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Content Covered (Most Tested Topics)
Maine insurance statutes and regulations
Duties and authority of an insurance adjuster
Unfair claims settlement practices
Workers’ compensation basics
Property and casualty policy structure
Claims investigation procedures
Fraud and misrepresentation
Ethics and fiduciary responsibility
Policy provisions, conditions, exclusions
Subrogation and salvage
Proof of loss and documentation
Fair Claims Practices Act standards
1. An independent adjuster is primarily hired by which of the following?
A. The insured
B. The state insurance department
C. The insurance company
D. The claimant
Answer: The insurance company
Explanation: Independent adjusters are contracted by insurance companies to
investigate and settle claims on behalf of the insurer.
, 2. Which Maine authority regulates insurance adjuster licensing?
A. Maine Claims Commission
B. Maine Department of Labor
C. Maine Bureau of Insurance
D. Maine Insurance Tribunal
Answer: Maine Bureau of Insurance
Explanation: The Maine Bureau of Insurance oversees licensing, regulation, and
enforcement of insurance adjuster activities.
3. A proof of loss must generally include:
A. Only the claimant's address
B. Only repair estimates
C. Detailed statement of loss and amount claimed
D. Only policy number
Answer: Detailed statement of loss and amount claimed
Explanation: A proof of loss is a sworn document detailing the damage, value of
property, and claimed loss amount.
4. An adjuster who represents multiple insurance companies on a contract
basis is known as a:
A. Public adjuster
B. Staff adjuster
C. Independent adjuster
D. Company consultant
Answer: Independent adjuster
Explanation: Independent adjusters are not employees of insurers but are hired
contractually to handle claims.
5. Subrogation refers to the:
, A. Transfer of policy ownership
B. Adjustment of premiums
C. Insurer’s right to recover payment from responsible third party
D. Payment of deductible
Answer: Insurer’s right to recover payment from responsible third party
Explanation: Subrogation allows insurers to recover claim payments from parties
responsible for the loss.
6. When an adjuster intentionally misrepresents policy provisions to a
claimant, this is considered:
A. Legal negotiation
B. Claim assistance
C. Unfair claims practice
D. Policy interpretation
Answer: Unfair claims practice
Explanation: Misrepresenting policy provisions is prohibited under unfair claims
settlement laws.
7. Salvage in insurance refers to:
A. Replacement cost of property
B. Deductible amount
C. Remaining value of damaged property
D. Administrative costs
Answer: Remaining value of damaged property
Explanation: Salvage refers to the residual value of property after a loss.
8. An adjuster must report suspected fraud to:
A. Only the claimant
B. Local repair contractors
C. The insurance company and appropriate authorities
D. The claimant's attorney