NC Claims Adjuster study materials
NC Claims Adjuster study resources

NC Claims Adjuster study plan

NC Claims Adjuster · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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