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Certified Claims Adjuster – Florida | Complete Practice Questions, Verified Answers & Certification Study Guide

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This document provides a comprehensive study guide for the Certified Claims Adjuster – Florida certification, featuring realistic practice questions, verified answers, and detailed explanations to help candidates prepare for certification and licensing exams. 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 claims settlement practices.

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CERTIFIED CLAIMS ADJUSTER – FLORIDA | COMPLETE STUDY GUIDE WITH PRACTICE
QUESTIONS AND VERIFIED ANSWERS FOR LICENSING EXAM PREPARATION
1. Repair, replacement and recovery of injured lives and damaged property
falls to?: Insurance Adjusters, CAT Troopers, Field Investigators, Property Appraisers and Front Line Supervisors
2. Insurance Transaction includes:: -Solicitation of insurance
-Negotiations;
-Binding, underwriting and sale of insurance;
-Handling or "adjusting" of claims
3. The Role of Insurance is:: - Essential Product
-Financial Product
- Purchase of a Promise
-Purchase based on TRUST
4. The different types of insurance are:: -Health
-Life
-Property
-Casualty
5. When you buy insurance, you are buying:: Peace of Mind
6. Insurance is a Purchase based on:: Trust
7. The most important factor in the purchase of insurance is:: Trust
8. An assertion of an alleged legal right against a person, entity, company or
insurer that carries with it a demand for relief is:: Claim
9. Is the same as a request, demand, a letter requesting action, a bill submitted
for payment:: Assertion
10. Means that the claim may or may not be valid or legitimate, or that there
may not be any legal right for belief:: Alleged
11. Relief:: Compensation or payment. Can also mean:
-restitution
-return
-recovery
-replacement
Taкes form in property or money
12. Third Party Claim:: A claim made by a third party against an "insured" person or entity
13. First Party Claim:: A claim made by a policy holder against his/her own insurance company for recovery
under the policy (contract) for which a premium has been paid


, CERTIFIED CLAIMS ADJUSTER – FLORIDA | COMPLETE STUDY GUIDE WITH PRACTICE
QUESTIONS AND VERIFIED ANSWERS FOR LICENSING EXAM PREPARATION
14. Carrier's Claim Handling Goal #1:: To help those who have been injured or who have suttered
loss for which the insured is responsible or which is covered by the insurance contract
15. Carrier's Claim Handling Goal #2:: To minimize loss for the insured party and the carrier. To fairly
evaluate the legitimacy and legality of a claim and its value and resolve satisfactory
16. Carrier's Claim Handling Goal #3:: -To comply with the requirements of the law or terms of the
insurance contract
-To pay claims fairly and adequately
17. Carrier's Claim Handling Goal #4:: To maintain friendly and satisfactory relations between the
injured party, the employer or policy holder, the insurance company an the public
18. Carrier's Claim Handling Goal #5:: To satisfy the company's moral and ethical obligation to the
public and conduct business (claims) in a friendly, helpful manner
19. An individual who, for compensation, fee or commission, investigates and
settles claims arising under property, casualty or surety contracts on behalf
of the insurer or the insured:: Adjuster
20. The process, or art, of investigating, evaluating, reporting on, negotiating
and resolving claims under a policy, or claims against your client, the insur-
ance company or the company for which you worк or represent:: Adjusting
21. Types of Adjusters:: -Statt Adjusters
-Independent Adjusters
- Public Adjusters
22. Worк for Insurance Companies:: Statt Adjusters
23. Self Employed or employed by an independent adjusting firm:: Independent
Adjusters
24. Represents the insured, typically seen in the property lines of business:: -
Public Adjusters
25. Can be inside adjusters, field adjusters or both:: Property Adjusters
26. Property Adjusters handle:: -ONLY physical damage claims
-Automobile Physical Damages Claims
-Damages to homes, buildings, personal property
27. Evaluate legal liability, cause of loss, damages and bodily injury:: Liability
Adjusters

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