Florida Claims Adjuster Exam questions with verified
answers
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.
A. HMO
B. Major Medical Insurance
C. Coinsurance
D. PPO Ans✓✓✓ D. 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:
A. Automobile Agent
B. Automobile Representative
C. Limited Customer Service Representative
D. Limited Customer Service Agent Ans✓✓✓ C. 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:
A. Loss Payee Clause
B. Mortgagee Clause
C. Lender Clause
D. Additional Insured Clause Ans✓✓✓ B. 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?
A. 6
,B. 12
C. 18
D. 24 Ans✓✓✓ D. 24
A motor vehicle or mobile home which is a total loss is defined as:
A. Lost Profit
B. Salvage
C. Salvageable
D. All of the Above Ans✓✓✓ B. Salvage
It cannot be restored to prior condition
A policy condition, either based on information in the insured's application or
inserted by the insurer, is defined as:
A. Warranty
B. Misrepresentation
C. Concealment
D. None of the Above Ans✓✓✓ A. Warranty
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:
A. Fiduciary
B. Estoppel
C. Public
D. None of the Above Ans✓✓✓ A. 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):
A. Loan Receipt
B. Subrogation Loan
C. Full Release Statement
D. Partial Release Statement Ans✓✓✓ A. Loan Receipt
Enables insurer to bring an action for recovery against a third party
A(n) __________ is one wherein economic loss would be suffered from an
adverse happening to the subject:
A. Conditional Contract
B. Personal Contract
answers
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.
A. HMO
B. Major Medical Insurance
C. Coinsurance
D. PPO Ans✓✓✓ D. 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:
A. Automobile Agent
B. Automobile Representative
C. Limited Customer Service Representative
D. Limited Customer Service Agent Ans✓✓✓ C. 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:
A. Loss Payee Clause
B. Mortgagee Clause
C. Lender Clause
D. Additional Insured Clause Ans✓✓✓ B. 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?
A. 6
,B. 12
C. 18
D. 24 Ans✓✓✓ D. 24
A motor vehicle or mobile home which is a total loss is defined as:
A. Lost Profit
B. Salvage
C. Salvageable
D. All of the Above Ans✓✓✓ B. Salvage
It cannot be restored to prior condition
A policy condition, either based on information in the insured's application or
inserted by the insurer, is defined as:
A. Warranty
B. Misrepresentation
C. Concealment
D. None of the Above Ans✓✓✓ A. Warranty
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:
A. Fiduciary
B. Estoppel
C. Public
D. None of the Above Ans✓✓✓ A. 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):
A. Loan Receipt
B. Subrogation Loan
C. Full Release Statement
D. Partial Release Statement Ans✓✓✓ A. Loan Receipt
Enables insurer to bring an action for recovery against a third party
A(n) __________ is one wherein economic loss would be suffered from an
adverse happening to the subject:
A. Conditional Contract
B. Personal Contract
