Claims Adjuster Exam- California State Licensing Exam *Q&A* (100% Correct) 2025/2026 |VERIFIED|
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California claims adjuster
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California Claims Adjuster
Claims Adjuster Exam- California State
Licensing Exam *Q&A* (100% Correct)
2025/2026 |VERIFIED|
What is the primary responsibility of a claims adjuster in California?
To investigate and evaluate insurance claims to determine the extent of the insurer’s liability.
Which of the following ...
Claims Adjuster Exam- California State
Licensing Exam *Q&A* (100% Correct)
2025/2026 |VERIFIED|
What is the primary responsibility of a claims adjuster in California?
To investigate and evaluate insurance claims to determine the extent of the insurer’s liability.
Which of the following is required to become a licensed claims adjuster in California?
Completion of a background check and passing the state’s claims adjuster exam.
How long is a California claims adjuster license valid before renewal is required?
Two years.
What is the penalty for a claims adjuster in California who knowingly engages in fraudulent activity?
The claims adjuster can face fines, suspension, or revocation of their license, and criminal
charges.
Which of the following must a claims adjuster do when investigating a claim in California?
They must conduct a thorough investigation, gathering evidence and statements to evaluate the
validity of the claim.
What action should a claims adjuster take if they find evidence of fraud during the claims process in
California?
1
, The adjuster must report the fraud to the California Department of Insurance.
In California, what is the maximum number of days a claims adjuster has to notify the insured of the
claim status after receiving all necessary information?
15 days.
If a claims adjuster in California fails to meet the deadlines set for claim processing, what may the
insurance company face?
The company may face penalties imposed by the California Department of Insurance.
What is the purpose of a "fair claims settlement practice" in California?
To ensure claims are handled in a timely, ethical, and transparent manner, protecting consumer
interests.
Which of the following actions could result in a claims adjuster being disciplined by the California
Department of Insurance?
Failing to properly investigate or misrepresenting facts during the claim settlement process.
What must a claims adjuster provide to the policyholder after investigating and evaluating their claim?
A written explanation of the insurer’s decision and the basis for it.
In California, what is the role of the "California Insurance Guarantee Association" (CIGA) in claims
adjustment?
CIGA provides coverage for claims against insolvent insurance companies in California.
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