FLORIDA 3-20 PUBLIC ADJUSTERS STATE EXAM (SET 1) 100% VERIFIED ANSWERS 2024/2025, Exams of Organization and Business Administration

Download FLORIDA 3-20 PUBLIC ADJUSTERS STATE EXAM (SET 1) 100% VERIFIED ANSWERS 2024/2025 and more Exams Organization and Business Administration in PDF only on Docsity! FLORIDA 3-20 PUBLIC ADJUSTERS STATE EXAM (SET 1) 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET The insurer and insured agree to a specific value of insured item Agreed Value Policies Someone who has care, custody or control of another's property Bailee Claim filed by policy holder against his _ First Party Claim When a person who entrusts another with an object and it results in injury to someone can be held liable for the injury to someone. Can be held liable for the injury i.e. Firearm or DWI Negligent Entrustment Hazard that results from a conscious decision made by an insured to participate in a manner or behavior more likely to result in a loss because they have insurance Moral Hazard Used to provide temporary insurance coverage until an insurance policy can be written Binder Required by lenders to guarantee that outstanding loans against a job are paid upon completion Completion Bonds The section of an insurance policy identifying the insured, endorsements, coverages, limits, and premiums Declarations Policyholder cannot transfer the policy to someone else without written permission from their insurance company Assignment An instance, behavior or environment that increases the likelihood of a loss on an insured item Hazard Actual cause or source of an incidence of destruction, injury, or loss Peril An insurance company organized and domiciled outside the US Alien When there is an unbroken chain of events between an occurrence and a loss, then the loss is part of the original occurrence Proximate Cause Is proximate cause of all subsequent damages Original Occurance An individual who contracts with an adjusting firm as an independent contractor and handles claims for the insurance companies Independent Adjuster Action or practice of the insured party is permitted to continue because any defense against a continuation of said action or practice has been waived by the insurer Estoppel Amount of loss paid by the policy holder Deductible Violation of an agreement between a seller and buyer in reference to the condition, content, quality, or title of an item sold Breach of Warranty Compensation, reparation Indemnify Provides property coverage on a contractor's interest in equipment intended for permanent installation while it is being transported, unloaded, and installed Installation Floater A beneficiary of a contract only as a result of the First Party's negligence Third Party Reinsurance agreement where the insurers involved will pay claims in direct relationship with the % of the risk that they are insuring Quota Share Sharing the cost of replacement Risk Sharing A legal action filed by one or more persons on behalf of themselves and others having an identical interest in the alleged wrongdoing Class-Action A specific risk or cause of loss covered by an insurance policy, such as fire, windstorm, flood, theft, etc. Peril Dangers in a store, warehouse, or office; circumstances of risks and perils determine who is responsible for _____ Premises Liability A loss or risk the policy doesn't cover Exclusions Technique used to transfer the risk of a person, business, or organization in another through the use of a two-party contract Insurance A legal two-party document describing the relationship between the insured and the insurance company Indemnity Contract Legal document that makes some person responsible for damages their actions or products cause regardless of any fault on their part Strict Liabilty The intention to withhold relative information about the risk from the insurance company Concealment A subset of the claims function whereby suspicious losses are investigated separately from the normal claims adjusters' activities Special Investigations Unit An insurer takes no action upon realizing material changes in a contract Implied Waiver Acts committed without negligence but result in damages Intentional Tort Willful and illegal sinking of a ship at sea or its cargo barratry Covers physical damage as well as liability and tends to be very broad in coverage Commercial Inland Marine Single insurance for only one kind of property at only one location of an insured Specific Coverage Legislative Acts or Laws Statutes The insurance company to which the risk is transferred to by the contract Second Party Hazards on private property that might attract trespassing such as swimming pools or trampolines Attractive Nuisance An approximate calculation of amount, extent, quality, magnitude, position, degree or worth of something Estimages Insurance company assesses, mitigates, and monitors the items of risk that potential customers want to insure Risk management Granting the privileges and licensing in a state based on having a license in another state that is deemed equivalent by the granting state Reciprocity Specific protection in an insurance policy Coverage An individual holding a license under the authority of the State indirect loss A statement made regarding the extent of the claim, it may be requested in accordance with the conditions of the policy Proof of loss Tangible property other than the products or work produced impaired property Works upon the principal that the more times an event is repeated, the more predictable the outcome of a specific event Law of Large Numbers To access the eligibility of a customer to receive their products, decide how much coverage the client should receive, and how much they should pay for it. Underwriting Actual cost of replacing property due to a covered peril with property of like kind and quality without depreciation replacement cost Exaggerating an otherwise legitimate claim for profit Soft Fraud Unincorporated association of members in which each member insures the other members Reciprocal insurance exchange An Agreement and Policy An ongoing assurance made by one party to another that certain facts : Warranty Method whereby the insurer pays the amount of each claim for each risk up to a limit determined in advance, and the re-insurer pays the amount of the claim above that specified limit Exxcess of loss A person who voluntarily gives up possession of the property bailor One of the earliest forms of insurance Ocean Marine An insurance adjuster who works primarily outside of an office and often meets personally with the public Field Adjuster Purposefully setting fire to property. Not covered under the policy if the act is committed by the insured Arson The attempt, by an applicant to deceive an insurance company Misrespresentation Personal property that is not part of the dwelling or structure Contents An individual that is used when a claim has been questioned by either the insured or the insurer, an unbiased part is required to resolve the dispute Umpire Amount an insurer will have to pay an insured to meet the promises outlined in the insurance contract, reduction in value of insured item loss An addition, deletion or change to a legal document or policy Amendment The section of an insurance policy identifying the insured, endorsements, coverages, limits and premiums The Declarations page Reinsureance agreement where the insurers involved will pay claims in direct relationship with the % of the risk they are insuring Co-insurance Financial investment or financial dependency that an individual or business has in a person or property Insurable interest Failure to use the care that a reasonable and prudent person would have used under that same or similar circumstance Negligence "Insurer" has an obligation to pay covered loss, "insured" has no obligation Unilateral insurance contract Uninsurable because of the possibility of either loss or gain in the risk Speculative Risk The depreciation from the total Replacement Cost due to age, use and condition. The resulting dollar amount is Actual Cash Value Non-recoverable Depreciation 626.854 (3) A public adjuster may not give legal advice or act on behalf of or aid any person in negotiating or settling a claim relating to bodily injury, death, or noneconomic damages. 626.854 (5) A public adjuster may not charge, agree to, or accept from any source compensation, payment, commission, fee, or any other thing of value in excess of: 1. Ten percent of the amount of insurance claim payments made by the insurer for claims based on events that are the subject of a declaration of a state of emergency by the Governor. This provision applies to claims made during the year after the declaration of emergency. After that year, the limitations in subparagraph 2. apply. 2. Twenty percent of the amount of insurance claim payments made by the insurer for claims that are not based on events that are the subject of a declaration of a state of emergency by the Governor. 626.854 (10) (c) Insurance claim payments made by the insurer do not include policy deductibles, and public adjuster compensation may not be based on the deductible portion of a claim. 626.854 (10) (d) Any maneuver, shift, or device through which the limits on compensation set forth in this subsection are exceeded is a violation of this chapter punishable as provided under s. 626.8698. 626.854 (11) Each public adjuster must provide to the claimant or insured a written estimate of the loss to assist in the submission of a proof of loss or any other claim for payment of insurance proceeds. The public adjuster shall retain such written estimate for at least 5 years and shall make the estimate available to the claimant or insured, the insurer, and the department upon request. 626.854(12) A public adjuster, public adjuster apprentice, or any person acting on behalf of a public adjuster or apprentice may not accept referrals of business from any person with whom the public adjuster conducts business if there is any form or manner of agreement to compensate the person, directly or indirectly, for referring business to the public adjuster. A public adjuster may not compensate any person, except for another public adjuster, directly or indirectly, for the principal purpose of referring business to the public adjuster. 626.854 (13) A company employee adjuster, independent adjuster, attorney, investigator, or other persons acting on behalf of an insurer that needs access to an insured or claimant or to the insured property that is the subject of a claim must provide at least 48 hours' notice to the insured or claimant, public adjuster, or legal representative before scheduling a meeting with the claimant or an onsite inspection of the insured property. The insured or claimant may deny access to the property if the notice has not been provided. The insured or claimant may waive the 48-hour notice. 626.854 (14) The public adjuster must ensure that prompt notice is given of the claim to the insurer, the public adjuster's contract is provided to the insurer, the property is available for inspection of the loss or damage by the insurer, and the insurer is given an opportunity to interview the insured directly about the loss and claim. The insurer must be allowed to obtain necessary information to investigate and respond to the claim. 626.854 (14) (a) The insurer may not exclude the public adjuster from its in-person meetings with the insured. The insurer shall meet or communicate with the public adjuster in an effort to reach agreement as to the scope of the covered loss under the insurance policy. The public adjuster shall meet or communicate with the insurer in an effort to reach agreement as to the scope of the covered loss under the insurance policy. This section does not impair the terms and conditions of the insurance policy in effect at the time the claim is filed. 626.854 (14) (b) A public adjuster may not restrict or prevent an insurer, company employee adjuster, independent adjuster, attorney, investigator, or other person acting on behalf of the insurer from having reasonable access at reasonable times to any insured or claimant or to the insured property that is the subject of a claim. 626.854 (14) (c) A public adjuster may not act or fail to reasonably act in any manner that obstructs or prevents an insurer or insurer's adjuster from timely conducting an inspection of any part of the insured property for which there is a claim for loss or damage. The public adjuster representing the insureds may be present for the insurer's inspection, but if the unavailability of the public adjuster otherwise delays the insurer's timely inspection of the property, the public adjuster or the insureds must allow the insurer to have access to the property without the participation or presence of the public adjuster or insureds in order to facilitate the insurer's prompt inspection of the loss or damage. 626.854 (15) A licensed contractor under part I of chapter 489, or a subcontractor, may not adjust a claim on behalf of an insured unless licensed and compliant as a public adjuster under this chapter. However, the contractor may discuss or explain a bid for construction or repair of covered property with the residential property owner who has suffered loss or damage covered by a property insurance policy, or the insurer of such property, if the contractor is doing so for the usual and customary fees applicable to the work to be performed as stated in the contract between the contractor and the insured. 626.854 (16) A public adjuster shall not acquire any interest in salvaged property, except with the written consent and permission of the insured through a signed affidavit. 626.854 (17) A public adjuster, a public adjuster apprentice, or a person acting on behalf of an adjuster or apprentice may not enter into a contract or accept a power of attorney that vests in the public adjuster, the public adjuster apprentice, or the person acting on behalf of the adjuster or apprentice the effective authority to choose the persons or entities that will perform repair work in a property insurance claim or provide goods or services that will require the insured or third-party claimant to expend funds in excess of those payable to the public adjuster under the terms of the contract for adjusting services. 626.854 (18) Subsections (5)-(17) apply only to residential property insurance policies and condominium unit owner policies as described in s. 718.111(11). 626.854 (19) Except as otherwise provided in this chapter, no person, except an attorney at law or a public adjuster, may for money, commission, or any other thing of value, directly or indirectly: 626.854 (19) (a)