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CLAIM ADJUSTER FLORIDA

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CLAIM ADJUSTER FLORIDA EXAM//2024- 2025 A+ GRADED with correct answers 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 o...

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  • September 16, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CLAIM ADJUSTER FLORIDA
  • CLAIM ADJUSTER FLORIDA
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janetheuri
CLAIM ADJUSTER FLORIDA EXAM
2024/2025 LATEST version with (Q & A)



An adjuster who is self employed and not affiliated with either insurers or bureaus is
defined as a(n): - CORRECT ANSWERIndependent Adjuster

The adjuster's investigation may include all of the following except:

A. Verification of Bills and Estimates
B. Photographs
C. Witness Canvasses
D. Policy Cancellation - CORRECT ANSWERPolicy Cancellation

The assertion of an alleged legal right against an insurer, which carries with it a demand
for appropriate relief, is defined as: - CORRECT ANSWERClaim

Relieving the financial burden on the claimant by making certain payments to the
claimant even before the claim can be negotiated is defined as: - CORRECT
ANSWERAdvanced Payment

The process of disposing of an insurance claim is defined as: - CORRECT
ANSWERAdjusting

Also "the negotiation period that results in an agreement"

All of the following are requirements for the "Code of Ethics," except:

A. Adjusters should not give legal advice
B. Adjusters may negotiate with a claimant who is represented by an attorney
C. A witness who requests a copy of a statement given must be provided with one
D. Adjusters will keep an unprejudiced and open mind - CORRECT ANSWERB.
Adjusters may negotiate with a claimant who is represented by an attorney

Adjusters MAY NOT. Bad, adjuster, bad!

A written statement given by the insured to the insurer acknowledging that money
received in the settlement of damages is received, not as a final payment, but as an
advance pending an outcome of a claim against the person responsible for the damage.
This is defined as a(n): - CORRECT ANSWERLoan Receipt

,Enables insurer to bring an action for recovery against a third party

Duties and functions of the Department of Financial Services include all of the following
except:

A. Approve the issuance of licenses
B. Rating and underwriting rules
C. Claims Supervision
Severability - CORRECT ANSWERInsurance applies separately to each insured as if
other insureds did not exist.

Abandonment - CORRECT ANSWERProperty insurance policies usually contain a(n)
__________ clause, *stating the insured cannot dump damaged property on the insurer
and demand its full value.*

Insurable Interest - CORRECT ANSWEROne wherein economic loss would be suffered
from an adverse happening to the subject.

Liberalization - CORRECT ANSWERStates that if the insurer adopts a revision which
would broaden coverage without additional premium within some period of time prior to
the policy period or during the policy period, the insured receives the benefit of such
broadened coverage..

Doctrine of Proximate Cause - CORRECT ANSWERStates that when there is an
unbroken connection between an occurrence and damage that grows out of the
occurrence, then the resultant damage is all a part of the occurrence.

Actual Cash Value - CORRECT ANSWERThe Loss Settlement Valuation that subtracts
an allowance for depreciation

Warranty - CORRECT ANSWERA policy condition, either based on information in the
insured's application or inserted by the insurer

Conditional Contract - CORRECT ANSWERThe Insurer's responsibility to pay for a
property loss may be conditioned on the insured having used reasonable means to
avoid the loss, to protect the property against further loss, and to give the insurer proof
of the loss is defined as?

Under Mechanical Breakdown Coverage, *new cars are eligible for service up to:* -
CORRECT ANSWER36 Months/36,000 Miles

Used vehicles: 12 Months/12,000 Miles

If financial responsibility doesn't exist at the time of an accident, what happens? -
CORRECT ANSWERThe legally valid claims of others must be satisfied (10/20/10)

, The owner and operator must provide certification of future responsibility for future
accidents

As to required proof for future accidents by purchase of auto liability insurance, the
insurer must make a filing (Form SR-22) certifying that coverage is in effect, and this
certification must remain on file for __________ years - CORRECT ANSWER3

The Business Automobile Policy includes all of the following coverage forms except: -
CORRECT ANSWERThe Trailer Interchange Coverage Form

Personal Injury Protection, or PIP, has a __________ per person, per accident limit. -
CORRECT ANSWER10,000

Used to insure businesses engaged in selling, servicing, repairing, parking or storing
automobiles: - CORRECT ANSWERGarage Coverage Form

The following examples are referred to as __________ liability limits: 25/50/25 or
10/20/10. - CORRECT ANSWERSplit

10/20/10 =
10,000 per person injured
20,000 all injuries combined
10,000 property damage
Example of straight liability limit = $30,000

Jeremy has a not at fault accident. If he has PIP with a $1,000 deductible, how much
can he expect his PIP coverage to pay toward his medical bills that total $3,000? -
CORRECT ANSWER$1,600

3000 (bills) - 1000 (deductible) =
2000 x .80 (eighty percent)

Frank has a not-at-fault accident, he has basic PIP, no deductible and Med pay of
$5,000. How much will his Med Pay contribute to medical bills of $15,000? - CORRECT
ANSWER$5,000

Medical Payment limits apply per person; Frank will receive full amount towards medical
bills.

Which of the following is not one of the rating factors for a Homeowner's Policy? -
CORRECT ANSWERAge & Gender of Insured

On a Homeowner's Policy, covers items that are not permanently attached to the
dwelling. This is defined as: - CORRECT ANSWEROther Structures

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