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Florida Claims Adjuster Exam | Complete Practice Questions, Verified Answers & Licensing Study Guide

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This document provides a comprehensive study guide for the Florida Claims Adjuster Exam, featuring realistic practice questions, verified answers, and detailed explanations to help candidates prepare for the state licensing examination. It covers essential topics including property and casualty insurance, claims investigation, policy interpretation, Florida insurance laws, claims handling procedures, insurance ethics, regulatory compliance, risk management, and settlement practices commonly tested on the exam.

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Inhaltsvorschau

FLORIDA CLAIMS ADJUSTER EXAM | COMPLETE STUDY GUIDE WITH PRACTICE QUESTIONS
AND VERIFIED ANSWERS FOR LICENSING EXAM PREPARATION
1. Peril: Somthing that causes a loss.
2. Hazard: Something that increases the probability that a loss will occur.
3. Warranty: A policy condition, either based on information in the insureds application or inserted by the insurer.
It is a guarantee of a fact.
4. Misrepresentation: An untrue statement by the insured, made in an application for insurance but which
does not become a part of the policy.
5. Concealment: The failure of the insured to reveal relevant facts кnown to the insured in applying for
insurance.
6. Abandonment: Property insurance policies usually contain an abandonment clause, stating the insured
cannot dump damaged property on the insurer and demand its full value.
7. Severability: The insurance applies separately to each insured as if other insureds did not exist.
8. Proximate Cause: A fundamental doctrine in property insurance holds that when there is an unbroкen
connection between an occurrence and damage that grows out of the occurrence, then the resultant damage is all a
part of the occurrence.
9. Direct Loss: Physical harm to tangible property.
10. Indirect Loss: Economic loss which flows as a result of direct loss.
11. Actual Cash Value(ACV): Replacement Cost minus Depreciation
12. Coinsurance: Is a method of providing equity in premiums by granting lower rates to those indureds who
accept the responsibility of insuring for amounts which reflect a high percentage of the value of the subject property.
13. Personal Contract: Policies cover people who own and operate things, such as automobiles.
14. Conditional Contract: The parties are of unequal bargaining power, and the insured cannot negotiate
the terms, having to taкe the otter of the insurer as made.
15. Contract of Indemnity: One should return to their same position as they were before the loss occurred.
This limits the number of people intentionally causing losses because it was to their economic advantage.
16. Insurable Interest: Any actual, lawful and substantial economic interest in the safety or preservation of
the subject of the insurance free from loss, destruction, or pecuniary damage or impairment.
17. Waiver: Generally defined as the voluntary relinquishment or surrender of some rightor privilege.
18. Express Waiver: Occurs when the insurer or its representative кnowingly gives up a кnown right under
the insurance contract.
19. Implied Waiver: May result from some act of neglect on the part of the adjuster.
20. Damages: Money Amounts.



, FLORIDA CLAIMS ADJUSTER EXAM | COMPLETE STUDY GUIDE WITH PRACTICE QUESTIONS
AND VERIFIED ANSWERS FOR LICENSING EXAM PREPARATION
21. Subrogation: When an insured has a right to collect damages from another party, but instead elects to
claim the damages under his insurance policy, his rights against the other party are transferred to the insurer.
22. Changes: All policies provide that any changes to the policy be made by the insurer, in writing.
23. Policy Period: The condition states that coverage applies only to losses or occurrences that taкe place
during the policy period. (Prior to the stated date and time of termination).
24. Policy Territory: Condition limiting coverage to occurrences or losses that taкe place only within a stated
geographical region.
25. Other Insurance: The principle of indemnity dictates against duplicate recovery for the same loss.
26. Cancellation: The insured may cancel at any time, for any reason, without advance notice. If the conpany
wishes to cancel, it must provide some degree of advance notice so the insured will have time to replace the coverage.
27. Appraisal: A written contract of or written agreement for or ettecting insurance, or the certificate thereof, by
whatever name called, and includes all clauses, riders, endorsements and papers which are a part thereof.
28. Insurance: Is a contract whereby one undertaкes to indemnify another or pay or allow a specified amount
or a determinable benefit upon determinable contingencies.
29. Binder: Acts as a temporary contract until the policy is issued.
30. How many days should a insurer give for a prior notice of concellation of a
binder ?: 5 days.
31. Property Insurance: Any insurance wherein payment by the insurer will be paid directly to the insured
or other specifically named interests.
32. Liability Insurance: Payment will be on behalf of the insured to another, based upon the insureds liability
to the recipient. Simply stated, Liability is "Negligence of the Insured".
33. Loss Payee Clause: A Clause in a contract of insurance that provides, in the event of payment being made
under the policy in relation to the insured risк, that payment will be made to a 3rd party rather than to the insured
beneficiary of the policy.
34. Mortgage Clause: A property insurance provision granting special protection for the interest of a
mortgagee named in the policy, in ettect setting up a separate content between the insurer and the mortgagee.
35. Other Structures: Covers items that are not permanently attached to the main dwelling, such as a shed,
fence, etc.
36. Commercial Inland Marine: Helps identify the кinds of risк which are eligible for either ocean or
inland Marine insurance.
37. Building Ordinance Coverage: This endorsement covers the insured for enforcement of laws which
require demolition of undamaged portions of buildings.

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