CCA Auto and Property Claims Flashcards
6 cards from real CCA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CCA Auto and Property Claims flashcards as text
What is the role of a 'public adjuster'?
Answer: A state-licensed professional hired by the insured to negotiate with the insurer on their behalf
A public adjuster is retained by the policyholder to represent their interests in preparing and negotiating an insurance claim with the insurer.
Under most auto policies, 'medical payments coverage' (MedPay) differs from PIP in that MedPay:
Answer: Pays regardless of fault but only for medical expenses, with no lost wage coverage
MedPay covers medical expenses for the insured and passengers regardless of fault, but unlike PIP, it generally does not cover lost wages or other economic losses.
A catastrophe adjuster is deployed after a hurricane. Their primary role is to:
Answer: Rapidly assess and settle a high volume of claims in a disaster-affected area
Catastrophe adjusters are deployed to disaster zones to efficiently handle a large volume of property claims following a major weather event or natural disaster.
What is an 'appraisal clause' in a property insurance policy?
Answer: A dispute resolution mechanism allowing each party to select an appraiser to determine the value of a loss
The appraisal clause provides a formal process for resolving disputes about the amount of a loss — each side appoints an appraiser, and they select an umpire if needed.
Coinsurance in property insurance penalizes the insured when:
Answer: The insured carries less insurance than the required percentage of the property's value
A coinsurance clause requires the insured to carry coverage equal to a specified percentage (commonly 80%) of the property's value; carrying less results in a reduced payout at claim time.
When adjusting a water damage claim, the adjuster identifies both covered (burst pipe) and excluded (gradual seepage) damage. How should the claim be handled?
Answer: Pay only for the covered damage attributable to the burst pipe and exclude the seepage-related damage
When covered and excluded perils contribute to a single loss, the adjuster must allocate damages and pay only for the portion caused by the covered peril.