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1. If an insured fails to fulfill their duties after a loss, what potential impact could
this have on their insurance claim?
The claim may be denied or reduced.
The insured will receive additional coverage.
The claim will be automatically approved.
The claim will be processed faster.
2. What is the term used to describe the principle that ensures an insured party
is compensated for their loss without profiting from the insurance claim?
Subrogation
Deductible
Indemnity
Exclusion
3. Which of the following cannot be a reason for an insurer to cancel a policy?
substantial increase in the risk
nonpayment pf premium
misrepresentation
claims filed
4. If ABC Insurance fails to include the required details of claims settlement
practices in their periodic performance reports, what potential consequence
could they face from the Commissioner?
, Regulatory penalties or sanctions
No consequences as it is not mandatory
Increased customer satisfaction ratings
Enhanced market reputation
5. If Cindy decides to drive her friend's car without purchasing any additional
insurance, what potential risks could she face in the event of an accident?
She could be held personally liable for damages and injuries.
She will not face any risks as long as she has a driver's license.
She will only be responsible for damages to her friend's car.
Her friend's insurance will cover all costs regardless.
6. Describe how a public adjuster differs from an insurance company adjuster.
A public adjuster only handles claims for commercial properties.
Both types of adjusters work for the same company.
A public adjuster advocates for the policyholder, while an insurance
company adjuster represents the insurer's interests.
An insurance company adjuster is responsible for setting insurance
premiums.
7. If the insured purchases a new vehicle that is IN ADDITION to the vehicle
shown on the Dec page of the ISO personal auto policy, he must ask the IC
to insure the new vehicle within
1 week
30 days
14 days
, 6 months
8. Describe the importance of certification for adjusters working with the
National Flood Insurance Program (NFIP).
Certification ensures that adjusters are knowledgeable about flood
insurance policies and regulations.
Certification guarantees a higher salary for adjusters.
Certification is only a formality and does not impact the adjuster's
work.
Certification is primarily for marketing purposes.
9. Coverage for medical payments under a personal auto policy applies to
expenses following a covered accident that are incurred and services
rendered within what maximum time period?
5 years
3 years
90 days
1 year
10. Describe the significance of Flood Insurance Rate Maps (FIRMs) in the
context of insurance adjusting.
FIRMs are only relevant for commercial insurance policies.
FIRMs identify flood-prone areas, helping adjusters assess risk and
determine coverage needs.
FIRMs provide guidelines for building construction in urban areas.
FIRMs are used to set premium rates for all types of insurance.
, 11. If Sally's actions were deemed intentional and resulted in a claim against her
insurance policy, what might be the potential outcome for her in terms of
liability and reimbursement?
Sally would receive full compensation for her losses without any
repercussions.
Sally could be held liable for the damages and the insurance
company may seek reimbursement through subrogation.
Sally would not be liable as her actions were covered under her
policy.
Sally would only be liable for the damages if she had a separate
liability policy.
12. A Public adjuster primarily represents the interests of:
The Insured named in the policy
The issuer
The Insurance Dept
The independent adjustment company
13. If an Oklahoma driver with minimum liability coverage of 25/50/25 gets into
an accident in Texas, how would the coverage apply to a claim for $40,000
in damages?
$40,000 for bodily injury and $25,000 for property damage.
$50,000 for bodily injury and $25,000 for property damage.
$25,000 for bodily injury per person and $50,000 total for bodily
injury, with no coverage for property damage.
The claim would be fully covered by the Oklahoma policy.