2026|2027 Actual Complete Real Exam Questions And Correct
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What is the first step an adjuster should take after receiving a new
liability claim? -ANSWER- Establish the claim and conduct an initial
review. The adjuster should identify the parties, record the reported
loss, review the available policy information, identify urgent issues, and
plan an appropriate investigation.
Why must an adjuster verify that an insurance policy was in force on
the date of loss? -ANSWER- To establish whether the loss occurred
during the applicable policy period. The adjuster must review the
effective dates, expiration date, and any relevant cancellation or
termination provisions before making a coverage determination.
What is the primary purpose of a liability investigation? -ANSWER- To
establish the facts surrounding the incident and evaluate potential legal
responsibility. The investigation may include witness interviews,
photographs, statements, physical evidence, medical records, and
applicable legal principles.
What is negligence in liability insurance claims? -ANSWER- A failure to
exercise the level of care required by law that results in legally
recognized harm. Depending on the jurisdiction and circumstances, the
,claimant generally must establish the required elements of negligence
to recover damages.
What are the four traditional elements of negligence? -ANSWER- Duty,
breach, causation, and damages. The claimant generally must establish
that the defendant owed a duty of care, breached that duty, caused the
injury or loss, and produced legally recoverable damages.
What is the difference between actual cause and proximate cause? -
ANSWER- Actual cause concerns whether the harm would have
occurred without the defendant's conduct, while proximate cause
concerns the legally sufficient connection between that conduct and
the harm. The precise tests vary according to applicable law.
What is comparative negligence? -ANSWER- A legal method of
allocating responsibility for a loss among parties according to their
respective fault. The claimant's recovery may be reduced or barred
depending on the jurisdiction's comparative-fault rules and the
circumstances of the case.
Why should an adjuster obtain statements from witnesses to an
accident? -ANSWER- To gather independent accounts of the incident.
Witness statements can help establish the sequence of events, identify
inconsistencies, and clarify disputed facts, although credibility and
reliability must still be evaluated.
, What is the purpose of taking photographs during a claim
investigation? -ANSWER- To preserve visual evidence of the scene,
damage, and relevant conditions. Photographs should be properly
identified, dated when possible, and retained in the claim file with
other supporting documentation.
Why should an adjuster distinguish between facts and assumptions in a
claim report? -ANSWER- To ensure that conclusions are supported by
evidence. Clearly separating verified information from opinions or
unconfirmed allegations improves the reliability of the investigation
and reduces the risk of unsupported decisions.
What is a recorded statement in claims adjusting? -ANSWER- A
documented account of a person's recollection of an incident,
preserved in audio, video, or written form. The adjuster should follow
applicable consent, privacy, and procedural requirements and ask clear,
neutral questions.
What is the purpose of a medical authorization in a bodily injury claim?
-ANSWER- To permit access to specified medical information when
valid authorization is provided. The adjuster should obtain only
information that is appropriately authorized and relevant to evaluating
the claimed injuries and damages.
Why is it important to review prior medical records in a bodily injury
claim when legally permitted? -ANSWER- To evaluate the nature,
timing, and possible causes of the claimed condition. Prior records may