Understanding Claims: Final Test

A public adjuster represents the interest of:
- The insurer.
- The insured.
- The employer.
- The interest of the general public.
Which of the following is the type of report indicates the initial results of a claim investigation?
- Field report.
- Interim report.
- Full report.
- None of the above.
States have adopted statutes regarding claims adjusting. To avoid unfair treatment to a claimant the adjuster must not:
- Promptly investigate the claim.
- Follow the laws regarding the number of days in which to commence an investigation.
- Deny the claim until a fair and prompt investigation has commenced.
- Pay the claim within a reasonable number of days after the final proof of loss has been received.
Which of the following is not a claim settlement option?
- Forcing the insured to sue by offering less than the claim is worth.
- Repairing property.
- Replacing with like kind and quality.
- Replace with new
The giving up of a known right is called:
- Estoppel
- Violation of policy conditions
- Rebating
- Waiver
An innocent party relies on certain statements made by the adjuster and is damaged as a result. The guilty party may be legally prohibited from asserting that the fact does not exist because of:
- Waiver
- Estoppel
- Duties of the adjuster
- Law of contract
Should an insured fail to report a claim in a timely fashion the adjuster will usually:
- Deny the claim.
- Send the insured a reservation of rights letter.
- Cease investigating.
- Seek the advice of the company's attorney.
A company adjuster primarily represents the interests of:
- The insured.
- The claimant.
- The insurer.
- The public.
An adjuster's license will usually be revoked for which of the following reasons:
- Denying claims that are not covered.
- Failing to report a change of address.
- Having been convicted of a misdemeanor.
- Having been convicted of a felony.
The insured has been involved in an automobile accident and has sustained bodily injuries and damage to the insured vehicle. The adjuster will usually:
- Withhold any payment until all. the bills have been reviewed for payment.
- Pay to repair the vehicle and pay the medical bills later.
- Pay for the repair of the vehicle and require a release for all claims.
- Pay to repair the damage to the vehicle and obtain a partial release and settle the medical payments later and then seek a final release.
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Understanding Claims: Final Test

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