Correct Answers
ClaimCORRECT ANSWERS✔✔An assertion of an alleged legal right against a person, entity, company or
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insurer that carries with it a demand for money as compensation for injuries or damage
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What are you really buying when you purchase insurance?CORRECT ANSWERS✔✔Peace of mind
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Why is insurance such a unique product?CORRECT ANSWERS✔✔It is a financial product. The purchase of a
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promise base totally on trust that is absolutely essential in today's world.
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First foremost and always what is an adjuster's most important objective in today's world of
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insurance?CORRECT ANSWERS✔✔To help those who have been injured, or who have suffered a loss that is
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covered by the insurance contract or for which an insured policy holder is responsible while at the same
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time minimizing loss for the insured party and or carrier
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In today's society, the most important factor in the purchase of insurance isCORRECT ANSWERS✔✔Trust
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What would Joe do as an adjuster?CORRECT ANSWERS✔✔INVESTIGATE, EVALUATE, AND SETTLE
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INSURANCE CLAIMS ON BEHALF OF AN INSURER OR INSURED.
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Joe saw an ad in the paper..... difference between an adjuster who works in the healthcare industry versus
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an adjuster in the property/casualty, insurance industry. What would you say?CORRECT
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,j ANSWERS✔✔Healthcare adjusters are processors, who reimburse medical bills if they fall within a list of j j j j j j j j j j j j j j
j approved conditions or treatment. A property/casualty adjuster evaluates a legal responsibilities,
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j determines what or how much is owed and pays or settles claims. j j j j j j j j j j j
If Joe, where to go to work for an insurance company, what kind of adjuster with Joe be?CORRECT
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ANSWERS✔✔A company/staff adjuster
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Joe is really intrigued by his neighbors work and ask him who he works for. His neighbor told him that he
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owns his own adjusting company and adjust claims are several different companies. In other words he takes
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claim assignments from whoever calls. What kind of adjuster is he?CORRECT ANSWERS✔✔An
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independent adjuster
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Joe's neighbor tells him that field adjusting is "the best job in the insurance industry". Joe doesn't envision
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himself sitting behind a desk, so he is intrigued by this as well and white lines of business business with Joe
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need to experience to have the greatest chance of getting a good field adjusting jobCORRECT
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ANSWERS✔✔Multi-line adjusting
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Joe sister is a nurse who works in a nearby hospital. As he talks to her about his interest, she asked him what
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type of adjusting she would be most qualified for if she were interested, which kind of adjusting would
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present her with the greatest opportunity? What would you tell her?CORRECT ANSWERS✔✔Worker's
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compensation
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Joe's neighbor told him that he really prefers working with litigated claims dealing with the lawyers, getting
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it in negotiations and going to depositions and trials. What kind of claims does Joe's neighbor
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prefer?CORRECT ANSWERS✔✔Liability adjusting
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If Joe, we're just strictly handle, hurricane tornado hellfire, and other claims of this nature, what line of
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business would Joe be adjustingCORRECT ANSWERS✔✔Property
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While driving home from an interview, Joe was rear ended. He's not injured so he makes a claim against the
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other drivers insurance policy for damages to his vehicle. The person taking the claim advises Joe that he will
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,j be contacted within 24 hours by an adjuster. From what type of adjuster will Joe likely hear?CORRECT
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j ANSWERS✔✔An auto physical damage adjuster j j j j
The claims manager told Joe a story of one of the best adjusters he had ever known, and how he had been
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forced to fire the man because he just would not document to clean files with ongoing status. What kind of
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responsibility did the adjuster fail to fulfill?CORRECT ANSWERS✔✔Communicating and reporting
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The claims manager then told Joe a story about one adjuster who made a deal with a body shop to pay the
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adjuster $100 for every damaged automobile that he referred, referred for repair. The adjuster is ultimately
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fired. What responsibility did that adjuster fail to fulfill?CORRECT ANSWERS✔✔Fiduciary responsibility
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The claims manager also told about a young adjuster who lost his temper and cursed out an insured
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policyholder. He was arguing about a claim the adjuster has denied. The insured policyholder sued the
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company and collected $50,000 for slander in the embarrassment caused the insured what responsibility
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did that adjuster fail to fulfill?CORRECT ANSWERS✔✔Agency: the power to bind
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Which of the following is NOT one of the basic adjusting functions?CORRECT ANSWERS✔✔Inspection
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Which of the following best describes the functions of claims evaluation?CORRECT
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ANSWERS✔✔Establishing a dollar value for a claim
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In which of the following settlement types, would you pay what is owed and invite the claimant to contact
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you with any further expenses or questions?CORRECT ANSWERS✔✔No release "walk away"
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True or false; an adjuster's claim file is considered "work product" and therefore confidentialCORRECT
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ANSWERS✔✔False
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The main components of the investigative process are:CORRECT ANSWERS✔✔Inquiry verification and
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comparison
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, The adjusters code of ethics starts with a basic premise, which states:CORRECT ANSWERS✔✔The work of
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adjusting engages the public trust
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Which of the following would not be a preferred claims practice or behavior under Florida's unfair
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insurance, trade practices act?CORRECT ANSWERS✔✔Not responding to an insured's calls because you
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haven't made up your mind yet
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Upon conclusion of a claims, investigation and adjuster determines if there was no coverage in effect for the
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loss and denies the claim. The adjuster later received notification that he in the carrier being sued due to a
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violation of Florida's unfair insurance trade practices act. Which of the following actions in the adjusters
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claim handling process would be considered a violation of the act?CORRECT ANSWERS✔✔The adjuster
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inform the policyholders attorney of the denial over the phone, closed the file and moved onto his next case
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Which of the following is not one of the four critical elements of a contractCORRECT ANSWERS✔✔Written
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evidence of the agreement and its terms.
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An insurance policy is often referred to as a contract of adhesion. This means:CORRECT ANSWERS✔✔If any
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of the wording or language in the policy is vague or ambiguous, if the meaning of the wording is difficult to
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understand or interpret, or if what is written can be interpreted to have different meanings, the law is well
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settled that the interpretation shall be in favor of the party who did not control its terms...in this case, the
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policyholder.
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Breach of contract to buy a carrier or it's adjusters, through non-payment, or noncompliance with policy
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requirements, could have which of the following consequences for a carrier:CORRECT ANSWERS✔✔If
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found guilty of a breach of contract, the carrier could be punished with a bad faith verdict that would cost it
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millions of dollars
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Which of the following is not a fundamental part of an insurance policy:CORRECT
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ANSWERS✔✔endorsement
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Which of the following is one of the duties of an insured following a loss?CORRECT ANSWERS✔✔giving
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prompt notice of loss to the insurer
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