FLORIDA CLAIMS ADJUSTER EXAM 2025
QUESTIONS AND ANSWERS.
Mandatory for risks exceeding certain annual premiums, recognizes the prior
loss experience of the risk and applies either a debit for unfavorable experience
or a credit for better-than-expected loss results. This is defined as:
A. The Experience Rating Plan
B. The Retrospective Rating Plan
C. The Risk Plan
D. None of the Above -correct answer-A. The Experience Rating Plan
This, along with Retrospective Rating Plan, is a manual rating process until
premiums reach a certain level.
Under workers compensations, a rate is charged for every
of payroll
to employees.
A. $100
B. $1,000
C. $10
D. $500 -correct answer-A. $100
The National Council on Compensation Insurance enforces this rating.
Under Workers Compensation, Part Four Your Duties if Injuries Occur, an
employer is required to:
,A. Provide the names/addresses of injured persons and witnesses
B. Promptly provide any legal papers
C. Cooperate and assist as insurer requests
D. All of the Above -correct answer-D. All of the Above
Also included: immediate contact with insurer, providing immediate medical or
other services, do nothing to interfere with insured's right of recovery, make no
voluntary payments or assume any obligation except at employer's own cost.
Under Workers Compensation, Employers Liability includes:
A. Claims by others for the liabilities to insureds employees
B. Claims by relatives of injured employees for consequential damages
C. Claims made by employees that are not subject to Workers Comp Laws
D. All of the Above -correct answer-D. All of the Above
Samantha eats uncooked chicken at a local barbecue joint and becomes
violently ill. Which of the following workers compensation benefits would pay
for this occurrence?
A. A products and completed operations form
B. A premises and operations form
C. An owners and contractors protective liability form
D. None of the Above -correct answer-D. None of the Above
Samantha is not an employee of the barbecue joint; Workers Comp does not
apply.
An optional alternative providing for adjustment of premium after expiration,
based on a guaranteed basic premium to the insurer to which is added the actual
losses incurred by the insured. This is defined as:
,A. Cost-Plus Rating Plan
B. Experience Rating Plan
C. Retrospective Rating Plan
D. None of the Above -correct answer-C. Retrospective Rating Plan
Often referred to as Cost-Plus Programs
Under Employer's Liability, the minimum limits of liability are:
A. 100/100/500
B. 100/500/1000
C. 500/100/500
D. 100/500 -correct answer-A. 100/100/500
$100,000 for all claims in each accident
$100,000 per employee for disease
$500,000 for all disease claims
Under Inside The Premises - Robbery or Safe Burglary of Personal Property, a
special limit of per occurrence applies to articles
whose principal value is precious metals, precious or semiprecious stones,
pearls or furs, and to the physical or intrinsic value of manuscripts, drawings
or records:
A. $1,000
B. $2,000
C. $4,000
D. $5,000 -correct answer-D. $5,000
, Under Crime Insurance, losses must be discovered within 1 year. This is
defined as:
A. The Discovery Period
B. The Loss Sustained Period
C. The Open Period
D. All of the Above -correct answer-A. The Discovery Period
Crime Insurance is over any other Insurance coverage.
A. Primary
B. Secondary
C. Excess
D. Recess -correct answer-C. Excess
A situation may arise where another form of insurance will pay claim - that
insurance would be primary.
Cover Only Losses That Both Occurred And Were Discovered During The
Policy Period, Or Within One Year Of Its Expiration. This Is Defined As:
A. Discovery
B. Loss Sustained
C. Sustained Loss
D. None Of The Above -Correct Answer-B. Loss Sustained
One Exception To The Rule Is That Loss Sustained Forms Will Also Cover
Losses That Occurred Under Previous (Expired) Crime Policies And That
Were Discovered During Current Policy Year, As Long As Crime Coverage
Had Continued W/O Interruption
QUESTIONS AND ANSWERS.
Mandatory for risks exceeding certain annual premiums, recognizes the prior
loss experience of the risk and applies either a debit for unfavorable experience
or a credit for better-than-expected loss results. This is defined as:
A. The Experience Rating Plan
B. The Retrospective Rating Plan
C. The Risk Plan
D. None of the Above -correct answer-A. The Experience Rating Plan
This, along with Retrospective Rating Plan, is a manual rating process until
premiums reach a certain level.
Under workers compensations, a rate is charged for every
of payroll
to employees.
A. $100
B. $1,000
C. $10
D. $500 -correct answer-A. $100
The National Council on Compensation Insurance enforces this rating.
Under Workers Compensation, Part Four Your Duties if Injuries Occur, an
employer is required to:
,A. Provide the names/addresses of injured persons and witnesses
B. Promptly provide any legal papers
C. Cooperate and assist as insurer requests
D. All of the Above -correct answer-D. All of the Above
Also included: immediate contact with insurer, providing immediate medical or
other services, do nothing to interfere with insured's right of recovery, make no
voluntary payments or assume any obligation except at employer's own cost.
Under Workers Compensation, Employers Liability includes:
A. Claims by others for the liabilities to insureds employees
B. Claims by relatives of injured employees for consequential damages
C. Claims made by employees that are not subject to Workers Comp Laws
D. All of the Above -correct answer-D. All of the Above
Samantha eats uncooked chicken at a local barbecue joint and becomes
violently ill. Which of the following workers compensation benefits would pay
for this occurrence?
A. A products and completed operations form
B. A premises and operations form
C. An owners and contractors protective liability form
D. None of the Above -correct answer-D. None of the Above
Samantha is not an employee of the barbecue joint; Workers Comp does not
apply.
An optional alternative providing for adjustment of premium after expiration,
based on a guaranteed basic premium to the insurer to which is added the actual
losses incurred by the insured. This is defined as:
,A. Cost-Plus Rating Plan
B. Experience Rating Plan
C. Retrospective Rating Plan
D. None of the Above -correct answer-C. Retrospective Rating Plan
Often referred to as Cost-Plus Programs
Under Employer's Liability, the minimum limits of liability are:
A. 100/100/500
B. 100/500/1000
C. 500/100/500
D. 100/500 -correct answer-A. 100/100/500
$100,000 for all claims in each accident
$100,000 per employee for disease
$500,000 for all disease claims
Under Inside The Premises - Robbery or Safe Burglary of Personal Property, a
special limit of per occurrence applies to articles
whose principal value is precious metals, precious or semiprecious stones,
pearls or furs, and to the physical or intrinsic value of manuscripts, drawings
or records:
A. $1,000
B. $2,000
C. $4,000
D. $5,000 -correct answer-D. $5,000
, Under Crime Insurance, losses must be discovered within 1 year. This is
defined as:
A. The Discovery Period
B. The Loss Sustained Period
C. The Open Period
D. All of the Above -correct answer-A. The Discovery Period
Crime Insurance is over any other Insurance coverage.
A. Primary
B. Secondary
C. Excess
D. Recess -correct answer-C. Excess
A situation may arise where another form of insurance will pay claim - that
insurance would be primary.
Cover Only Losses That Both Occurred And Were Discovered During The
Policy Period, Or Within One Year Of Its Expiration. This Is Defined As:
A. Discovery
B. Loss Sustained
C. Sustained Loss
D. None Of The Above -Correct Answer-B. Loss Sustained
One Exception To The Rule Is That Loss Sustained Forms Will Also Cover
Losses That Occurred Under Previous (Expired) Crime Policies And That
Were Discovered During Current Policy Year, As Long As Crime Coverage
Had Continued W/O Interruption
