NYS 17-63 Independent Accident and Health
Insurance Adjuster Exam 2026–2027 |
Complete Study Guide with Verified
Practice Questions, Correct Answers &
Detailed Rationales | Latest New York
Insurance Adjuster License Exam Prep PDF
NYS 17-63 INDEPENDENT ACCIDENT AND HEALTH INSURANCE ADJUSTER EXAM
2026–2027
COMPLETE STUDY GUIDE WITH VERIFIED PRACTICE QUESTIONS, CORRECT
ANSWERS & DETAILED EXPERT RATIONALE
OVERVIEW
• This comprehensive study guide contains 200 carefully developed practice
questions covering all critical topics tested on the NYS 17-63 Independent Accident
and Health Insurance Adjuster Exam, enabling you to assess your knowledge
systematically across all major content areas.
• Study this material by working through each question, attempting to select the
correct answer before reviewing the EXPERT RATIONALE, and tracking areas of
weakness to focus your preparation on topics requiring additional review.
1. Under New York Insurance Law, what is the primary purpose of the
Department of Financial Services (DFS)?
A) To manage insurance companies' investment portfolios
B) To regulate and supervise insurance companies and protect consumers
C) To provide direct insurance coverage to individuals
D) To determine insurance premium rates for all policies
E) To collect taxes from insurance policyholders
, CORRECT ANSWER: B) To regulate and supervise insurance companies and
protect consumers
EXPERT RATIONALE: The Department of Financial Services (DFS) is the primary
regulatory body in New York responsible for licensing insurance professionals,
supervising insurance companies, investigating complaints, and ensuring consumer
protection. The DFS enforces insurance laws and regulations to maintain market
integrity and protect policyholders from unfair practices.
2. What does the term "adjuster" mean under New York Insurance Law?
A) An employee of an insurance company who only processes claims
B) A person authorized to investigate, adjust, or settle claims on behalf of insureds
or insurers
C) A medical professional who evaluates injury claims
D) A government employee who assigns claim numbers
E) An accountant who calculates policy premiums
CORRECT ANSWER: B) A person authorized to investigate, adjust, or settle
claims on behalf of insureds or insurers
EXPERT RATIONALE: According to New York Insurance Law, an adjuster is a
licensed professional who has the authority to investigate, adjust, or settle
insurance claims. Adjusters can represent either the insurer or the insured and
must act within the scope of their authority and licensing.
3. Which type of adjuster represents only the insurance company?
A) Public adjuster
B) Independent adjuster
C) Company adjuster
D) Catastrophe adjuster
,E) Sworn adjuster
CORRECT ANSWER: C) Company adjuster
EXPERT RATIONALE: A company adjuster is employed by the insurance company
and represents only the insurer's interests in investigating and settling claims. They
are directly employed by and report to the insurance company, unlike independent
or public adjusters who may represent different parties depending on engagement.
4. A public adjuster is primarily authorized to represent:
A) Insurance companies exclusively
B) The Department of Financial Services
C) Insureds or claimants in pursuing insurance claims
D) Government agencies in disaster situations
E) Medical providers in billing disputes
CORRECT ANSWER: C) Insureds or claimants in pursuing insurance claims
EXPERT RATIONALE: Public adjusters are licensed professionals who represent
policyholders and claimants in negotiating, adjusting, and settling insurance claims.
They work on behalf of the insured to maximize claim recovery and ensure fair
treatment from the insurance company.
5. What is the maximum percentage of a settlement that a public adjuster can
charge as a fee in New York?
A) 10% of the claim amount
B) 15% of the claim amount
C) 20% of the claim amount
D) 25% of the claim amount
E) No maximum percentage limit
, CORRECT ANSWER: C) 20% of the claim amount
EXPERT RATIONALE: New York Insurance Law establishes that public adjusters
cannot charge more than 20% of the claim settlement amount as their fee. This
percentage cap is designed to protect consumers from excessive charges while
allowing public adjusters to earn reasonable compensation for their services.
6. To obtain a license as an Independent Adjuster in New York, applicants
must:
A) Only complete an online course
B) Pay the application fee and provide proof of employment
C) Pass a written examination and meet eligibility requirements
D) Have a minimum of 10 years of insurance industry experience
E) Obtain a referral from an existing adjuster
CORRECT ANSWER: C) Pass a written examination and meet eligibility
requirements
EXPERT RATIONALE: New York requires all independent adjuster applicants to
pass a comprehensive written examination that covers insurance law, claim
procedures, ethics, and other relevant topics. Applicants must also meet eligibility
requirements including age, residency, and clean background standards.
7. Which of the following is NOT a duty of an insurance adjuster in New York?
A) Investigate the loss promptly and thoroughly
B) Determine coverage based on the policy provisions
C) Set insurance company premium rates
D) Prepare accurate claim reports
E) Maintain confidentiality of claim information
Insurance Adjuster Exam 2026–2027 |
Complete Study Guide with Verified
Practice Questions, Correct Answers &
Detailed Rationales | Latest New York
Insurance Adjuster License Exam Prep PDF
NYS 17-63 INDEPENDENT ACCIDENT AND HEALTH INSURANCE ADJUSTER EXAM
2026–2027
COMPLETE STUDY GUIDE WITH VERIFIED PRACTICE QUESTIONS, CORRECT
ANSWERS & DETAILED EXPERT RATIONALE
OVERVIEW
• This comprehensive study guide contains 200 carefully developed practice
questions covering all critical topics tested on the NYS 17-63 Independent Accident
and Health Insurance Adjuster Exam, enabling you to assess your knowledge
systematically across all major content areas.
• Study this material by working through each question, attempting to select the
correct answer before reviewing the EXPERT RATIONALE, and tracking areas of
weakness to focus your preparation on topics requiring additional review.
1. Under New York Insurance Law, what is the primary purpose of the
Department of Financial Services (DFS)?
A) To manage insurance companies' investment portfolios
B) To regulate and supervise insurance companies and protect consumers
C) To provide direct insurance coverage to individuals
D) To determine insurance premium rates for all policies
E) To collect taxes from insurance policyholders
, CORRECT ANSWER: B) To regulate and supervise insurance companies and
protect consumers
EXPERT RATIONALE: The Department of Financial Services (DFS) is the primary
regulatory body in New York responsible for licensing insurance professionals,
supervising insurance companies, investigating complaints, and ensuring consumer
protection. The DFS enforces insurance laws and regulations to maintain market
integrity and protect policyholders from unfair practices.
2. What does the term "adjuster" mean under New York Insurance Law?
A) An employee of an insurance company who only processes claims
B) A person authorized to investigate, adjust, or settle claims on behalf of insureds
or insurers
C) A medical professional who evaluates injury claims
D) A government employee who assigns claim numbers
E) An accountant who calculates policy premiums
CORRECT ANSWER: B) A person authorized to investigate, adjust, or settle
claims on behalf of insureds or insurers
EXPERT RATIONALE: According to New York Insurance Law, an adjuster is a
licensed professional who has the authority to investigate, adjust, or settle
insurance claims. Adjusters can represent either the insurer or the insured and
must act within the scope of their authority and licensing.
3. Which type of adjuster represents only the insurance company?
A) Public adjuster
B) Independent adjuster
C) Company adjuster
D) Catastrophe adjuster
,E) Sworn adjuster
CORRECT ANSWER: C) Company adjuster
EXPERT RATIONALE: A company adjuster is employed by the insurance company
and represents only the insurer's interests in investigating and settling claims. They
are directly employed by and report to the insurance company, unlike independent
or public adjusters who may represent different parties depending on engagement.
4. A public adjuster is primarily authorized to represent:
A) Insurance companies exclusively
B) The Department of Financial Services
C) Insureds or claimants in pursuing insurance claims
D) Government agencies in disaster situations
E) Medical providers in billing disputes
CORRECT ANSWER: C) Insureds or claimants in pursuing insurance claims
EXPERT RATIONALE: Public adjusters are licensed professionals who represent
policyholders and claimants in negotiating, adjusting, and settling insurance claims.
They work on behalf of the insured to maximize claim recovery and ensure fair
treatment from the insurance company.
5. What is the maximum percentage of a settlement that a public adjuster can
charge as a fee in New York?
A) 10% of the claim amount
B) 15% of the claim amount
C) 20% of the claim amount
D) 25% of the claim amount
E) No maximum percentage limit
, CORRECT ANSWER: C) 20% of the claim amount
EXPERT RATIONALE: New York Insurance Law establishes that public adjusters
cannot charge more than 20% of the claim settlement amount as their fee. This
percentage cap is designed to protect consumers from excessive charges while
allowing public adjusters to earn reasonable compensation for their services.
6. To obtain a license as an Independent Adjuster in New York, applicants
must:
A) Only complete an online course
B) Pay the application fee and provide proof of employment
C) Pass a written examination and meet eligibility requirements
D) Have a minimum of 10 years of insurance industry experience
E) Obtain a referral from an existing adjuster
CORRECT ANSWER: C) Pass a written examination and meet eligibility
requirements
EXPERT RATIONALE: New York requires all independent adjuster applicants to
pass a comprehensive written examination that covers insurance law, claim
procedures, ethics, and other relevant topics. Applicants must also meet eligibility
requirements including age, residency, and clean background standards.
7. Which of the following is NOT a duty of an insurance adjuster in New York?
A) Investigate the loss promptly and thoroughly
B) Determine coverage based on the policy provisions
C) Set insurance company premium rates
D) Prepare accurate claim reports
E) Maintain confidentiality of claim information
