Iran Loss Adjuster Exam study materials
Iran Loss Adjuster Exam study resources

Iran Loss Adjuster Exam study plan

Iran Loss Adjuster Exam · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Principles of Insurance and Risk Management & Loss Adjustment Principles and Professional Ethics

  • Distinguish indemnity, insurable interest, utmost good faith, proximate cause, and subrogation, and state for each how it constrains what an adjuster may pay.

  • Classify pure versus speculative risk and explain why only pure risk is insurable, using three Iranian market examples such as fire, motor third-party liability, and engineering all-risks.

  • Map the adjuster's duties of independence, confidentiality, conflict-of-interest disclosure, and impartial reporting onto the sequential stages of a claim file.

  • Identify the boundary between loss adjustment and claim negotiation so you can describe when an adjuster must refer a matter upward.

Your checkpoint

A two-page bilingual glossary of 30 core principles and ethics terms, each with a one-sentence practical application to an Iranian claim file.

Week 2

Iranian Insurance Law and Regulatory Framework

  • Outline the hierarchy of Iranian insurance regulation from statute down to approved policy wordings and circulars, and state which body issues each level.

  • Explain the roles of the regulator, the central insurance authority, and the insurers' syndicate in licensing, tariff setting, and dispute handling.

  • Trace the statutory claim-settlement timeline and the consequences of delay, including any interest or penalty exposure, and record the exact provisions you rely on.

  • Describe compulsory covers required by Iranian law, particularly motor third-party liability, and how compulsory limits interact with voluntary extensions.

  • List the supervisory reporting obligations an insurer and its adjuster must satisfy when a large or suspicious claim arises.

Your checkpoint

A one-page regulatory map plus a citation table of at least 12 provisions you will use in later weeks, each with a plain-language note.

Week 3

Property and Fire Insurance Claims

  • Deconstruct a fire policy into insured perils, exclusions, warranties, and conditions precedent, and predict which clause governs a given loss scenario.

  • Apply the average (underinsurance) clause and deductible mechanics to compute indemnity in three worked examples with different sums insured.

  • Assess business interruption losses by separating gross profit, increased cost of working, and savings, and justify the indemnity period you select.

  • Evaluate stock and inventory claims using valuation bases such as cost, market value, and replacement cost, and defend the chosen basis.

  • Draft the evidence checklist you would request for a warehouse fire, covering cause, extent, stock records, and salvage.

Your checkpoint

Three fully worked fire and property claim calculations with clause references and a written rationale for each figure.

Week 4

Insurance Contract Law and Policy Interpretation & Property and Fire Insurance Claims

  • Interpret the insurance contract as an adhesion contract and explain how ambiguity, misrepresentation, and non-disclosure affect claim outcomes in Iranian practice.

  • Distinguish conditions precedent from mere conditions and show how breach of each affects the adjuster's recommendation.

  • Analyze how reinstatement, salvage, and abandonment clauses change the settlement figure in a partial property loss.

  • Apply the doctrine of proximate cause to at least two chain-of-events scenarios where a covered and an excluded peril interact.

  • Resolve a coverage dispute by writing the reasoning from policy wording to conclusion without relying on market custom alone.

Your checkpoint

A 900-word coverage opinion on a contested fire claim that cites specific policy clauses and reaches a reasoned payable or non-payable conclusion.

Week 5

Motor Insurance Claims (Third-Party Liability and Own Damage)

  • Separate own-damage from third-party liability handling and identify which policy, limits, and deductibles apply to each.

  • Compute third-party bodily injury and property damage settlements under compulsory motor limits, including treatment of diya (blood money) where applicable.

  • Evaluate own-damage claims by distinguishing depreciation, betterment, and pre-existing damage from covered loss.

  • Detect common motor fraud patterns such as staged collisions, inflated repair estimates, and duplicate claims, and state the verification step for each.

  • Explain how knock-for-knock and fault apportionment affect recovery between insurers.

Your checkpoint

A motor claim file with two calculated third-party settlements and one own-damage settlement, each showing limit checks and deductible application.

Week 6

Engineering, Liability, and Miscellaneous Insurance Claims

  • Interpret CAR and EAR policy structures, including maintenance periods, defects exclusions, and design liability, and apply them to a construction loss.

  • Distinguish professional indemnity, public liability, and product liability triggers and explain the claims-made versus occurrence basis difference.

  • Assess a machinery breakdown or electronic equipment claim using the concepts of sudden and unforeseen damage versus wear and tear.

  • Evaluate a liability claim by establishing the legal duty, breach, causation, and quantum before recommending a reserve.

  • Identify the documentation required for engineering and liability claims, including contracts, maintenance logs, and expert reports.

Your checkpoint

Two short assessment memos, one engineering and one liability, each with a coverage determination and a recommended reserve figure.

Week 7

Life and Health Insurance Claims & Claim Investigation, Damage Assessment, and Fraud Detection

  • Apply exclusion-period, waiting-period, pre-existing condition, and disclosure rules to life and health claim decisions.

  • Assess medical necessity and claim admissibility in health insurance by checking policy schedules against submitted records.

  • Describe the life claim verification chain, including beneficiary entitlement and death certificate authentication.

  • Build a fraud red-flag checklist spanning documents, timing, claimant behavior, and loss circumstances, and assign a verification action to each flag.

  • Plan a claim investigation, specifying witness interviews, scene examination, and expert appointment in a defensible sequence.

Your checkpoint

A one-page fraud red-flag checklist plus a 20-item investigation plan applied to a suspicious health or life claim.

Week 8

Claim Documentation, Reporting, and Settlement Procedures & Iranian Insurance Law and Regulatory Framework & Loss Adjustment Principles and Professional Ethics

  • Assemble a complete claim file to the standard an insurer or regulator would expect, covering notification, survey, reserve, and settlement records.

  • Draft a professional loss adjustment report with findings, calculations, and a clear recommendation, and note where regulatory timelines bind it.

  • Reconcile settlement procedures against the statutory timeline and identify the escalation point when approval is delayed.

  • Complete a timed mixed-domain practice set and review every error against the relevant domain's source material.

Your checkpoint

A complete mock claim file and adjustment report, plus a scored 60-question practice test with a written error log.

Milestones

Week 2: You can name the regulator and the relevant statutory instruments, and your citation table has at least 12 provisions with plain-language notes.

Week 4: You can compute a fire indemnity with average and deductible applied and defend it clause by clause, and your coverage opinion reaches a reasoned conclusion.

Week 6: You can state the coverage trigger for each of property, motor, engineering, and liability policies and produce a limit-checked settlement for each.

Week 8: You score at least 75 percent on the 60-question practice test and your mock claim file passes a self-audit against the documentation checklist.