FL Claims Adjuster study materials
FL Claims Adjuster study resources

FL Claims Adjuster study plan

FL Claims Adjuster · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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%