Florida Claims Adjuster Exam | 206 Questions with 100% Correct Answers | 33 Pages
Course
Claims Adjuster
1. Florida law requires insurers to acknowledge receipt of a claim within how many days?
A. 7 days
B. 14 days
C. 30 days
D. 45 days
✔ Correct Answer: B. 14 days
2. Under Florida’s Unfair Insurance Trade Practices Act, an adjuster must NOT:
A. Explain policy coverage
B. Offer to help the insured complete forms
C. Advise the insured to hire a specific contractor
D. Provide claim status updates
✔ Correct Answer: C. Advise the insured to hire a specific contractor
3. What is the primary purpose of the Florida “Valued Policy Law”?
A. To require all claims to be settled within 30 days
B. To mandate replacement cost coverage
C. To pay the policy limits when a structure is a total loss from a covered peril
D. To limit insurer liability
✔ Correct Answer: C. To pay the policy limits when a structure is a total loss from a
covered peril
4. A claim becomes a “supplemental claim” when:
A. It is filed after the deductible is waived
B. It is made after the initial claim payment for additional damages discovered later
C. The insured disputes the adjuster’s findings
D. It is submitted by a public adjuster
✔ Correct Answer: B. It is made after the initial claim payment
,5. What is the primary duty of an adjuster when dealing with claimants?
A. Serve the insurer first
B. Remain neutral and follow contract terms
C. Minimize payments in all claims
D. Recommend legal representation
✔ Correct Answer: B. Remain neutral and follow contract terms
6. Florida requires adjusters to complete ethics continuing education every renewal period.
How many hours are required?
A. 2 hours
B. 4 hours
C. 10 hours
D. 24 hours
✔ Correct Answer: B. 4 hours
7. What does “reservation of rights” mean in a claim?
A. The insurer refuses to cover the loss
B. The insured must pay the deductible upfront
C. The insurer will investigate while retaining the right to deny coverage later
D. The claim must go to arbitration
✔ Correct Answer: C. The insurer will investigate while retaining right to deny coverage
8. Under Florida law, a sinkhole claim requires what type of inspection?
A. Only a visual inspection
B. A structural engineer or geologist evaluation
C. A building code inspector’s report
D. A city zoning officer’s approval
✔ Correct Answer: B. A structural engineer or geologist evaluation
9. What is “actual cash value” (ACV) in Florida insurance claims?
,A. Replacement cost minus market fluctuations
B. Replacement cost minus depreciation
C. Replacement cost plus inflation
D. Market value of the damaged item
✔ Correct Answer: B. Replacement cost minus depreciation
10. When handling a liability claim, which of the following is NOT part of the adjuster’s
investigation?
A. Determining proximate cause
B. Evaluating damages
C. Admitting fault on behalf of the insured
D. Interviewing witnesses
✔ Correct Answer: C. Admitting fault on behalf of the insured
11. Which statement best defines subrogation?
A. Transferring a claim to a public adjuster
B. The insurer seeking reimbursement from the responsible party after paying a loss
C. The insured assigning benefits to a contractor
D. A negotiation process between insurer and insured
✔ Correct Answer: B
12. For a claim to be considered in “good faith,” an adjuster must:
A. Prioritize closing the claim quickly
B. Consider the insured’s interests equally with the insurer’s
C. Only follow the insurer’s instructions
D. Minimize payments wherever possible
✔ Correct Answer: B
13. Under Florida law, an insurer must pay or deny a claim within how many days after
receiving proof-of-loss?
A. 14 days
B. 30 days
C. 60 days
D. 90 days
, ✔ Correct Answer: C (60 days)
14. What must an adjuster do if they discover a potential conflict of interest?
A. Continue but keep the conflict private
B. Immediately notify all parties involved
C. Withdraw from adjusting entirely
D. Allow the insurer to handle the conflict
✔ Correct Answer: B
15. A homeowner’s policy covers damage from:
A. Flooding from storm surge
B. Earth movement
C. Sudden and accidental water discharge
D. Intentional acts by the insured
✔ Correct Answer: C
16. When determining depreciation, which factor is MOST relevant?
A. Current labor rates
B. Age and condition of the property
C. Number of previous insurance claims
D. Sales records of similar homes
✔ Correct Answer: B
17. If the insured rejects the adjuster’s estimate, the next option typically available is:
A. Appraisal process
B. Subrogation
C. Settlement denial
D. Small claims court
✔ Correct Answer: A
18. What is the purpose of a proof-of-loss statement?
Course
Claims Adjuster
1. Florida law requires insurers to acknowledge receipt of a claim within how many days?
A. 7 days
B. 14 days
C. 30 days
D. 45 days
✔ Correct Answer: B. 14 days
2. Under Florida’s Unfair Insurance Trade Practices Act, an adjuster must NOT:
A. Explain policy coverage
B. Offer to help the insured complete forms
C. Advise the insured to hire a specific contractor
D. Provide claim status updates
✔ Correct Answer: C. Advise the insured to hire a specific contractor
3. What is the primary purpose of the Florida “Valued Policy Law”?
A. To require all claims to be settled within 30 days
B. To mandate replacement cost coverage
C. To pay the policy limits when a structure is a total loss from a covered peril
D. To limit insurer liability
✔ Correct Answer: C. To pay the policy limits when a structure is a total loss from a
covered peril
4. A claim becomes a “supplemental claim” when:
A. It is filed after the deductible is waived
B. It is made after the initial claim payment for additional damages discovered later
C. The insured disputes the adjuster’s findings
D. It is submitted by a public adjuster
✔ Correct Answer: B. It is made after the initial claim payment
,5. What is the primary duty of an adjuster when dealing with claimants?
A. Serve the insurer first
B. Remain neutral and follow contract terms
C. Minimize payments in all claims
D. Recommend legal representation
✔ Correct Answer: B. Remain neutral and follow contract terms
6. Florida requires adjusters to complete ethics continuing education every renewal period.
How many hours are required?
A. 2 hours
B. 4 hours
C. 10 hours
D. 24 hours
✔ Correct Answer: B. 4 hours
7. What does “reservation of rights” mean in a claim?
A. The insurer refuses to cover the loss
B. The insured must pay the deductible upfront
C. The insurer will investigate while retaining the right to deny coverage later
D. The claim must go to arbitration
✔ Correct Answer: C. The insurer will investigate while retaining right to deny coverage
8. Under Florida law, a sinkhole claim requires what type of inspection?
A. Only a visual inspection
B. A structural engineer or geologist evaluation
C. A building code inspector’s report
D. A city zoning officer’s approval
✔ Correct Answer: B. A structural engineer or geologist evaluation
9. What is “actual cash value” (ACV) in Florida insurance claims?
,A. Replacement cost minus market fluctuations
B. Replacement cost minus depreciation
C. Replacement cost plus inflation
D. Market value of the damaged item
✔ Correct Answer: B. Replacement cost minus depreciation
10. When handling a liability claim, which of the following is NOT part of the adjuster’s
investigation?
A. Determining proximate cause
B. Evaluating damages
C. Admitting fault on behalf of the insured
D. Interviewing witnesses
✔ Correct Answer: C. Admitting fault on behalf of the insured
11. Which statement best defines subrogation?
A. Transferring a claim to a public adjuster
B. The insurer seeking reimbursement from the responsible party after paying a loss
C. The insured assigning benefits to a contractor
D. A negotiation process between insurer and insured
✔ Correct Answer: B
12. For a claim to be considered in “good faith,” an adjuster must:
A. Prioritize closing the claim quickly
B. Consider the insured’s interests equally with the insurer’s
C. Only follow the insurer’s instructions
D. Minimize payments wherever possible
✔ Correct Answer: B
13. Under Florida law, an insurer must pay or deny a claim within how many days after
receiving proof-of-loss?
A. 14 days
B. 30 days
C. 60 days
D. 90 days
, ✔ Correct Answer: C (60 days)
14. What must an adjuster do if they discover a potential conflict of interest?
A. Continue but keep the conflict private
B. Immediately notify all parties involved
C. Withdraw from adjusting entirely
D. Allow the insurer to handle the conflict
✔ Correct Answer: B
15. A homeowner’s policy covers damage from:
A. Flooding from storm surge
B. Earth movement
C. Sudden and accidental water discharge
D. Intentional acts by the insured
✔ Correct Answer: C
16. When determining depreciation, which factor is MOST relevant?
A. Current labor rates
B. Age and condition of the property
C. Number of previous insurance claims
D. Sales records of similar homes
✔ Correct Answer: B
17. If the insured rejects the adjuster’s estimate, the next option typically available is:
A. Appraisal process
B. Subrogation
C. Settlement denial
D. Small claims court
✔ Correct Answer: A
18. What is the purpose of a proof-of-loss statement?
