1|Page
FLORIDA CLAIMS ADJUSTER EXAM WITH
QUESTIONS AND ANSWERS 100%
VERIFIED
Coverage applies to damage not caused by collision (an animal runs
into your vehicle, hail damages your hood, glass claims, etc.)
In Florida, windshields are replaced for free and you ARE NOT
responsible for paying a deductible.
What is the time frame for a Non-Renewable Temporary License? -
correct answer_ A period not to exceed 6 months
What types of insurance licenses are offered by the Department and
how do they differ? - correct answer_ 1. General Lines Agent 2-20:
licensed to write property/casualty, surety or health insurance.
2. Customer Representative 4-40: must be licensed, appointed by a
General Lines Agent and may assist in transactions in the OFFICE ONLY
3. Limited Customer Representative 4-42: must be licensed, appointed
by a General Lines Agent and transact AUTO insurance in the OFFICE
ONLY.
4. All Lines Claims Adjuster 6-20: investigates, Evaluates and Negotiates
Claims
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What are some reasons for suspension, revocation, or termination of a
license? - correct answer_ 1. Transacting insurance outside of scope of
one's license
►For example, an individual cannot sell life insurance if he or she has a
Customer Service license but has not obtained a life license.
2. Misrepresentation or Fraud.
3. Participating in unfair methods of competition.
►Using discriminatory practices, making false entries on an insurance
application or defaming others.
4. Sliding: Selling an item and stating that it is required by law (when it
is not).
5. Demonstration of unworthiness or lack of fitness.
6. Misappropriation of funds.
7. Failure to inform Department of Financial Services, within 30 days,
after pleading guilty or no contest to a felony.
Compare/contrast different types of adjusters. - correct answer_ 1.
Independent Adjuster - self-employed and not affiliated with either
insurers or bureaus
2. Company/Staff Adjuster - salaried employee under supervision of
home, branch, regional claims department of insurers
3. Public Adjuster - represents the financial interests of the insured
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named in the policy
4. Claims Adjuster - one who is involved in the investigation,
adjustment, negotiation and/or trial preparations of claims arising
under insurance policies
5. Bureau Adjuster - agent of adjustment bureau which serves multiple
company clients
*Independent and Bureau are both "Fee Adjusters"
What is an Insurance Contract? - correct answer_ Insurance is a
contract whereby one undertakes to indemnify another or pay or allow
a specified amount or a determinable benefit upon determinable
contingencies
What are the components that make up the investigation process? -
correct answer_ Inquiry, verification, comparison
What are the Code of Ethics for adjusters? - correct answer_ Formal
rules which impact on adjuster practices
1. Adjusters may not directly negotiate with a claimant who is
represented by an attorney.
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2. In interviewing witnesses, adjusters must avoid any actions tending
to induce a suppression or deviation from the truth. A witness who
requests a copy of a statement given must be provided with a copy.
3. Adjusters shall not give legal advice.
4. Adjusters shall not draft special releases; they are permitted only to
fill in blanks of forms provided by the insurer.
5. Adjusters will not take advantage of an incapacitated claimant which
would be to the detriment of the claimant.
6. Adjusters will not knowingly fail to advise claimants of their rights
under contracts and laws of the state.
7. Adjusters will approach all aspects of the process with an
unprejudiced and open mind, make truthful and unbiased reports,
handle all processes with integrity and accept no remuneration other
than that to which there is legal entitlement, and act with diligence and
due dispatch in achieving proper disposition of claims.
8. The adjuster must put the duty for fair and honest treatment of the
claimant above the adjuster's own interests, in every instance
Frank owned a home that was destroyed by a hurricane. Both ABC and
XYZ Banks were listed as additional interests on his homeowner policy.
The insurance company will make a payment to:
A. The first mortgagee, ABC
B. The Insured
C. Jointly to ABC and XYZ
FLORIDA CLAIMS ADJUSTER EXAM WITH
QUESTIONS AND ANSWERS 100%
VERIFIED
Coverage applies to damage not caused by collision (an animal runs
into your vehicle, hail damages your hood, glass claims, etc.)
In Florida, windshields are replaced for free and you ARE NOT
responsible for paying a deductible.
What is the time frame for a Non-Renewable Temporary License? -
correct answer_ A period not to exceed 6 months
What types of insurance licenses are offered by the Department and
how do they differ? - correct answer_ 1. General Lines Agent 2-20:
licensed to write property/casualty, surety or health insurance.
2. Customer Representative 4-40: must be licensed, appointed by a
General Lines Agent and may assist in transactions in the OFFICE ONLY
3. Limited Customer Representative 4-42: must be licensed, appointed
by a General Lines Agent and transact AUTO insurance in the OFFICE
ONLY.
4. All Lines Claims Adjuster 6-20: investigates, Evaluates and Negotiates
Claims
,2|Page
What are some reasons for suspension, revocation, or termination of a
license? - correct answer_ 1. Transacting insurance outside of scope of
one's license
►For example, an individual cannot sell life insurance if he or she has a
Customer Service license but has not obtained a life license.
2. Misrepresentation or Fraud.
3. Participating in unfair methods of competition.
►Using discriminatory practices, making false entries on an insurance
application or defaming others.
4. Sliding: Selling an item and stating that it is required by law (when it
is not).
5. Demonstration of unworthiness or lack of fitness.
6. Misappropriation of funds.
7. Failure to inform Department of Financial Services, within 30 days,
after pleading guilty or no contest to a felony.
Compare/contrast different types of adjusters. - correct answer_ 1.
Independent Adjuster - self-employed and not affiliated with either
insurers or bureaus
2. Company/Staff Adjuster - salaried employee under supervision of
home, branch, regional claims department of insurers
3. Public Adjuster - represents the financial interests of the insured
,3|Page
named in the policy
4. Claims Adjuster - one who is involved in the investigation,
adjustment, negotiation and/or trial preparations of claims arising
under insurance policies
5. Bureau Adjuster - agent of adjustment bureau which serves multiple
company clients
*Independent and Bureau are both "Fee Adjusters"
What is an Insurance Contract? - correct answer_ Insurance is a
contract whereby one undertakes to indemnify another or pay or allow
a specified amount or a determinable benefit upon determinable
contingencies
What are the components that make up the investigation process? -
correct answer_ Inquiry, verification, comparison
What are the Code of Ethics for adjusters? - correct answer_ Formal
rules which impact on adjuster practices
1. Adjusters may not directly negotiate with a claimant who is
represented by an attorney.
, 4|Page
2. In interviewing witnesses, adjusters must avoid any actions tending
to induce a suppression or deviation from the truth. A witness who
requests a copy of a statement given must be provided with a copy.
3. Adjusters shall not give legal advice.
4. Adjusters shall not draft special releases; they are permitted only to
fill in blanks of forms provided by the insurer.
5. Adjusters will not take advantage of an incapacitated claimant which
would be to the detriment of the claimant.
6. Adjusters will not knowingly fail to advise claimants of their rights
under contracts and laws of the state.
7. Adjusters will approach all aspects of the process with an
unprejudiced and open mind, make truthful and unbiased reports,
handle all processes with integrity and accept no remuneration other
than that to which there is legal entitlement, and act with diligence and
due dispatch in achieving proper disposition of claims.
8. The adjuster must put the duty for fair and honest treatment of the
claimant above the adjuster's own interests, in every instance
Frank owned a home that was destroyed by a hurricane. Both ABC and
XYZ Banks were listed as additional interests on his homeowner policy.
The insurance company will make a payment to:
A. The first mortgagee, ABC
B. The Insured
C. Jointly to ABC and XYZ