Claims Adjuster Test

FREE Claims Adjuster Trivia Questions and Answers

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Which of the following describes a provision in property and casualty contracts that indicates all current, similar policies or endorsements will be interpreted to include the widened coverage if policy or endorsement forms are expanded, and no additional premium is required?

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The clause in property and casualty contracts states that if policy or endorsement forms are broadened, and no additional premium is required, then all existing similar policies or endorsements will be construed to include the broadened coverage, called the "Liberalization" clause.

Something that is considered valuable in legal terms when something is given in exchange for a promise.

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In legal terms, "consideration" refers to something of value that is given by one party to another as part of a contract. In other words, each party must give something of value to the other party. This mutual exchange of consideration is what distinguishes a contract from a mere promise or gift.

What kind of liability does an employer accept through its employees?

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Vicarious liability is based on the principle that an employer benefits from the work and services provided by its employees and, therefore, should also bear the responsibility for any harm caused by those employees while acting on behalf of the employer. This doctrine is especially relevant in situations where the employee's actions are related to their job duties or where the employer has control over the employee's actions.

Who provides a declaratory decision about the validity of a claim?

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A declaratory judgment is a legal judgment or decision issued by a court to resolve legal uncertainty or controversy surrounding a particular claim or legal issue. It allows parties involved in a dispute to seek clarity on their rights and responsibilities without the need for an ongoing legal dispute or imminent threat of legal action.

Public adjusters are always compensated:

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A public adjuster is a licensed professional a policyholder hires to represent their interests in an insurance claim. The public adjuster works on behalf of the policyholder to assess the damages, negotiate with the insurance company, and ensure that the policyholder receives a fair settlement.

Which fundamental policy component is thought to be the most informative among all the others?

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Of all the essential parts of an insurance policy, the Declarations Page is generally considered the most informative. The Declarations Page is typically located at the beginning of the procedure and provides essential information about the policyholder, the insured property or individuals, and the coverage provided under the policy.

How many losses in terms of property and casualties must be incurred in order for an act to qualify as terrorism and be covered by the Terrorism Risk Insurance Act of 2002?

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The act must result in aggregate insured losses exceeding $5,000,000 across all insurers participating in the program. Individual insurers are also required to meet a deductible based on their direct earned premiums.

What situations would an inboard motor boat owned by the insured be covered by the liability part of the homeowner policy?

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An inboard motor boat owned by the insured may be covered by the liability part of the homeowner's insurance policy in certain situations when it is stored on the insured's premises in a garage. However, it's important to note that the coverage provided by a homeowner's insurance policy can vary depending on the specific terms and conditions of the policy.

Who oversees the insurance sector's central regulation?

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The State Department of Insurance (sometimes known as the State Insurance Commissioner or Superintendent of Insurance) in each state in the United States is the primary regulatory body for the insurance sector. Each state has a Department of Insurance that oversees insurance providers and implements insurance regulations within its borders. The Department of Insurance oversees the solvency of insurance companies, establishes insurance regulations, and protects consumers. Additionally, the National Association of Insurance Commissioners (NAIC) is a voluntary association of state insurance regulators that works to standardize insurance practices nationwide and coordinate insurance regulation.

Who is in charge of making sure a ship is seaworthy?

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The ship-owner has a legal obligation and duty of care to maintain the ship in a state of seaworthiness before it sets sail. Failure to meet these obligations and maintain a ship's seaworthiness can lead to serious consequences, including accidents at sea, environmental pollution, and legal liabilities. In some cases, the ship-owner may be held legally responsible for damages and losses resulting from unseaworthiness.

Which of the following would fall under the liability policy of HO?

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A golf cart used to play golf off the insured's premises would typically fall under the liability policy of a Homeowners Insurance (HO) policy. Homeowners Insurance often includes personal liability coverage, which provides protection for the policyholder if they are found legally responsible for bodily injury or property damage to others.

What exactly classifies as a terrorist act?

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The classification of a terrorist act can vary depending on the legal definitions and interpretations in different jurisdictions. However, some common elements that generally characterize a terrorist act is when it involves the use or threat of violence to achieve its intended goals. It may include acts such as bombings, shootings, hostage-taking, or other forms of physical harm.

Which statements are false if an item has a stated, agreed-upon value?

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When an item has a stated, agreed-upon value, it means that the value of the item has been fixed and agreed upon by both parties (usually the insured and the insurer) at the time the insurance policy is issued. The agreed-upon value does not fluctuate with changes in the current market value of the item.

In an insurance policy, which of the following is NOT a section?

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The Closing Statement is not typically considered a section in an insurance policy. An insurance policy usually consists of several sections that outline the terms and conditions of coverage, including the declarations page, insuring agreement, exclusions, conditions, and definitions. The Closing Statement, on the other hand, summarises the policy's critical information, such as the policyholder's name and address, the effective dates of coverage, the policy limits, and the premium amount. While it is an integral part of the policy, it is not typically considered a separate section.

What is the commitment made by one side when it is dependent on a chance occurrence and the values each party proclaims are different?

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In aleatory contracts, the parties may have different expectations regarding the outcomes of the chance occurrence, and the values they put at risk may vary significantly. Common examples of aleatory contracts include insurance contracts, gambling agreements, and certain types of financial derivatives.

A liberalization clause: what is it?

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A Liberalization Clause is a provision in an insurance policy stating that if the insurer broadens the coverage provided under the policy without requiring additional premium, the policy will automatically be updated to include the broader range. A Liberalization Clause aims to ensure that the policyholder benefits from any improvements or changes made by the insurer to the policy without incurring additional costs.