FL Claims Adjuster study guide
FL Claims Adjuster · Work through your exam, one topic at a time.
The Florida claims adjuster credential is a state license that authorizes a person to investigate, evaluate, negotiate, and settle insurance claims in Florida. The qualifying examination - commonly referred to as the All Lines Adjuster (6-20) exam - is administered for candidates who need to handle both property and casualty claim work, and it also serves as an entry point for people moving into claims from agency, underwriting, or customer-service roles. The FL Claims Adjuster study guide has 5 sections and about 1,705 words.
01Insurance Regulation and Licensing in Florida
Florida splits insurance oversight, and which agency does what is a favorite exam topic. The Florida Office of Insurance Regulation (OIR) , operating under the Financial Services Commission, licenses insurers, approves policy forms and rates, and conducts market-conduct examinations.
332 words, about 2 min02Insurance Principles and Concepts
Insurance transfers pure risk (chance of loss only); speculative risk is not insurable. Insurers make the math work through pooling and the law of large numbers, and adverse selection is the enemy of that math.
341 words, about 2 min03Property and Casualty Policy Provisions
Standard forms: HO-3 (open peril on the dwelling, named peril on personal property) is the Florida workhorse; HO-4 renters; HO-6 condo; HO-5 open peril on both; HO-8 older homes. Coverage A is the dwelling, B other structures, C personal property, D loss of use; Section II adds E personal liability and F medical payments.
342 words, about 2 min04Claims Handling and Investigation
First notice of loss, acknowledgment, assignment, investigation, evaluation, disposition (pay, partial pay, or deny), subrogation and salvage, then closure. Florida statute requires a property insurer to acknowledge a claim within 14 days and to pay or deny within 90 days of receiving a properly completed proof of loss; undisputed amounts must be paid promptly while the balance is investigated.
348 words, about 2 min05Ethics and Unfair Trade Practices
Florida Statutes Part IX of Chapter 626 prohibits misrepresentation of policy terms, false advertising, boycott and coercion, unfair discrimination, rebating (offering anything of value not stated in the policy as an inducement), twisting (misrepresenting to induce a replacement), and unauthorized insurance activity. Violations carry administrative fines, suspension or revocation, restitution, and possible criminal referral.
342 words, about 2 min