Florida Claims Adjuster Exam, 6-20 All Lines Adjuster- Florida- Review | 235 Pages
Correct
Incorrect
1 of 322
Term
Tom is injured in a not at-fault auto accident and has temporary
injuries. What can be recovered in a tort claim if he has $16,000 in
medical bills with a $1,000 PIP deductible?
Select one:
A. $6,000
B. $5,000
C. $15,000
D. $10,000
$20,000 $6,000
, Barratry $162,000
2 of 322
Term
What are the basic activities in claims handling ?
-Investigation to establish coverage, determine legal liability, and verify if
the alleged damages qualify the loss for payment.
-Evaluation to determine the fair payment in accordance with the contract
and applicable law.
-Negotiation of a quality settlement based on facts discovered during the
evaluation process.
-Increases medical benefits from 80% to 100%.
-Increases income loss from 60% to 80%.
-Applies only to named insured and family members.
An insurance contract is based, places serious responsibilities on the claim
adjuster with regard to conduct, work habits, and specific claims handling
activities.
, 1.) Implied voluntary relinquishment, abandoning a legal advantage, need, claim
or right.
2.) Agreement or added clause of a policy that excludes some losses or limits
the sum of a claim, or extends coverage to add items not in a normal policy.
3 of 322
Definition
Provides coverage for loss by forgery or alteration of negotiable
instruments, such as checks, drafts, promissory notes or similar
instruments calling for payment of a sum certain in money.
Forgery Or Alteration Theft Or Robbery
Safe Depository Burglary
4 of 322
Term
What are the Characteristics of a Personal Auto Policy Declaration
, Page ?
-The legally valid claims of others must be satisfied(up to the 10/20/10
requirements).
-The owner and operator must provide certification of financial responsibility for
future accidents.
Any higher limits required by any law
-Liability(Bodily Injury)
-Property Damage
-Uninsured Motorist
-Medical Payments
-Personal Injury Protection
-Collision Deductible
-Comprehensive Deductible
-Towing Coverage
-Rental Coverage
This Form provides employers witg claims- made coverage for liability arising
out of claims for injury to an employee because of an employment-related
offense.
Correct
Incorrect
1 of 322
Term
Tom is injured in a not at-fault auto accident and has temporary
injuries. What can be recovered in a tort claim if he has $16,000 in
medical bills with a $1,000 PIP deductible?
Select one:
A. $6,000
B. $5,000
C. $15,000
D. $10,000
$20,000 $6,000
, Barratry $162,000
2 of 322
Term
What are the basic activities in claims handling ?
-Investigation to establish coverage, determine legal liability, and verify if
the alleged damages qualify the loss for payment.
-Evaluation to determine the fair payment in accordance with the contract
and applicable law.
-Negotiation of a quality settlement based on facts discovered during the
evaluation process.
-Increases medical benefits from 80% to 100%.
-Increases income loss from 60% to 80%.
-Applies only to named insured and family members.
An insurance contract is based, places serious responsibilities on the claim
adjuster with regard to conduct, work habits, and specific claims handling
activities.
, 1.) Implied voluntary relinquishment, abandoning a legal advantage, need, claim
or right.
2.) Agreement or added clause of a policy that excludes some losses or limits
the sum of a claim, or extends coverage to add items not in a normal policy.
3 of 322
Definition
Provides coverage for loss by forgery or alteration of negotiable
instruments, such as checks, drafts, promissory notes or similar
instruments calling for payment of a sum certain in money.
Forgery Or Alteration Theft Or Robbery
Safe Depository Burglary
4 of 322
Term
What are the Characteristics of a Personal Auto Policy Declaration
, Page ?
-The legally valid claims of others must be satisfied(up to the 10/20/10
requirements).
-The owner and operator must provide certification of financial responsibility for
future accidents.
Any higher limits required by any law
-Liability(Bodily Injury)
-Property Damage
-Uninsured Motorist
-Medical Payments
-Personal Injury Protection
-Collision Deductible
-Comprehensive Deductible
-Towing Coverage
-Rental Coverage
This Form provides employers witg claims- made coverage for liability arising
out of claims for injury to an employee because of an employment-related
offense.
