Latest Florida Claims Adjuster Study
Guide [Question and Answers] Graded
A+
A __________ is a selected group of hospitals and medical practitioners in a given area who have joined
together in an effort to reduce medical costs. *Ans*✨PPO
Most plans provide that emergency treatment will be paid even if treated party does not go to service
provider on approved list.
A customer representative appointed by a general lines agent or agency in transacting only the business
of private passenger motor vehicle insurance from the office of that agent or agency is defined as:
*Ans*✨Limited Customer Service Representative
A General Lines Agent instructs a licensed Customer Representative 4-40 to thoroughly cover the details
of a new life insurance product with every Homeowner customer who calls or visits the office. The agent
provides training on the new product. Although the Customer Representative does not have a Life
License, he or she feels comfortable with the training and does as requested.
Which of the following is true?
A. This practice is acceptable if done in the office under supervision of General Lines Agent
B. This practice is acceptable because adequate training and product knowledge was provided
C. This practice is unacceptable and may result in the suspension or revocation of the Customer
Representative's license
D. This practice is only acceptable if the product training was certified by the Life Insurance Company
*Ans*✨C. This practice is unacceptable and may result in the suspension or revocation of the
Customer Representative's license
,A General Lines Claim Adjuster is required to obtain the same number of Continuing Education hours as
a licensed Customer Service Representative.
A. True
B. False *Ans*✨B. False
A lender has an insurable interest in a home and finds protection in the: *Ans*✨Mortgagee Clause
Mortgagee - Homeowner's policy
Loss Payee - Automobile policy
A licensed General Lines Claim Adjuster is required to complete how many hours of continuing
education every two years? *Ans*✨24
A motor vehicle or mobile home which is a total loss is defined as: *Ans*✨Salvage
It cannot be restored to prior condition
A policy may contain a provision which states a period of time between issuance and acceptance before
sickness benefits begin. This is defined as:
A. Waiting Period
B. Elimination Period
C. Both A & B
D. None of the Above *Ans*✨C. Both A & B
This helps keep premiums reasonable by eliminating chance of persons buying coverage only when they
are sick
A relationship that requires maintenance of a high degree of fidelity and loyalty to the interests of the
principal, whether or not the adjuster is a direct employee is defined as: *Ans*✨Fiduciary
,Should always be maintained whether or not the adjuster is a direct employee
A written statement given by the insured to the insurer acknowledging that money received in the
settlement of damages is received, not as a final payment, but as an advance pending an outcome of a
claim against the person responsible for the damage. This is defined as a(n): *Ans*✨Loan Receipt
Enables insurer to bring an action for recovery against a third party
A(n) __________ provides comprehensive health services to its members for a prepaid fixed fee,
equivalent to an insurance premium. *Ans*✨HMO
Referred to as an emerging and increasingly important non-insurance alternative to dealing with risk of
health care costs
Abandonment *Ans*✨Property insurance policies usually contain a(n) __________ clause, *stating
the insured cannot dump damaged property on the insurer and demand its full value.*
Actual Cash Value *Ans*✨Replacement cost minus depreciation
Actual Cash Value *Ans*✨The Loss Settlement Valuation that subtracts an allowance for depreciation
After pleading guilty or no contest to a felony, a licensed individual has _________ days to inform the
Department? *Ans*✨30
Alien *Ans*✨Insurer other than domestic or foreign (outside U.S.)
All of the following are components of Workers Compensation, except:
A. Up to $750,000 in Death Benefits
, B. Reimbursement for Medical Expenses incurred
C. Reimbursement for lost wages on percentage basis
D. Funeral costs up to $7,500 *Ans*✨Up to $750,000 in Death Benefits
Compensation for death is payable if death results within one year of an accident or if it follows
disability within five years of accident.
All of the following are eligible for a Homeowner's Policy, except?
A. An apartment tenant
B. A condominium owner
C. Four-family dwelling owner-occupant
D. A business condo owned by a local insurance company *Ans*✨D. A business condo owned by a
local insurance company
Commercial property is not eligible for a Homeowner's policy.
All of the following are requirements for the "Code of Ethics," except:
A. Adjusters should not give legal advice
B. Adjusters may negotiate with a claimant who is represented by an attorney
C. A witness who requests a copy of a statement given must be provided with one
D. Adjusters will keep an unprejudiced and open mind *Ans*✨B. Adjusters may negotiate with a
claimant who is represented by an attorney
Adjusters MAY NOT. Bad, adjuster, bad!
An adjuster who is a salaried employee under the supervision of the home, branch, or regional claims
department of insurers is defined as a(n): *Ans*✨Company or Staff Adjuster
Guide [Question and Answers] Graded
A+
A __________ is a selected group of hospitals and medical practitioners in a given area who have joined
together in an effort to reduce medical costs. *Ans*✨PPO
Most plans provide that emergency treatment will be paid even if treated party does not go to service
provider on approved list.
A customer representative appointed by a general lines agent or agency in transacting only the business
of private passenger motor vehicle insurance from the office of that agent or agency is defined as:
*Ans*✨Limited Customer Service Representative
A General Lines Agent instructs a licensed Customer Representative 4-40 to thoroughly cover the details
of a new life insurance product with every Homeowner customer who calls or visits the office. The agent
provides training on the new product. Although the Customer Representative does not have a Life
License, he or she feels comfortable with the training and does as requested.
Which of the following is true?
A. This practice is acceptable if done in the office under supervision of General Lines Agent
B. This practice is acceptable because adequate training and product knowledge was provided
C. This practice is unacceptable and may result in the suspension or revocation of the Customer
Representative's license
D. This practice is only acceptable if the product training was certified by the Life Insurance Company
*Ans*✨C. This practice is unacceptable and may result in the suspension or revocation of the
Customer Representative's license
,A General Lines Claim Adjuster is required to obtain the same number of Continuing Education hours as
a licensed Customer Service Representative.
A. True
B. False *Ans*✨B. False
A lender has an insurable interest in a home and finds protection in the: *Ans*✨Mortgagee Clause
Mortgagee - Homeowner's policy
Loss Payee - Automobile policy
A licensed General Lines Claim Adjuster is required to complete how many hours of continuing
education every two years? *Ans*✨24
A motor vehicle or mobile home which is a total loss is defined as: *Ans*✨Salvage
It cannot be restored to prior condition
A policy may contain a provision which states a period of time between issuance and acceptance before
sickness benefits begin. This is defined as:
A. Waiting Period
B. Elimination Period
C. Both A & B
D. None of the Above *Ans*✨C. Both A & B
This helps keep premiums reasonable by eliminating chance of persons buying coverage only when they
are sick
A relationship that requires maintenance of a high degree of fidelity and loyalty to the interests of the
principal, whether or not the adjuster is a direct employee is defined as: *Ans*✨Fiduciary
,Should always be maintained whether or not the adjuster is a direct employee
A written statement given by the insured to the insurer acknowledging that money received in the
settlement of damages is received, not as a final payment, but as an advance pending an outcome of a
claim against the person responsible for the damage. This is defined as a(n): *Ans*✨Loan Receipt
Enables insurer to bring an action for recovery against a third party
A(n) __________ provides comprehensive health services to its members for a prepaid fixed fee,
equivalent to an insurance premium. *Ans*✨HMO
Referred to as an emerging and increasingly important non-insurance alternative to dealing with risk of
health care costs
Abandonment *Ans*✨Property insurance policies usually contain a(n) __________ clause, *stating
the insured cannot dump damaged property on the insurer and demand its full value.*
Actual Cash Value *Ans*✨Replacement cost minus depreciation
Actual Cash Value *Ans*✨The Loss Settlement Valuation that subtracts an allowance for depreciation
After pleading guilty or no contest to a felony, a licensed individual has _________ days to inform the
Department? *Ans*✨30
Alien *Ans*✨Insurer other than domestic or foreign (outside U.S.)
All of the following are components of Workers Compensation, except:
A. Up to $750,000 in Death Benefits
, B. Reimbursement for Medical Expenses incurred
C. Reimbursement for lost wages on percentage basis
D. Funeral costs up to $7,500 *Ans*✨Up to $750,000 in Death Benefits
Compensation for death is payable if death results within one year of an accident or if it follows
disability within five years of accident.
All of the following are eligible for a Homeowner's Policy, except?
A. An apartment tenant
B. A condominium owner
C. Four-family dwelling owner-occupant
D. A business condo owned by a local insurance company *Ans*✨D. A business condo owned by a
local insurance company
Commercial property is not eligible for a Homeowner's policy.
All of the following are requirements for the "Code of Ethics," except:
A. Adjusters should not give legal advice
B. Adjusters may negotiate with a claimant who is represented by an attorney
C. A witness who requests a copy of a statement given must be provided with one
D. Adjusters will keep an unprejudiced and open mind *Ans*✨B. Adjusters may negotiate with a
claimant who is represented by an attorney
Adjusters MAY NOT. Bad, adjuster, bad!
An adjuster who is a salaried employee under the supervision of the home, branch, or regional claims
department of insurers is defined as a(n): *Ans*✨Company or Staff Adjuster
