IN Public Adjuster flashcards
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32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Indiana public adjuster license
- A credential issued by the Indiana Department of Insurance under IC 27-1-27.1 authorizing a person to represent insureds in first-party claims for compensation.
- Disaster fee cap
- Indiana limits public adjuster compensation to 10% of the amount recovered on a claim when a disaster or emergency has been declared.
- Contract cancellation right
- Indiana requires public adjuster contracts to disclose the insured's right to cancel within a statutory period, commonly three business days after signing.
- Fiduciary duty
- The public adjuster must act solely in the insured's interest, account for claim funds promptly, and disclose all compensation and conflicts.
- Claim file documentation
- Contemporaneous notes, photographs, measurements, correspondence, and settlement records that support the adjustment and demonstrate good-faith handling.
- Insurance fraud
- Intentional misrepresentation or exaggeration of a claim, such as inflated damages or altered invoices, subject to criminal and administrative penalties.
- Insurable interest
- A pecuniary relationship in which the insured suffers actual economic loss from damage to the property, required at the time of loss.
- Coinsurance formula
- Recovery equals carried insurance divided by required insurance, multiplied by the loss, capped at the policy limit.
- Actual cash value
- Replacement cost minus depreciation, reflecting the value of the property at the time of loss rather than the cost to replace it.
- Appraisal provision
- A dispute-resolution mechanism in which each party selects an appraiser and an umpire resolves differences when valuation is contested.
- Open-perils coverage
- A form covering all risks of direct physical loss unless specifically excluded, shifting the burden to the insurer to prove an exclusion applies.
- Replacement cost coverage
- Pays the cost to repair or replace with like kind and quality without depreciation, provided the insured repairs or replaces within the policy period.
- Ordinance or law coverage
- Pays increased costs to comply with building codes during repair, and is excluded unless added by endorsement.
- HO-3 policy
- A homeowners form covering the dwelling on an open-perils basis and personal property on a named-perils basis, the most common form.
- HO-5 policy
- A homeowners form covering both the dwelling and personal property on an open-perils basis, offering broader coverage than HO-3.
- Scheduled personal property
- An endorsement listing specific items such as jewelry or art for broader perils and higher limits than the standard contents coverage.
- Business income coverage
- Pays net income plus continuing normal operating expenses during the period of restoration after a covered loss.
- Extra expense coverage
- Pays costs to avoid or minimize business interruption, such as temporary relocation or expedited repairs, without requiring a suspension of operations.
- Agreed value option
- A commercial property provision that suspends the coinsurance requirement when the insured submits an accepted statement of values.
- Inland marine coverage
- Covers property in transit, property of others, and mobile property, generally on an open-perils basis without coinsurance.
- Equipment breakdown coverage
- Covers mechanical and electrical breakdown of machinery and equipment, a peril typically excluded by standard property policies.
- Difference in conditions
- A form filling gaps left by named-perils property policies, often adding flood and earthquake coverage.
- Commercial general liability
- A policy covering bodily injury, property damage, personal and advertising injury, and medical payments arising from the insured's operations.
- Claims-made policy
- A liability form requiring the claim to be reported during the policy period or an extended reporting period, unlike occurrence forms.
- Additional insured endorsement
- An endorsement extending liability coverage to another party, such as a landlord or general contractor, with scope varying by wording.
- Proof of loss
- A sworn statement from the insured detailing the amount claimed and supporting facts, reviewed by the adjuster before payment.
- Reservation of rights
- A letter preserving the insurer's coverage position when facts are uncertain, allowing continued investigation without waiving defenses.
- Cause and origin investigation
- The process of determining how and where a loss began, separating covered perils from excluded ones through physical and witness evidence.
- Depreciation formula
- Depreciation equals replacement cost minus salvage, divided by useful life, multiplied by age; subtracting it from replacement cost yields actual cash value.
- Overhead and profit
- A percentage added to estimates when three or more trades are involved or a general contractor is needed to coordinate the work.
- Quantity takeoff
- A measurement method calculating dimensions and quantities of damaged materials, multiplied by unit costs to produce the repair estimate.
- Matching requirement
- The principle that undamaged materials may need replacement to achieve a uniform appearance, depending on policy language and jurisdiction.