ID Claims Adjuster study plan
ID Claims Adjuster · Give each week a clear focus.
8 weeks · About 6 hours per week
Insurance Principles and Concepts
Define the seven characteristics of insurance (pooling of losses, payment of fortuitous losses, risk transfer, indemnification, etc.) and explain how each applies to a homeowner water-damage claim
Distinguish pure vs. speculative risk, and explain why insurable risks must be measurable, accidental, and of large loss potential
Map the indemnity principle, insurable interest, subrogation, and utmost good faith to concrete claim scenarios and state what an adjuster must verify for each
Explain the roles of insurer, insured, agent, broker, third-party administrator, and public adjuster in a claim file
Your checkpoint
A one-page glossary of 25 core insurance-principles terms, each with a one-sentence original example tied to a claim
Insurance Principles and Concepts & Property and Casualty Insurance Basics
Differentiate the major property policy forms (HO-2, HO-3, HO-5, HO-8, DP-1, DP-3) by perils covered and valuation method
Compare replacement cost, actual cash value, functional replacement cost, and agreed value, and calculate ACV using depreciation for a sample dwelling loss
Identify the components of a homeowners policy: declarations, insuring agreement, conditions, exclusions, and endorsements
Explain coinsurance, deductible types, and loss-settlement conditions in commercial property forms
Your checkpoint
A completed worksheet solving five ACV vs. replacement cost settlement calculations with written justification for each depreciation figure
Property and Casualty Insurance Basics
Outline the standard commercial general liability coverage parts (Coverage A, B, C) and distinguish occurrence from claims-made triggers
Explain negligence elements, comparative vs. contributory negligence, and how each affects liability claim evaluation
Interpret common exclusions (pollution, professional services, expected or intended injury) and describe how an adjuster documents an exclusion-based denial
Describe inland marine, crime, and umbrella/excess coverages at a level sufficient to recognize a coverage question and escalate it
Your checkpoint
A coverage-analysis matrix for one hypothetical liability loss, listing each policy part, whether coverage applies, and the reasoning
Idaho Insurance Laws, Rules, and Regulations
Summarize Idaho's adjuster licensing framework, including who must hold a license, license types, and the role of the Idaho Department of Insurance
State Idaho continuing-education hour requirements and recordkeeping obligations for licensed adjusters
Explain Idaho requirements for timely claim acknowledgment, communication, and settlement offers under the state's unfair claim settlement practices rules
Identify Idaho-specific rules on producer compensation disclosure and prohibited acts in the business of insurance
Your checkpoint
A 15-question self-quiz on Idaho licensing and claim-practice rules, scored with a written list of every missed item and its correct rule
Adjusting Practices and Claims Handling
Sequence the claim-handling lifecycle from first notice of loss through investigation, evaluation, negotiation, settlement, and file closure
Draft a reservation-of-rights letter that preserves the insurer's coverage defenses without waiving them
Explain how to conduct and document a recorded statement, including scope, consent, and handling of inconsistencies
Apply the concept of bad faith and the duty to investigate equally to a disputed claim scenario
Your checkpoint
A complete sample claim file outline for a fictional property loss, including investigation log entries, coverage analysis, and settlement rationale
Adjusting Practices and Claims Handling & Ethical and Legal Responsibilities of Adjusters
Calculate indemnity for a total loss and a partial loss under both ACV and replacement cost, showing depreciation and deductible application
Describe the adjuster's handling of subrogation, salvage, and recovery opportunities in a closed claim
Explain the ethical duties of honesty, impartiality, confidentiality, and full disclosure, and identify conflicts of interest in adjusting
Distinguish an adjuster's fiduciary duty to the insurer from the obligation of fair dealing owed to the claimant
Your checkpoint
Two fully worked loss calculations (ACV and replacement cost) with an ethics commentary identifying at least three decision points where bad faith risk arises
Ethical and Legal Responsibilities of Adjusters & Idaho Insurance Laws, Rules, and Regulations
Analyze case-style scenarios for unfair claim settlement practices and cite the applicable Idaho rule or statutory standard
Explain Idaho recordkeeping, privacy, and fraud-reporting obligations that apply to adjusters
Identify the consequences of license violations, including fines, suspension, and referral for criminal insurance fraud
Draft an ethical decision framework an adjuster can apply when a claim outcome conflicts with a supervisor's instruction
Your checkpoint
A written response to three ethics scenarios, each with a recommended course of action, the governing rule, and the risk if handled otherwise
Insurance Principles and Concepts & Idaho Insurance Laws, Rules, and Regulations & Property and Casualty Insurance Basics & Adjusting Practices and Claims Handling & Ethical and Legal Responsibilities of Adjusters
Complete a timed 100-question practice exam weighted 20% per domain and score it by domain
Review every missed practice question and restate the underlying rule in your own words
Re-drill the two weakest domains until practice scores in those domains exceed 80%
Recite the Idaho licensing and claim-practice rules from memory without notes
Your checkpoint
A scored practice exam report with a domain-by-domain breakdown and a one-page final review sheet of your 20 most-missed facts
Milestones
Week 2: Score at least 75% on a self-made 20-question quiz covering insurance principles and property policy forms, and correctly solve all five ACV/replacement cost calculations
Week 4: Pass the 15-question Idaho rules self-quiz at 80% or better and correctly state the licensing and continuing-education requirements from memory
Week 6: Complete both loss calculations without reference material and produce a sample claim file that a reviewer rates as internally consistent from first notice to settlement
Week 8: Score 80% or higher on the full 100-question practice exam with no domain below 70%