MI Claims Adjuster study plan
MI Claims Adjuster · Give each week a clear focus.
8 weeks · About 6 hours per week
Adjusting Practices and Claims Handling & Insurance Principles and Concepts
Map the claim lifecycle from first notice of loss through subrogation and closing, writing out each adjuster decision point in order
Distinguish indemnity, actual cash value, replacement cost, and valued-policy settlement methods and compute a sample ACV loss with depreciation
Explain insurable interest, utmost good faith, adhesion, and the principle of indemnity using one original example each
Draft a coverage-analysis checklist that moves from policy declarations to insuring agreement to exclusions to conditions
Your checkpoint
A one-page coverage-analysis checklist plus three worked ACV/replacement-cost calculations with correct arithmetic shown
Adjusting Practices and Claims Handling & Insurance Regulation and Licensing
Practice documenting a recorded statement and loss report so that each fact supports or refutes a listed coverage element
Identify the red flags of fraud, arson, and inflated claims and state the referral step for each in a claims file
Outline the regulatory duties that shape adjusting: licensing, unfair claim settlement practices, prompt-payment timelines, and market conduct exams
Compare the adjuster authority types (staff, independent, public, company) and describe the conflict-of-interest limits on each
Your checkpoint
A completed mock claim file outline for a water-damage loss, including statement summary, coverage determination, and reserve rationale
Property Insurance Basics & Homeowners and Dwelling Insurance
Read a homeowners policy form and label the coverage parts, limits, deductibles, and loss-settlement conditions
Apply the HO-3 dwelling and personal property coverages to a partial fire loss and compute the payment including deductible
Explain coinsurance and the 80 percent replacement-cost condition and calculate a reduced penalty payment on an underinsured dwelling
Differentiate named-peril from open-peril forms and list the standard exclusions that recur across dwelling and homeowners forms
Analyze additional coverages such as loss of use, debris removal, and trees and shrubs against a storm scenario
Your checkpoint
A settlement worksheet for a homeowners fire and smoke loss showing building, contents, loss-of-use, and deductible lines that reconcile to a single payable total
Casualty Insurance Basics & Commercial Property and Liability Insurance
Distinguish occurrence from claims-made liability triggers and identify the role of the retroactive date and extended reporting period
Explain the CGL coverage parts and how limits apply per occurrence, per aggregate, and for products-completed operations
Apply the business risk exclusions and the your-work and impaired-property exclusions to two construction-defect scenarios
Compare commercial property forms to homeowners forms on coinsurance, blanket limits, and business income coverage
State how additional insureds, certificates of insurance, and contractual liability interact in a claim
Your checkpoint
A written liability coverage opinion on two hypothetical CGL claims, each citing the triggering coverage part, limit that applies, and the exclusion analysis
Auto Insurance & Casualty Insurance Basics
Break down the personal auto policy parts and determine which part responds to a given loss involving a borrowed vehicle
Apply no-fault, tort threshold, and financial responsibility rules to a multi-vehicle injury scenario
Compute uninsured and underinsured motorist payments including stacking and setoff questions
Explain comparative and contributory negligence and how each changes the adjuster's liability percentage and payment
Evaluate first-party medical payments and collision claims for subrogation potential and salvage handling
Your checkpoint
A liability and damages summary for a three-vehicle accident assigning fault percentages, coverage parts, and a total indemnity figure
Commercial Property and Liability Insurance & Property Insurance Basics
Evaluate a commercial property claim with a coinsurance clause and show the penalty calculation step by step
Analyze business income and extra expense losses using a period of restoration and a projected earnings worksheet
Explain inland marine and builder's risk coverage and when each fills a gap left by a commercial property form
Assess a commercial crime or equipment breakdown claim and identify the coverage trigger and any sublimits
Compare blanket versus specific limits and describe how agreed value removes coinsurance
Your checkpoint
A commercial property and business income claim analysis with a coinsurance penalty calculation and a period-of-restoration timeline
Insurance Regulation and Licensing & Insurance Principles and Concepts
Build a table of licensing and continuing-education requirements, appointment rules, and producer versus adjuster authority
Summarize the unfair claims practices that most often draw regulatory action and the documentation that defends against them
Explain the roles of the NAIC model acts, state statutes, and case law in shaping an adjuster's conduct
Review ethics scenarios on conflicts of interest, claim file integrity, and settlement authority and write a defensible response to each
Your checkpoint
A two-page regulatory and ethics quick-reference sheet with at least ten rules stated in the adjuster's own words
Adjusting Practices and Claims Handling & Auto Insurance & Homeowners and Dwelling Insurance
Complete timed practice sets across all eight domains and log every missed item by domain and error type
Re-derive the calculations that recur most: ACV, coinsurance penalties, deductibles, and liability percentages
Rewrite weak areas into a one-page personal formula and concept sheet from memory
Simulate a full-length exam under time pressure and review every flagged question
Your checkpoint
A scored full-length practice exam with a written error log and a final one-page formula sheet, targeting 80 percent or better
Milestones
Week 2: Can walk through a claim from first notice to closing and name the coverage-analysis steps without notes
Week 4: Scores at least 75 percent on a mixed set of property and casualty basics questions and correctly computes a coinsurance penalty
Week 6: Completes a commercial property and business income analysis unaided, with the coinsurance math verified
Week 7: Recites the major regulatory and ethics rules and applies them to three new scenarios with correct conclusions
Week 8: Scores 80 percent or better on a timed full-length practice exam with every miss logged and corrected