FREE Claims Adjuster MCQ Questions and Answers
Which of the following would fall under a personal auto policy's other than collision coverage?
A vehicle that sustains damage due to a lightning strike would typically file a claim under the Comprehensive Coverage section of a personal auto policy to seek reimbursement for the repair or replacement costs.
How long does the BOP allow the insurer to ask for the insured's books and records?
Under a Business Owners Policy (BOP), the insurer typically has the right to ask for the insured's books and records during the policy period and for up to three years after the policy expires. This provision allows the insurer to conduct audits and verify that the coverage and premium charged were accurate based on the actual business operations and exposures during the policy term.
A business liability insurance coverage has $200,000 per incident and a $600K aggregate maximum. They had a $300k claim and a $200k claim. If the insured company files a third claim, how much coverage is still available?
After filing the third claim, there is still $100,000 in coverage available for future claims. Therefore, the insured company can still make another claim up to $100,000 and remain within the policy's limits.
The definition of "particular average" under the Ocean Marine Policy is?
In the context of marine insurance, "particular average" refers to a partial loss or damage to an individual item of cargo or the vessel itself that is caused by a specific fortuitous event, and this loss is borne solely by the party who owns or has an insurable interest in the affected property.
How much will be paid under claims expense for loss of earnings to support the insurer in the investigation or defense of a claim under the new 2000 HO forms?
Under the new 2000 Homeowners Insurance (HO) forms, the claims expense for loss of earnings to support the insurer in the investigation or defense of a claim is typically set at $250. This means that if the insured needs to provide documentation or attend hearings or proceedings to assist the insurer in handling the claim, they may be reimbursed for loss of earnings up to the specified amount of $250.
What period of time following the bond's expiration are losses covered under the discovery condition loss sustained form?
Under the "discovery condition loss sustained form" of a bond, losses that are discovered during a specific period of time following the bond's expiration are covered. Commonly, the discovery period extends for one year after the bond's expiration.
If the appraisers are unable to agree on an umpire, who will decide under the appraisal clause?
When the appraisers representing the insured and the insurance company cannot reach an agreement on the umpire, the dispute may escalate to court. The court will then appoint a qualified and neutral umpire to facilitate the appraisal process and resolve the disagreement between the two appraisers.
The insured's car has been damaged by a falling tree. This is an illustration of _________Â loss.
The insured's car being damaged by a falling tree is an illustration of an "other than collision" (OTC) loss, also known as comprehensive coverage in auto insurance. Comprehensive coverage provides protection against damage to the insured's vehicle caused by non-collision events or incidents,
How long must the adjuster wait before reapplying if their license has been suspended?
The waiting period before a suspended adjuster can reapply for a license can vary depending on the regulations and laws in the specific jurisdiction. While some states may impose a one-year waiting period.
Which of the following is not protected by a BOP?
A Business Owner's Policy (BOP) is a type of insurance policy designed for small and medium-sized businesses. Credit Unions are financial institutions that provide banking services. Standard BOPs are generally not sufficient to meet the comprehensive insurance needs of financial institutions.
In terms of crime insurance, what do we define someone who makes a blank deposit at a bank?
In the context of crime insurance, a messenger is considered a key individual who faces certain risks due to their role in handling and transporting valuable assets. Crime insurance may provide coverage for potential losses that may occur if the messenger is a victim of theft, robbery, or other criminal activities while carrying out their duties.
How long is the deadline for filing a claim for medical payments under the homeowner's medical payments coverage?
The deadline for filing a claim for medical payments under the homeowner's medical payments coverage typically varies depending on the specific insurance policy and the regulations in the relevant jurisdiction. However, a common time frame for filing medical payments claims under a homeowner's insurance policy is one year from the date of the accident or injury.
Which of the following is not a covered auto?
If a pickup truck is used for business purposes, such as delivering goods, transporting tools or equipment, or any other business-related activities, it would generally not be covered under a standard personal auto insurance policy.
Which of the following tasks is not permitted for an appraiser to perform?
The reason an appraiser is not allowed to appraise betterment is that it can lead to overvaluing the vehicle's repair costs and potentially result in an unjustified higher claim payout. Instead, appraisers typically assess the cost of restoring the vehicle to its pre-loss condition or the actual cash value of the damaged parts.
Who is not qualified for medical payment protection under the HO policy?
Medical payment protection, also known as "MedPay" or "Guest Medical Protection," is a coverage option that provides reimbursement for medical expenses incurred by guests or visitors who are injured on the insured's property, regardless of who was at fault for the accident.
Which one of the following is not eligible for errors and omissions insurance?
Errors and Omissions (E&O) insurance, also known as Professional Liability insurance, is designed to provide coverage for professionals and businesses against claims related to their professional services, advice, or expertise. Dentists, being healthcare professionals, might face unique risks and complexities, and some insurance providers may not offer standalone E&O policies tailored explicitly for dentists.