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Exam (elaborations)

Claims Adjuster Exam Questions and Answers Grade A+

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Claims Adjuster Exam Questions and Answers Grade A+

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Claims Adjuster Exam Questions and Answers Grade A+
Insurance - Answer--an economic device used to protect against extreme
unforeseen loss
- the transfer of risk from one party to another
Premium - Answer--the fee paid by the insured in exchange for insurance
Principle of Indemnity - Answer--the insurer should be restored to where they
were before the incident
-no profit can be made
Idemnification - Answer--to compensate for loss or damage; to provide security
for financial reimbursement to an individual in case of a specified loss incurred by
the person
4 Elements of a Legal Contract - Answer--Agreement- signature or handshake
-Consideration- money exchange
-Competent Parties-18 yrs. old, sober, sane
-Legal Purpose-no contracts for money laundering
Insured - Answer-individual who pays premiums in exchange for protection
-can be a person, person's or an organization
- "You," "Your," or "Your's"
(if the insured is a group it is important to list the "first named insured,"- because
that is the only one that can authorize changes to the policy)
Insurer - Answer--company or group offering insurance
-can be a government organization
-terms- "We," "Us," and "Our
6 Characteristics of a Contract:

,Personal - Answer--protects the person (insured) from loss
-does not protect property from becoming damaged
-coverage follows the person not the property
6 Characteristics of a Contract:


Adhesion - Answer--one party dictates terms
-the insured has no power to write the contract
-courses will favor the insured in a case of ambiguity
6 Characteristics of a Contract:


Utmost Good Faith - Answer--applicants are expected not to withhold any
information or the contract can be voided
6 Characteristics of a Contract:


Aleatory - Answer--depending on a unknown future event
-Insurer only has to pay in and when covered losses occur
6 Characteristics of a Contract:


Unilateral - Answer--only the insurer make an obligation to pay for covered losses
6 Characteristics of a Contract:


Conditional - Answer--the insurer only has to perform if certain conditions are
met

, Policy Sections


Declarations Page - Answer--makes contract specific to the policy holder


Includes:
-Name of both parties
-Policy Number
-Location & Description of Item
-Value of Insured Item
-Value of item dates
- Amount & Limit of Coverage
-Deductible
-Premium
Policy Sections


Definitions - Answer--it is not technically essential
-need to know info. or language used in the contract
Policy Sections


Insuring Agreement - Answer-summarizes:
-what is covered
-which losses are covered
-maximum limit of policy

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