1/2010 to Present
    Explanation
    The correct answer is "EMPLOYER 1: 2/1/2002 to 8/1/2009 EMPLOYER 2: 10/1/2010 to Present". This should be graded as a gap in employment because there is a period of time between 8/1/2009 and 10/1/2010 where the individual does not have any employment listed.

    Rate this question:

  • 20. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The MVR (Motor Vehicle Record) should not be graded for a Speeding charge if it was admitted on the application because the applicant has already acknowledged and taken responsibility for the offense. Therefore, there is no need to further penalize or grade the MVR for this specific charge.

    Rate this question:

  • 21. 

    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

    Correct Answer
    A. Provide W-2 forms to cover 2007 and 2008
    Explanation
    The correct answer is to provide W-2 forms to cover 2007 and 2008. This is because the question asks for verification of employment from 2005 to 2008, and providing W-2 forms for 2007 and 2008 would cover the entire requested period. W-2 forms are official documents that show an individual's income and taxes withheld for a specific year, and they are commonly used as proof of employment.

    Rate this question:

  • 22. 

    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

    Correct Answer
    A. True
    Explanation
    Grading does not apply for a gap in employment if education is verified that covers the gap period. This means that if an individual's education during the gap period is confirmed and validated, their employment history will not be negatively affected by the gap. Therefore, the statement "Grading does not apply for a gap in employment if education is verified that covers the gap period" is true.

    Rate this question:

  • 23. 

    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

    Correct Answer
    B. False
    Explanation
    The statement is false because if education has been provided to resolve a gap in employment, it does not necessarily need to be verified, especially if it is not the highest level completed. Verification of education is typically done to ensure the accuracy and validity of the information provided, but in this case, since the education is not the highest level completed, it may not be necessary to verify it.

    Rate this question:

  • 24. 

    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

    Correct Answer
    A. True
    Explanation
    If current employment can be verified through a fee-based system, it means that there is a reliable and efficient process in place to confirm the employment status of an individual. Therefore, there is no need to wait until Day 4 to verify the employment as it can be done earlier through the fee-based system.

    Rate this question:

  • 25. 

    The applicant provided on the application that he graduated on 12/2013, but GIS verified that they are currently enrolled with an expected graduation date of 09/14. This case would need to be rejected.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    If the applicant provided a graduation date of 12/2013, but the verified information shows that the degree has not been earned with an expected graduation date of 9/14 we would grade for the applicant not receiving degree as indicated.

    Rate this question:

  • 26. 

    There are multiple W-2's that are attached to the case but not entered into the comments. Should this be rejected?

    • A.

      Yes

    • B.

      No

    • C.

      Only if the employers on the W-2 are not already listed in the case.

    • D.

      Only if the employers on the W-2 are already listed in the case.

    Correct Answer
    C. Only if the employers on the W-2 are not already listed in the case.
    Explanation
    If the provided W-2’s/Documentation has the employer listed as it is listed in the case, then we would add the comments for documentation. If documentation is provided where the employer name does not match then we would reject for verifications to add comments/employer(s) to the case per provided documentation. Be sure to list documentation with employer names and amounts so that the missing information can be found quicker to cut down on the turnaround time for the rejection. Remember, if it can be corrected in QA, then we do NOT reject.

    Rate this question:

  • 27. 

    Which of the following types of documentation are acceptable for employment verification? (Check all that apply) 

    • A.

      W-2's

    • B.

      1099 Forms

    • C.

      Wage & Transcript Forms

    • D.

      Individual Tax Return Information

    • E.

      Paystubs

    • F.

      A picture of the applicant at their cubicle

    • G.

      A letter of verification from the applicant's former employer confirming employment.

    Correct Answer(s)
    A. W-2's
    B. 1099 Forms
    C. Wage & Transcript Forms
    E. Paystubs
    G. A letter of verification from the applicant's former employer confirming employment.
  • 28. 

    What is the correct way to document this paystub in a case?

    • A.

      ($908.18 | YTD $10,958.41 | $918.50/H)

    • B.

      ($1,308 | YTD $10,958.41 | $16.35/H)

    • C.

      ($908.18 | YTD $15,696.01 | $918.50/H)

    • D.

      ($1,308 | YTD $15,696.01 | $16.35/H)

    Correct Answer
    D. ($1,308 | YTD $15,696.01 | $16.35/H)
    Explanation
    The correct procedure for inputting any paystub information is to input the gross earnings in the format of (CURRENT | YTD | Pay Rate [if applicable])

    Rate this question:

  • 29. 

    Using the client's criminal ordering matrix, choose which locations would need to be ordered given the following provided/developed locations (assume no zip codes are provided):
    • Tampa, FL
    • Indianapolis, IN
    • Beaver Creek, OH
    • Pittsburgh, PA

    • A.

      FL Statewide

    • B.

      Hillsborough, FL

    • C.

      Montgomery, OH

    • D.

      PA Statewide

    • E.

      Allegheny, PA

    • F.

      Hamilton, IN

    • G.

      Greene, OH

    • H.

      OH Statewide

    • I.

      Marion, IN

    • J.

      IN Statewide

    Correct Answer(s)
    A. FL Statewide
    C. Montgomery, OH
    E. Allegheny, PA
    G. Greene, OH
    H. OH Statewide
    J. IN Statewide
    Explanation
    The client's criminal ordering matrix suggests that locations should be ordered based on their state and county. The given answer includes FL Statewide, Allegheny, PA, Montgomery, OH, Greene, OH, OH Statewide, and IN Statewide, which are all consistent with this ordering principle. These locations cover the entire states of Florida, Ohio, and Indiana, as well as specific counties within Pennsylvania. Therefore, these locations would need to be ordered according to the client's matrix.

    Rate this question:

Quiz Review Timeline +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Apr 19, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Dec 08, 2014
    Quiz Created by
    Cchristian
Back to Top Back to top
Advertisement
×

Wait!
Here's an interesting quiz for you.

We have other quizzes matching your interest.