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St. John’s University
(New York, NY)
[Risk Management and Insurance Program.]
State Insurance Claims Adjusters Certification
New York, NY Claims Adjuster Exam
Course Title and Number: Claims Adjuster 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
Instructions:
**1. Read each question carefully.
- Answer all questions.
- Use the provided answer sheet to mark your responses.
- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you have** **completed the Exam.
- This test has a time limit, The test will save and submit automatically** **when the time expires
- This is Exam which will assess your knowledge on the course Learning** Resources.
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State Insurance Claims Adjusters Certification 2024- New York N.Y General Adjuster (10-70) Exam Review Questions and Correct Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Crop insurance limits are usually written - =Answer>> % of max possible loss Crop insurance usually protects a proportion of the reduced yield following an insured loss. "Reduced yield" means: - =Answer>> Covg will pay the determined % reduction in yield times amt of insurance/acre, regardless of actual crop size All insurable acreage of the crop - =Answer>> Define "unit" refer to in crop insurance Knee cap - =Answer>> Patella Which of the following describes that which is lateral to the center of the body? a. medial b. anterior c. post anterior d. lateral - =Answer>> Medial Covered under Fed Employees Comp act a. railroad workers b. dockworkers c. coal miners d. postal workers - =Answer>> Railroad workers Which not covered under Jones Act - =Answer>> Tourists on cruise ship Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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Radiography - =Answer>> Which of following is used to determine if a bone is broken or fractured: a. radiography b. arthroscopy c. CT scan d. MRI eccylmosis refers to - =Answer>> Bruise luxation - =Answer>> dislocation below - =Answer>> hypo refers to specified action or result - =Answer>> osis Review hospital bills to help control costs - =Answer>> utilization review used to joint at the wrist - =Answer>> carpal prefix osteo - =Answer>> bone test to determine anemia - =Answer>> hemoglobin test Shows & produces detailed cross section of tissue - =Answer>> A CAT scan has advantage over X-ray because: Attaches muscle to bone - =Answer>> Tendon Which vertebra is comprised of 5 fused vertebra - =Answer>> sacral vertebrae joint is bent at an extremity, this is: - =Answer>> gliding Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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Procedure allows one to view inside a joint - =Answer>> MRI A claims adjuster submits a claim for review by 2 or more adjusters to evaluate claim is called: - =Answer>> Round-table technique Workers comp; how are benefits determined for an injured employee? - =Answer>> state statutes What workers comp coverage would apply if an injured employee's spouse brings a wrongful death suite against the employer? - =Answer>> employers liability B/C Fed Employees Liability act governs Jones Act, statute of limitations for a maritime injury suit is____ from date of injury - =Answer>> 3 years Which defines viewing a fractured bone? - =Answer>> Radiography A room is 16ftx12ft w/ 8ft ceiling. What is square footage of walls? - =Answer>> 448 feet Med expense policy covers which of the following? - =Answer>> Hospital expenses A roof has shingles that are 5in wide; how many shingles would be required for a row 10 ft long? - =Answer>> 24 shingles Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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=Answer>> Underinsured motorist coverage covers which situation? Commercial crime coverage provides coverage for when money &/or securities are carried off the insured's premises? - =Answer>> Messenger Under commercial auto policy providing physical damage, which offers broadest coverage? - =Answer>> Comprehensive Not covered under specified cause of loss physical damage coverage under commercial auto form? - =Answer>> Glass breakage Needs bailee coverage? - =Answer>> TV repair shop In the promulgation of workers comp rates, which is factor in calculation of rates (best answer) - =Answer>> Experience modification factor Amount insured must pay when underlying coverage doesn't cover the claim & umbrella policy does. - =Answer>> Under commercial umbrella policy, what is self insured retention for insured? Insured carries aircraft liability coverage w/ "admitted aircraft liability" coverage. If a passenger is injured in an accident, who negotiates payment of claim? - =Answer>> Insurer Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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Under what circumstances would an insurance company request a declaratory judgment from a court? - =Answer>> When there is a question of coverage Payment bond is what type of instrument? a. performance bond b. bid bond c. financial guarantee bond d. fidelity bond - =Answer>> Financial guarantee bond What type of med insurance is regulated by ERISA? - =Answer>> Self funded plan What type of passenger would not be covered under an aircraft liability policy w/ passenger coverage excluded? - =Answer>> Travel agent What must one do to obtain an emergency adjuster's license in NY? - =Answer>> Complete necessary application On what date does an adjuster's license need to be renewed? - =Answer>> 12/1 - even numbered yrs What is the amount of bond that must be posted to obtain and adjuster's license? - =Answer>> $1, When can the Superintendent of Insurance revoke an adjuster's license? a. anytime b. by sending a 30 day notice of the renovation c. not until a hearing is held d. When proof of offense has been received - =Answer>> Not until hearing held Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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vehicle on company business. - =Answer>> Covers the employer when the employee is using their vehicle on company business. Which is not covered under worker's comp coverage? a. med expenses b. pain & suffering c. loss of wages d. funeral expenses - =Answer>> Pain & Suffering Who makes a declaratory judgment as to the merits of a claim? a. claims adj b. insurer attorney c. court d. claimants attorney - =Answer>> The court What type of liability does an employer assume through their employees? a. primary b. contingent c. vicarious d. no fault - =Answer>> Vicarious What part of the policy contains the promises made by the insurance company to the insured? a. conditions clause b. definitions c. exceptions to exclusions d. insuring agreement - =Answer>> The insuring agreement In property & casualty insurance, when must a person absolutely have an insurable interest? a. time of app completion b. time of loss c. at any time d. insuring agreement - =Answer>> At the time of the loss Something that has value in the eyes of the law in which a promise receives something in return for a promise - =Answer>> Definition of consideration Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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The promise by one party that is conditioned on a fortuitous event and the values given by the parties are unequal is called? a. executory b. aleatory c. speculation d. a static risk - =Answer>> Aleatory What constitutes an act of terrorism - =Answer>> Violent act that is dangerous to human life and property How much property and casualty los must be sustained to be considered an act of terrorism to be covered by the Terrorism Risk Insurance Act of 2002 - =Answer>> Losses over $5,000, Individual(s) acting on behalf of any foreign person or interest in an effort to coerce the civilian pop. of USA - =Answer>> Act of terrorism & covered under Terrorism Risk Act of 2002, act must be committed by? Who would be covered under homeowner med payments? a. friend helping insured lay carpet b. foreign exchange student living w/ insured c. tenant of insured's residence d. son of insured bitten by family dog - =Answer>> A friend helping insured lay carpet Which personal insurance policy covers w/out endorsement, both personal property & personal liability coverages? a. DP-3 form b. personal articles floater c. homeowner policy d. personal property floater - =Answer>> Homeowner policy Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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if the insured company has a 3rd claim? - =Answer>> $200, Under new 2000 HO forms, how much will be paid under claims expense for loss of earnings to assist the insurer in the investigation or defense of a claim? - =Answer>> $ The deductible that applies when the underlying coverage does not apply but the umbrella coverage does - =Answer>> Under a commercial umbrella policy, what is the reaction limit? Which of the following would not be a prospect for errors and omissions insurance? a. dentist b. insurance agents c. real estate agents d. lawyers - =Answer>> Dentist Which of the following cannot be covered under a BOP? a. credit union b. office buildings c. apartment buildings d. small gift shop - =Answer>> Credit Union What do we call a person that takes a blank deposit to a bank as respects to crime insurance? a. custodian b. cashier c. messenger d. manager - =Answer>> Messenger Under the discovery condition loss sustained form, how long are losses covered after the bond has expired? - =Answer>> One year Who has the responsibility to see that a ship is seaworthy? - =Answer>> The ship-owner Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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Under the appraisal clause, if the appraisers cannot agree on an umpire, who can make the decision? - =Answer>> Court Under the BOP, up to how many years can the insurer request the insured's books and records? - =Answer>> 3 Under the workers comp endorsement available under the 2000 HO forms, resident employees can be covered: a. as required by law b. as needed by policy holder c. subject to policy limits of liability d. provides for limited recovery of injuries - =Answer>> As required by law When no admitted, authorized insurer offers the particular line of insurance needed in the date - =Answer>> When can excess lines insurance be written? What are the Financial Responsibility limits in the State of NY? - =Answer>> 25/50/10 with 50/100 for death If the adjuster's license is revoked, how long must he or she wait to reapply? - =Answer>> 1 year How many years must a business be in business before they can qualify as a self-insurer for worker's comp? - =Answer>> 3 years Which of the following is an appraiser prohibited from performing? - =Answer>> Appraising betterment of a vehicle Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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Who is not eligible for med pay coverage under the HO policy? A. insured B. insured's children C. tentant D. None - =Answer>> None of the above The failure to do what a reasonably prudent person would do under the circumstances is: - =Answer>> Negligence An uninterrupted chain of events resulting from negligence results in injury or damage - =Answer>> Proximate cause In which part of an insurance contract would you expect to find a description of the duties and obligations of the insured? - =Answer>> Conditions In the property and casualty insurance field, when must interest exist in order for a loss to be covered? - =Answer>> At the time of the loss* A specific offer by 1 party and acceptance by the other - =Answer>> What constitutes "agreement" to enter valid contract? Under personal auto policy, which of the following persons would be excluded from coverage for bodily injury and property damage liability? - =Answer>> Employee of named insured while transporting passengers for a fee Under the physical damage portion of a personal auto policy, if the insured's car is stolen, transportation expenses will be provided after waiting period of: - =Answer>> 48 hours Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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Which is not eligible for insurance under personal auto policy? A. farm pickup, wt 4k lbs B. station wagon C. Motorcycle D. Jeep - =Answer>> A motorcycle T/F Concerning the business auto coverage: Med pay coverage is automatically provided - =Answer>> False T/F Concerning liability portion of personal auto policy: Bodily injury arising out of operation a pickup used for farming is not covered. - =Answer>> False* What is the max amount payable for bail bonds under the supplementary payments provided by a personal auto policy - =Answer>> $250* Covers injuries caused by hit-and-run drivers - =Answer>> Uninsured motorist coverage: Someone who does not own an automobile, but who drives borrowed or rented autos. - =Answer>> Named non-owner coverage, provides insurance for: Under a business auto policy, which of the following types of physical damage loss is not covered? - =Answer>> Loss to radar detection equipment Which of the following is not an "insured" under business auto liability coverage? - =Answer>> The owner of a trailer borrowed by named insured Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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reimbursement from the responsible party. This is known as: - =Answer>> Subrogation What type of automobile coverage does a person need that does not own a vehicle? - =Answer>> A non-owned auto policy What personal auto endorsement is needed when 2 persons living in the same household, other than husband and wife who jointly own a private passenger auto or pickup or van? a. dual ownership endorsement b. combined ownership endorsement c. joint ownership endorsement d. broad form named ownership endorsement - =Answer>> Joint ownership endorsement The insured owns a motor home, which is not covered by the insured's personal auto policy. This vehicle can be added to the policy by using which of the following endorsements? - =Answer>> Miscellaneous type vehicles An employees has been asked to use for their own personal vehicle - =Answer>> Employers non-ownership coverage Under the NY no fault coverage the insured can sue for their injuries for all of the following except? - =Answer>> Insignificant limitation of use of a body function or system The death benefit under the NY no-fault plan is: - =Answer>> $2, Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
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The limit for med expenses and rehab expense under NY no-fault plan is: - =Answer>> $50, An insured suffered a covered collision loss to their vehicle. The insurer has insisted that the insured have the vehicle repaired at a repair shop of the company's choice. The insurer: - =Answer>> Would be guilty of an unfair claims practice act When an insured purchases Opt Basic Economic Loss covg(OBEL), he/she can collect up to an additional $25k covg that pertains to all the following except: - =Answer>> Pain & Suffering* An HO-5 form provides which of the following covg for dwellings & their contents? - =Answer>> Open peril covg for buildings & personal prop Which of the following is not eligible for a homeowner policy? - =Answer>> A non owner occupied one family dwelling An insured awakes and finds that a water line from his water meter to his home has busted. Water has been running all night. The insured carries an HO-2 homeowner form. If he receives a bill for the lost water, what will insurer do? - =Answer>> Deny the claim since water is excluded property Need Writing 🤔Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed🤔
