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Adjuster Pro
State Insurance Claims Adjuster-Pro Certification
Insurance Claims Adjuste-Pro Exam
Course Title and Number: Insurance Claims Adjuste-Pro Exam Exam Title: Board Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
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State Insurance Claims Adjuster-Pro Certification 2024- | Adjuster-Pro Exam Section 3 Adjuster-Pro Exam Comprehensive Review Study Guide | 100% Pass Guaranteed | Graded A+ Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - The Personal Auto Policy (PAP) - =Answer>> A policy that combines liability insurance with other optional coverages PAP Policies can cover - =Answer>> -Individuals and residing family members -People driving car with owner's permission -Four-wheeled vehicles under 10,000 lbs *Insurable interest is required PAP Policies will indemnify for: - =Answer>> -Property Damage -Personal Injury -Legal Defense What will PAPs not pay for - =Answer>> Punitive Damages 8 Sections of Typical PAP - =Answer>> 1. Declarations
- Part A Liability
- Part B Medical Payments
- Part C Uninsured Motorist Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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-Comprehensive and Collision Coverage can be added within 4 days of getting new car and are automatically applied for first 4 days with $500 deductible Covered Person - =Answer>> 1. The named insured and family members living in the same household
- Someone using covered auto with permission Minimum amount of auto required for some states - =Answer>> $25,000 for person's injuries $50,000 max for all injuries in any one accident $10,000 max for all property damage Primary Coverage in PAP - =Answer>> Coverage is primary if it involves a car the insured owns Secondary Coverage in PAP - =Answer>> Coverage is secondary if it involves a car the insured does not own Out of State Coverage Provision in PAP - =Answer>> If you meet your home state's requirements, it is assumed you meet the requirements of any other state. PAP Part A - Supplementary Payments - =Answer>> -Assist policyholder with a variety of accident-related expenses -Not subject to liability limits May include: -Lost wages up to $200 per day -Expenses due to insurer's request such as retrieving accidents reports or records -Bails bonds up to $ Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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-Accrued interest after a judgement -Premiums on appeal bonds and attachment bonds PAP Part A - Exclusions - =Answer>> -Intentional Damage -Property owned or transported by the insured -Damages incurred under the scope of employment, except domestic employees ineligible for workers' comp -Properties rented or used by insured -Hired vehicles transporting people or goods -Company-owned business vehicles -Damages or injuries caused whole repairing servicing storing etc. -Vehicles taken without permission No-Fault Insurance - =Answer>> -Designed to indemnify the insured for his own injuries regardless of fault -Covers bodily injury only -Mandatory in some states PAP Part B - Medical Payments - =Answer>> -Provides coverage for the insured -Pays medical expenses of the insured, no matter who caused them -Applies when anyone considered an insured under the policy is occupying or struck by auto -Includes vehicle-pedestrian accidents -Covers eligible payments for up to 3 years, per insuring agreement Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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-Cars used without reasonable belief that permission was granted PAP Part D - Damage to Your Auto - =Answer>> -Called Physical Damage -Protects insured's financial interest in the car -Two types: Collision and Other Than Collision PAP Part D - Collision Coverage - =Answer>> -Pays for damage to insured's vehicle caused by collision or rollover -Applies even when insured is at-fault -For covered auto and any non-owned car insured is driving Payment after a Collusion - =Answer>> -Total Damage: Insurer pays ACV of car at time of the collision -Partial Damage: Insurer pays to repair the car with similar materials -Transportation Expenses: $20/day, up to $ PAP Part D - Other than Collision (Comprehensive) - =Answer>> Covers damages not caused by collision or overturn Comprehensive Coverage Perils under PAP - =Answer>> - Theft -Hail, water, or flood -Windstorm -Fire -Vandalism Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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-Explosion -Earthquake -Riot/Civil Unrest -Missiles or falling objects -Bird or Animals Personal Injury Protection (PIP) No-Fault - =Answer>> -Covers injuries to the insured caused by an accidents, no matter who was at fault Advantages of No-Fault PIP - =Answer>> -Fewer lawsuits -Helps contain rising automobile insurance costs -First party rather than third party claims -Quicker reimbursements -Pays up to the policy limit without recourse Who does PIP Pay for? - =Answer>> -Insured and members of household, in the insured or another's vehicle -Children of the insured while on the school bus -Certain passengers without their own PIP -Licensed drivers who drive the insured's vehicle with permission What does PIP pay? - =Answer>> -Medical costs -Lost wages -Medical transportation expenses -In-home caregivers -Death benefits PIP Primary vs Excess Coverage - =Answer>> -PIP is primary coverage Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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Popular PAP Endorsements - =Answer>> -Suspension of Insurance -Towing and Labor -Extended Non-Owned Coverage -Customized Equipment -Miscellaneous Vehicle -Non-Owner Coverage According to NC PAP Laws the drivers must prove ability to pay for damages through what? - =Answer>> -Motor Vehicle Liability Insurance -Bonds -Self-Insurance North Carolina Minimum Personal Auto Liability Limites - =Answer>> -$30,000 per accident to one person for bodily injury or death -$60,000 per accidents to two or more persons for bodily injury or death -$25,000 per accident for property damage to others -Must include Uninsured Motorist (UM) Coverage North Carolina Penalties for Driving without insurance - =Answer>> -If driver hasn't been in any accidents while uninsured and obtains insurance within 10 days, it is a $ fine for first offense, $150 fine for 3 or more offenses -If driver doesn't obtain insurance within 10 days, license revocation, fine between $50-$ -If driver has been in an accidents, or knew they were driving illegally, license revocation for 30 days Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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-After accidents without insurance commissioner can make driver pay a security up to minimum liability limits NC PAP Laws - Stacking - =Answer>> -Allowed if insured has multiple UM/UIM policies -Insured may not combine UM/UIM coverage of multiple cars on the same policy NC Property Damage Deductible under PAP - =Answer>> $ per insured person NC Laws for Insurer's notification of cancellation in a PAP - =Answer>> -15 days in advance for non-payment of premiums -10 days in advance for all other reasons during the first 60 days of the policy -60 days in advance for all other reasons after that -This applies to UM/UIM coverages only, for all other coverages only 10 days notice required Once a policy has been in effect for 60 days, insurer may only cancel for what reasons - =Answer>> -Non-Payment of premiums -Lying about the driving records or years of experience of an insured -A insured or someone who uses the car regularly with permission, has license revoked during policy period or is convicted of a dui -Insured stops being a NC resident -Insurer's contract with the agent who wrote the policy is terminated Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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According to NC PAP Law additions to Part A - Appraisal Provision - =Answer>> This applies when the claimant and insurer agree that the insured is liable for damages, but cannot agreed on a value for damages. If difference between estimates is greater than $2,000 or 25% of vehicles market value, the dispute will go to appraisal According to the NC PAP Laws Part C - Arbitration Provision
- =Answer>> -Insured may demand arbitration if insurer can not agree on whether an accident is covered -May demand if they file lawsuit within the required time limit for such lawsuits in the state -Demand arbitration in writing within 30 days after the filing the lawsuit What exclusions are added to Part D in NC PAP laws - =Answer>> -Confiscation because insured broke the law -Losses to a covered auto while insured is doing racing activities -Losses to custom equipment in excess of $1, What additional duties after an Accident or Loss does an insured have in the NC PAP Laws Part E - =Answer>> -If insured plans to sue a suspected uninsured motorist, must notify insurer at least 60 days in advance -If the insured plans to demand payment from an underinsured motor vehicle, they must notify the insurer and give insurer opportunity to participate Farmer's Insurance Needs - =Answer>> -Homeowners coverage for personal property Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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-Commercial coverage for business assets -Farm insurance, combining both in one policy Types of Farm Insurance Provided - =Answer>> -Property Insurance for dwelling and contents -Scheduled and Unscheduled Farm Personal Property Insurance -Mobile Agricultural Machinery and Livestock Coverage -Farm Liability Insurance Properties not Eligible for Farm Insurance - =Answer>> - Farms that manufacture or process goods -Farms for raising race or show animals -Some vacant farm properties Farm Property Coverage Forms - =Answer>> -Cover direct losses to physical property on the insured's farm -List the types of property covered -Use attached Cause of Loss forms to list covered perils Scheduled Farm Personal Property - Coverage E - =Answer>> - Insured selects items from a farm inventory -Policy insures only selected items, each for an assigned value -Separate Causes of Loss forms for each insured item Unscheduled Farm Personal Property - Coverage F - =Answer>> -Insures all farm property -Provides blanket coverage for all items together -Single Causes of Loss forms for all items covered -Settles claims Actual Cash Value Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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Farm Property - Causes of Loss Forms - =Answer>> 1. Basic Form
- Broad Form
- Special Form Coverage H of Farm Insurance Policy - =Answer>> Bodily Injury and Property Damage Liability Coverage I of Farm Insurance Policy - =Answer>> -Pays for claims not involving property damage or bodily injury -Includes malicious prosecution, wrongful entry or eviction, and libel or slander Coverage J of Farm Insurance - =Answer>> Medical Payments Coverage Separate Endorsement required for Farm Pollution Liability
- =Answer>> Chemical over-spray from aircraft Custom Farming Liability - =Answer>> -Covers farmers doing contract work -Will not apply if a farmer makes more than $5,000 per year as a contracters If Farmer meets coinsurance requirement, insurer will pay smallest of following - =Answer>> 1. Replacement cost of damaged property
- The amount actually spent on necessary repairs or replacements
- The policy limit Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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If Farmer does not meet coinsurance requirement, insurer will larger of following - =Answer>> 1. Actual Cash Value of Damaged Property
- A fraction of the replacement cost; based on how much claimant had compared to should have had Standard Fire Insurance Policy - =Answer>> -First standardize form of property insurance -Foundation for all other property coverage 12 Additional Coverages for Section I Property - HO Policy - =Answer>> 1. Debris Removal - subjects to limit from A,B,C additional coverage up to 5%
- Reasonable Repairs - reimburses for temporary repairs
- Trees, Shrubs, etc - pays to replace plants, limit $500 each
- Fire department - limit $500, if called no deductible required
- Loss Assessment - Pays when condo charges assessment after loss
- Property Removal - Provides coverage for items removed from danger for 30 days
- Credit Card Fraud - Reimburses for fraud $500 limit
- Collapse - Hidden decay, insects, weight of contents
- Ordinance or Law - Pays difference between old and new code
- Lands furnishing - Protects a landlord who rents furnished $2,500 limit
- Additions and Alterations - HO-4, 6 only covers damages made from alterations
- Grave Markers - Proects against damage to grave plots - limit $5, Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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Conditions Exclusions Endorsements Additional Coverages in Dwelling Policy paid as part of limit
- =Answer>> -Debris Removal -Reasonable Repairs Additional Coverages in Dwelling Policy paid on top of limit - =Answer>> -Ordinance or law -Fire Department Service Charge -Trees, Shrubs, Plants Types of Dwelling Policy Forms - =Answer>> -DP-1 - Basic Form (named peril-coverage covers only fire, lightning, and explosion. Many add extended coverage, covering perils W.C.S.HA.V.V.E.R) -DP-2 - Broad Form (Includes all broad form perils covers damage during burglary not items) -DP-3 - Special Form (Open peril coverage for property structures named peril coverage to personal property) Claim Settlement Condition for Dwelling Policy - =Answer>> - DP -1: Coverage A and B settle at ACV -DP-2 and DP-3: Coverage A and B settle at RC 4 most common Dwelling Policy Endorsements - =Answer>>
- Liability
- Theft (Limited or Broad)
- Dwelling under construction
- Automatic Increase Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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HO Policy Coverage D - Loss of use (Civil Authority) - =Answer>> -Pays for ALE and FRV when civil authority prevents insured from using home -Can include any government entity -Only applies if damage was caused by a covered peril Personal Lines Property Coverage - =Answer>> Intended for personal use such as home or auto Commercial Lines Property Coverage - =Answer>> Intended for business or corporate use such as restaurants or churches Homeowners Insurance Property Coverage - =Answer>> For property inhabited by the insured, their primary residence Homeowners Insurances bundles what type of coverages into one policy - =Answer>> Property and Liability Homeowners Eligibility Requirements - =Answer>> Personal: HO policies are for individuals, not corps, businesses Own & Occupy: For individuals who both own and occupy the residence HO-5 Comprehensive Form - =Answer>> -Provides open perils coverage for structures and personal property
- Most comprehensive coverage available HO-3 Special Form - =Answer>> -Popular form -Open-peril coverage for dwelling and other structures Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
