ME Claims Adjuster study guide
ME Claims Adjuster · Work through your exam, one topic at a time.
The Maine Claims Adjuster license is the state credential that lets you investigate, evaluate, negotiate, and settle claims on behalf of insurers or insureds in Maine. It suits career changers entering insurance, staff adjusters moving into Maine, independent adjusters who work catastrophe and daily claims, and public adjusters representing policyholders. The ME Claims Adjuster study guide has 9 sections and about 3,033 words.
01Maine Insurance Law and Regulations
The Maine exam asks how the Maine Insurance Code (Title 24-A of the Maine Revised Statutes) and the Bureau of Insurance shape the day-to-day handling of a claim: who may adjust, how the regulator supervises conduct, and what an adjuster owes a claimant. The Superintendent of Insurance heads the Bureau of Insurance within the Department of Professional and Financial Regulation; the Bureau licenses insurers, producers, adjusters and public adjusters, reviews policy forms and rates, and pursues market-conduct actions.
373 words, about 2 min02Insurance Principles and Concepts
The insured should be restored, not enriched. Every valuation and limit question is really an indemnity question.
314 words, about 2 min03Property Insurance Basics
First-party property responds to direct physical loss that is fortuitous. Basic form perils are fire, lightning, explosion, windstorm, hail, smoke, aircraft and vehicle damage, riot, vandalism and sprinkler leakage.
327 words, about 2 min04Casualty Insurance Basics
Commercial general liability on the occurrence form insures bodily injury and property damage that occurs during the policy period, regardless of when the claim is reported. Coverage A is BI/PD; Coverage B is personal and advertising injury (libel, slander, wrongful eviction, infringement in advertising); Coverage C is medical payments, paid without regard to fault and outside the liability limits.
357 words, about 2 min05Auto Insurance
Part A – Liability (bodily injury and property damage to others). Part B – Medical payments.
335 words, about 2 min06Homeowners Insurance
HO-3 insures the dwelling on an open-peril basis and personal property on a broad named-peril basis; HO-5 is open peril on both; HO-2 is broad named peril; HO-4 covers tenants' personal property and liability; HO-6 covers condo unit owners; HO-8 accommodates older homes with functional replacement cost. Section I coverages are A dwelling, B other structures, C personal property, D loss of use; Section II is E personal liability and F medical payments to others.
333 words, about 2 min07Commercial Package and Businessowners Policy
The businessowners policy (BOP) is a packaged product for small, low-hazard risks - apartments, offices, retail and service operations. It bundles building, business personal property, business income and liability, typically with replacement cost on property and no coinsurance clause, but with eligibility caps on building and contents values and exclusions for riskier classes.
311 words, about 2 min08Workers' Compensation and Employer's Liability
Workers' compensation is a no-fault statutory system: the employee gives up the right to sue the employer for negligence, and the employer accepts liability for injuries arising out of and in the course of employment. Maine's system is administered by the Workers' Compensation Board, including an abuse-investigation unit that pursues premium fraud and claim fraud.
347 words, about 2 min09Claims Adjusting Practices and Ethics
Investigation, evaluation, negotiation and documentation are the mechanics; good faith is the standard running through all of them. That means acknowledging notice promptly, contacting the insured within the statutory or company timeframe, investigating before denying, explaining coverage positions in writing, and never misstating policy provisions - including limits, which a claimant is entitled to know when liability is reasonably clear.
336 words, about 2 min