FL Claims Adjuster study plan
FL Claims Adjuster · Give each week a clear focus.
8 weeks · About 6 hours per week
Property and Casualty Policy Provisions & Claims Handling and Investigation
Map the structural anatomy of a property and casualty policy (declarations, insuring agreement, conditions, exclusions, definitions) and label each section on a blank outline
Diagram the claims lifecycle from first notice of loss through settlement or denial, naming the adjuster action required at each stage
Define 25 core policy terms (deductible, coinsurance, subrogation, ACV, RCV, occurrence, endorsement) and write each definition in your own words
Identify the duties an insured owes after a loss and the consequence of breaching each duty
Your checkpoint
A one-page claims-lifecycle flowchart plus a 25-term glossary written from memory and self-scored
Property and Casualty Policy Provisions
Compare homeowners coverage forms (HO-2, HO-3, HO-4, HO-5, HO-6, HO-8) and list the perils each covers and the key coverage limits for Coverage A through D
Distinguish named-peril from open-peril (all-risk) coverage and correctly classify five sample loss scenarios under each
Explain the operation of deductibles, coinsurance clauses, and loss-settlement valuation methods by working 10 calculation problems
Contrast personal auto policy parts (liability, PIP, medical payments, uninsured motorist, physical damage) and note which are mandatory in Florida
Your checkpoint
A completed coverage-comparison grid for all six HO forms plus 10 solved settlement-calculation problems scoring 80% or better
Claims Handling and Investigation
Sequence the investigation steps for a property claim, including scene inspection, documentation, and damage valuation
Explain how to recognize and respond to indicators of potential fraud, including red flags in a first report
Describe how to establish and document reserves and when to revise them
Outline the requirements for a proof of loss, a reservation-of-rights letter, and a recorded statement
Apply the concept of good-faith claims handling to three short fact patterns and identify each adjuster misstep
Your checkpoint
Three written claim-investigation summaries (one property, one auto, one liability) each including recommended reserve, next steps, and a fraud-risk note
Insurance Regulation and Licensing (Florida) & Ethics and Unfair Trade Practices
Summarize Florida adjuster licensing categories, application requirements, appointment, and the license term and renewal cycle
List the continuing-education hour requirements and the specific topic mandates that apply to Florida licensees
Identify the grounds for license suspension or revocation and the insurer's reporting obligations to the state
Define unfair trade practices and unfair claims-settlement practices prohibited under Florida law
Explain the roles of the Florida Department of Financial Services and the Office of Insurance Regulation
Your checkpoint
A one-page regulatory cheat sheet covering licensing, CE, and prohibited practices, plus a 25-question self-made quiz with an answer key
Insurance Regulation and Licensing (Florida)
Explain licensing reciprocity, nonresident licensing, and the rules for appointing and terminating a producer
Describe the requirements for handling premiums, fiduciary duties, and the penalties for misappropriation
Outline Florida rules on solicitation, advertising, and replacement or cancellation notices
Identify the penalties and administrative actions available against licensees and insurers
Your checkpoint
A written 15-item penalty-and-requirement table matching each violation to its consequence, scored against the source material
Insurance Principles and Concepts & Ethics and Unfair Trade Practices
Define the principle of indemnity, insurable interest, and the concept of utmost good faith, and explain how each shapes a claims decision
Distinguish representations, warranties, and concealment and predict the claims effect of each
Explain coinsurance, reinsurance, and the purpose of subrogation in the claims process
Match five ethical scenarios to the applicable Florida unfair-practice prohibition and justify the answer
Distinguish expressed, implied, and apparent authority and identify which binds the insurer
Your checkpoint
A written case analysis of five ethical dilemmas, each with a decision, the governing principle, and the Florida rule cited
Ethics and Unfair Trade Practices & Claims Handling and Investigation
Categorize prohibited claims practices (misrepresenting policy provisions, unreasonable delay, failing to investigate promptly) and describe the compliant behavior for each
Explain the adjuster's duty of confidentiality, the conflict-of-interest rules, and the prohibition on rebating
Re-drill weak topics from weeks 1 through 6, targeting the three lowest-scoring areas
Complete two timed 50-question mixed practice sets and log the reason for each missed item
Your checkpoint
A missed-question log of at least 20 items, grouped by domain, with a written correction for every entry
Insurance Regulation and Licensing (Florida) & Insurance Principles and Concepts & Property and Casualty Policy Provisions & Claims Handling and Investigation & Ethics and Unfair Trade Practices
Complete three full-length timed practice exams under exam conditions and score each in all five domains
Re-teach the two weakest domains by rewriting their key rules without notes
Review the entire glossary and cheat sheet aloud to test recall
Finalize a test-day plan covering timing strategy, question-reading technique, and flag-and-return tactics
Your checkpoint
Three scored practice exams with an improvement trend of at least 10 points between the first and last attempt, and every domain at or above 70%
Milestones
Week 2: Recall every homeowners form and calculate a coinsurance or ACV/RCV settlement without reference material, scoring 80% or better
Week 4: Complete a 25-question self-made regulatory quiz at 80% or better and recite Florida CE and licensing requirements from the cheat sheet
Week 6: Explain the ethical and legal basis for a claims decision on all five dilemma scenarios without consulting notes
Week 7: Score 75% or better on both timed mixed practice sets and show a written correction for every missed question
Week 8: Score 85% or better on the final full-length practice exam with no domain below 70%