NC Claims Adjuster study plan
NC Claims Adjuster · Give each week a clear focus.
8 weeks · About 6 hours per week
Property and Casualty Coverages
Diagram the anatomy of a property policy (declarations, insuring agreement, conditions, exclusions, endorsements) from memory without notes
Differentiate the major homeowners forms (HO-2, HO-3, HO-4, HO-5, HO-6, HO-8) by perils insured against, occupancy, and eligibility
Compute Coverage B, C, and D limits from a stated Coverage A amount using standard percentage relationships
Distinguish named-peril from open-peril (all-risk) coverage and label three policy examples of each
Your checkpoint
A one-page coverage matrix covering all six HO forms plus a score of 75% or higher on a 25-question property coverage quiz
Property and Casualty Coverages & Insurance Principles and Concepts
Compare personal auto coverage parts (liability, medical payments, uninsured/underinsured motorist, physical damage) by trigger and exclusions
Outline the principal commercial property and commercial general liability coverage triggers and the meaning of 'occurrence' and 'bodily injury'
Define the six characteristics of insurance (risk pooling, risk transfer, indemnity, fortuitous loss, insurable interest, utmost good faith) and give one example of each
Classify ten given loss scenarios as covered or excluded under a named-peril homeowners form and justify each call in one sentence
Your checkpoint
A scored set of 20 scenario classifications with written justifications, achieving at least 80% correct
Insurance Principles and Concepts & Property and Casualty Coverages
Explain the four methods of handling risk (avoidance, retention, transfer, reduction) and match each to a real policy or business practice
Identify the elements required for a valid insurance contract and describe how the principle of adhesion and reasonable expectations affect policy interpretation
Apply the principle of insurable interest and the concept of indemnity to three fact patterns involving a change of ownership or death of an insured
Re-drill the weakest property coverage topics flagged in your week 1-2 error log
Your checkpoint
A rewritten, corrected error log with every missed property or principles item restated as a rule statement, plus a 20-question mixed quiz scored at 80% or above
Insurance Principles and Concepts
Calculate actual cash value, replacement cost, and agreed value settlements for the same loss and compare the three payouts
Solve coinsurance penalty problems for both property and health-type applications using the standard formulas
Sequence how deductibles, limits, subrogation, and other-insurance clauses interact to reduce or apportion a claim payment
Summarize the concepts of negligence, proximate cause, and comparative versus contributory fault as they frame liability claims
Your checkpoint
A timed 30-question assessment on principles and valuation scored at 80% or higher, with all math work shown
Claims Adjusting Practices and Ethics
Order the steps of the claim handling lifecycle from first notice of loss through final disposition and file closure
Draft a coverage determination rationale for two sample losses, citing the insuring agreement, an exclusion, and an exception
Identify the documentation elements required in a claim file (contacts, statements, photos, damage estimates, reserve history)
Explain how initial, periodic, and change-of-reserve entries are set and adjusted as a claim develops
Your checkpoint
Two complete mock claim file write-ups (coverage analysis plus reserve justification) reviewed against a self-built documentation checklist
Claims Adjusting Practices and Ethics & Insurance Regulation and Licensing
Differentiate good-faith claim practice from unfair claim settlement practices using ten given adjuster behaviors
Outline the adjuster's duty to investigate thoroughly, respond timely, and avoid conflicts of interest in settlement negotiation
Describe the adjuster's authority limits and when to escalate or refer to counsel, SIU, or a supervisor
List the categories of licensing and conduct records a regulator may examine during a market conduct review
Your checkpoint
A written ethics case analysis of one claim scenario identifying each violation risk and the compliant alternative action, scored 80% or higher against a rubric you build
Insurance Regulation and Licensing
Map the licensing pathway for adjusters and producers, including prelicensing, examination, appointment, and renewal requirements
Identify continuing education hour requirements, reporting obligations, and consequences of lapse or late renewal
Distinguish the roles of state regulation, the NAIC model framework, federal law, and guaranty associations in solvency and consumer protection
Classify ten licensing scenarios as compliant or noncompliant, including rebating, misrepresentation, commingling, and unlicensed activity
Your checkpoint
A completed regulatory flashcard deck of at least 40 terms and rules plus a 25-question regulation quiz scored at 85% or higher
Insurance Principles and Concepts & Insurance Regulation and Licensing & Property and Casualty Coverages & Claims Adjusting Practices and Ethics
Take two full-length timed practice exams under test conditions and record per-domain accuracy
Rank your four domains by weakest to strongest accuracy and rebuild a targeted review list for the bottom two
Re-derive the ten formulas and calculations you are most likely to be tested on, from memory, in under five minutes
Rehearse a consistent exam strategy for scenario items: identify the coverage question, eliminate excluded options, then confirm the principle invoked
Your checkpoint
Two completed practice exams scoring 80% or higher overall and 75% or higher in every individual domain
Milestones
Week 2: Can name every homeowners form and its perils basis, plus the six characteristics of insurance, without notes; property quiz at 75% or higher
Week 4: Solves ACV, replacement cost, and coinsurance problems correctly and scores 80% or higher on a timed 30-question principles and valuation assessment
Week 6: Produces two complete mock claim file write-ups and correctly classifies all ten good-faith versus unfair-practice behaviors
Week 8: Scores 80% or higher overall and at least 75% in each of the four domains on two full-length timed practice exams