MI Claims Adjuster study materials
MI Claims Adjuster study resources

MI Claims Adjuster study plan

MI Claims Adjuster · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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