EXAS ALL LINES ADJUSTER EXAM BRAND NEW!! (200+ QUESTIONS AND CORRECT ANSWERS) VERIFIED ANSWERS, SCORED AN A!!!

What is the failure to use that degree of care which n ordinary person of reasonable prudence would use under similar circumstances? Negligence What is a situation involving a person other than an insured? Third Party Loss What is the responsibility to another for one's negligence? Liability Mary has a homeowner's policy. Her Coverage A limit of liability is $250,000 and her Coverage B limit of liability is $125,000. Her policy has a 2% deductible. What is her deductible? $5,000 The part of the insurance policy that details the rights and duties of the insured and the insurance company in the policy? Conditions What is a partial legal defense that reduces the amount of damages that a person can recover based upon the amount that this person's own negligence contributed to the loss? Comparative Negligence Value of property based on the current cost to replace it minus depreciation? Actual Cash Vale This type of Auto Coverage pays for your damages if you were involved in a hit and run: Uninsured Motorist What is the cost associated with replacing property at current market prices? Replacement Cost The process when an insurer and insured have a dispute regarding the amount of the damage: Appraisal The intentional misrepresentation of a material fact that may void a contract? Fraud What is the type of negotiation that is also sometimes called positional or hard-bargaining? Distributive An event that results in an insured loss and damages? Occurrence What is the period a policy is in force, from the beginning or effective date? Policy Period The amount the insured must pay in a loss before any payment is due? Deductible The insurer must review the claim and accept or reject within how many days? 15 calendar Oral or written false statement that is malicious Defamation Time requirements does the policy holder have to complete the requirements that the insurer has requested? No requirements Days for insurer to pay the claim 5 business Insurer must acknowledge the claim begin the investigation, and request all the information needed in what time frame? 15 Calendar days What must an insurer provide for the declination, cancellation, or nonrenewal of an insurance policy? Written Statement Established in 1991 to ensure prompt payment of insurance claims? Article 21.55 An insurer may not consider a _______ as a basis for declination? Customer Inquiry An insurer may refuse to renew a policy if the insurer has mailed notice of nonrenewal to the insured at least_____ days before the policy's expiration date? 30 If the insurer needs additional time to evaluate and investigate a claim, they can request how many additional days? 45 Calendar Days Under the Texas HO-B, the structure is covered for what type of losses? All risk of physical loss, unless excluded Under the Texas HO-B, jewelry, watches, and furs are limited to? $500 for losses caused by theft Under the Texas HO-B policy, the most paid for a tree? $250 The Special Limit of Liability for Bullion/ Valuable Papers is? $500 HO-B policy, you would choose the Deductible Clause 1 for losses caused by? Windstorm, Hurricane, Hail Trees, shrubs, plants, and lawns are not covered for losses caused by? Windstorm If your policyholder has a percentage deductible, how do you determine what the deductible amount is? Apply the percentage to Coverage A limit of liability What is a crucial element to the adjustment process? Claim investigation The adjuster must set appointment ______ to meet both the needs of the adjuster and the policyholder? At reasonable times What should adjusters do to obtain a fair and equitable settlement? Work in Good Faith What should you do to make sure your policyholder always stays informed? Timely Follow Up The claim activit log must be clear, concise, factual, and always? Up to date Adjuster should make initial contact within 24 hours Adjusters should remain... calm and professional The employee has to report injury in ____ days 30 days Two examples of compensation provided by worker's compensation? Paying for medical bills and replacing bills How many types of worker' comp disability? 4 Workers Compensation provides income and medical if they are? Injured on the job? An employee of Office of Injured Employee Counsel is known as? Ombudsman Employer must report injuries within___? 8 days Four Categories of Workers Compensation laws? Disability, Medical, Survivor, Rehab Disability lasts a short period and employee is fully able to return. Temporary Total Temporary disablement that allows employee to return but reduced capability? Temporary partial