NV Public Adjuster study materials
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NV Public Adjuster key terms

NV Public Adjuster · Get comfortable with the vocabulary.

Public Adjuster

A person licensed to represent an insured policyholder in negotiating a first-party property claim, preparing estimates, and advocating for a settlement, while being paid by the insured rather than the insurer.

Related: Compensation Agreement, Fiduciary Duty, First-Party Claim
Adjuster Licensing

The Nevada requirement that anyone investigating, negotiating, or settling claims for compensation hold a license from the Division, with separate categories for staff, independent, and public adjusters.

Related: Nevada Division of Insurance, Public Adjuster, License Renewal
Nevada Division of Insurance

The state agency that licenses insurers, producers, and adjusters, examines market conduct, enforces the Insurance Code, and issues regulations that adjusters must follow.

Related: Nevada Administrative Code, Adjuster Licensing, Market Conduct Examination
Nevada Administrative Code

The compiled regulations adopted by state agencies, including insurance rules on claim handling timelines, licensing procedures, and unfair claim settlement practices that supplement the statutes.

Related: Nevada Division of Insurance, Unfair Claims Settlement Practices, Nevada Revised Statutes
Nevada Revised Statutes

The codified laws of Nevada, including the insurance title that defines adjuster licensing, policy requirements, claim obligations, and prohibited conduct for insurers and adjusters.

Related: Nevada Administrative Code, Unfair Claims Settlement Practices, Adjuster Licensing
License Renewal

The periodic process by which an adjuster submits continuing education evidence, fees, and required disclosures to keep an active Nevada license; late renewal may require reinstatement or reapplication.

Related: Continuing Education Requirement, Adjuster Licensing, Appointment
Continuing Education Requirement

Mandatory credit hours, including ethics and Nevada-specific content, that a licensed adjuster must complete within each renewal cycle to maintain competence and an active license.

Related: License Renewal, Ethics Training, Adjuster Licensing
Appointment

The formal authorization an insurer or adjusting firm files with the state so a licensed adjuster may act on its behalf; termination of appointment must also be reported to the regulator.

Related: Adjuster Licensing, Producer Responsibilities, Nevada Division of Insurance
Unfair Claims Settlement Practices

Statutorily prohibited claim conduct such as unreasonable delay, failure to investigate promptly, misrepresenting policy provisions, or offering far less than a reasonable evaluation of the loss.

Related: Bad Faith, Prompt Payment of Claims, Nevada Administrative Code
Bad Faith

An insurer's unreasonable denial, delay, or undervaluation of a valid claim, or failure to give the policyholder's interests equal consideration, which may create liability beyond the policy limits.

Related: Unfair Claims Settlement Practices, Fiduciary Duty, Duty to Defend
Fiduciary Duty

The obligation to act in the insured's or client's best interest, avoid conflicts of interest, safeguard claim funds, and disclose all compensation and material facts affecting the engagement.

Related: Compensation Agreement, Conflict of Interest, Ethics Training
Compensation Agreement

The written contract between a public adjuster and the insured stating the fee or percentage, scope of services, cancellation rights, and required disclosures, which must be signed before work begins.

Related: Public Adjuster, Fee Cap, Conflict of Interest
Fee Cap

A statutory limit on the percentage or amount a public adjuster may charge on a claim, which may vary by claim type or declared emergency and must be disclosed in the agreement.

Related: Compensation Agreement, Public Adjuster, Unfair Claims Settlement Practices
Conflict of Interest

A situation where an adjuster's personal, financial, or business interest could bias claim decisions, such as owning an interest in a repair vendor recommended to the insured.

Related: Fiduciary Duty, Compensation Agreement, Ethics Training
Ethics Training

Required education on honest dealing, disclosure, fair claim conduct, and professional standards that reinforces an adjuster's duty to insureds and the public.

Related: Continuing Education Requirement, Fiduciary Duty, Conflict of Interest
Producer Responsibilities

Duties of licensed insurance producers, including acting competently and honestly, remitting premiums, disclosing commissions, and not misrepresenting policy terms to applicants.

Related: Appointment, Misrepresentation, Fiduciary Duty
Misrepresentation

Making a false or misleading statement about policy coverage, claim handling, or an adjuster's authority, which is prohibited and can lead to discipline or license revocation.

Related: Unfair Claims Settlement Practices, Producer Responsibilities, Bad Faith
First-Party Claim

A claim by the insured against their own insurer for damage to their own property or for their own loss, as opposed to a liability claim brought by a third party.

Related: Third-Party Claim, Public Adjuster, Proof of Loss
Third-Party Claim

A claim presented by someone other than the insured against a policyholder, which the insurer handles under liability coverage and which is generally outside a public adjuster's representation.

Related: First-Party Claim, Duty to Defend, Liability Coverage
Duty to Defend

An insurer's obligation under liability coverage to provide and pay for legal defense of a covered claim, which is broader than and separate from the duty to indemnify.

Related: Third-Party Claim, Liability Coverage, Bad Faith
Liability Coverage

Coverage that pays sums the insured becomes legally obligated to pay because of bodily injury or property damage to others, subject to policy limits and exclusions.

Related: Third-Party Claim, Duty to Defend, Coverage Limit
Coverage Limit

The maximum amount an insurer will pay for a covered loss under a policy, which may apply per occurrence, per claim, or in the aggregate and may be reduced by deductibles.

Related: Deductible, Liability Coverage, Replacement Cost
Deductible

The amount of loss the insured must bear before insurance responds, subtracted from the covered loss and often varying by peril or coverage part.

Related: Coverage Limit, Coinsurance, Actual Cash Value
Actual Cash Value

A valuation method paying replacement cost minus depreciation, reflecting the damaged property's value at the time of loss; the policy wording determines the exact formula used.

Related: Replacement Cost, Depreciation, Coinsurance
Replacement Cost

A valuation method paying what it costs to repair or replace damaged property with new property of like kind and quality, without deduction for depreciation, subject to policy limits.

Related: Actual Cash Value, Depreciation, Coverage Limit
Depreciation

The reduction in value of property from age, wear, use, or obsolescence, used to convert replacement cost to actual cash value and often disputed in property claims.

Related: Actual Cash Value, Replacement Cost, Proof of Loss
Coinsurance

A property policy provision requiring the insured to carry insurance equal to a stated percentage of property value, or else share the loss through a reduced claim payment.

Related: Coverage Limit, Deductible, Actual Cash Value
Proof of Loss

A sworn statement the insured submits detailing the amount, date, and cause of loss and supporting documentation, usually required within a policy-specified period after request.

Related: First-Party Claim, Claim Documentation, Prompt Payment of Claims
Claim Documentation

The records supporting a claim, such as photographs, inventories, receipts, estimates, and repair invoices, used to establish the scope, cause, and value of the loss.

Related: Proof of Loss, Scope of Loss, Damage Assessment
Scope of Loss

The itemized description of all damage and repairs attributable to a covered event, which drives the estimate and is a central point of negotiation in property claims.

Related: Claim Documentation, Damage Assessment, Xactimate Estimate
Damage Assessment

The systematic inspection and evaluation of damaged property to determine cause, extent, and repair method, forming the factual basis for the claim estimate.

Related: Scope of Loss, Cause of Loss, Claim Documentation
Cause of Loss

The peril or event that produced the damage, which determines whether coverage applies and which exclusions, deductibles, or special limits may affect payment.

Related: Damage Assessment, Coverage Limit, Proof of Loss
Xactimate Estimate

A widely used software platform that prices repair line items using regional cost data, producing itemized estimates that adjusters and contractors use to negotiate property claim values.

Related: Scope of Loss, Damage Assessment, Claim Documentation
Prompt Payment of Claims

The regulatory expectation that an insurer acknowledge, investigate, and pay or deny a claim within specified timeframes, with written explanation for any denial or delay.

Related: Unfair Claims Settlement Practices, Proof of Loss, Bad Faith
Reservation of Rights

A written notice that an insurer is investigating or defending a claim while leaving open whether coverage applies, preserving its right to deny coverage later.

Related: Coverage Limit, Duty to Defend, Bad Faith
Subrogation

The insurer's right after paying a claim to pursue recovery from the party responsible for the loss, standing in the insured's shoes and sharing recoveries under policy terms.

Related: First-Party Claim, Third-Party Claim, Salvage
Salvage

Damaged property remaining after a loss that retains value, which the insurer may take, sell, or credit against the claim payment under policy provisions.

Related: Subrogation, Actual Cash Value, Damage Assessment
Market Conduct Examination

A regulatory review of an insurer's or adjuster's business practices, including claim files and settlement patterns, to test compliance with insurance law and consumer protection rules.

Related: Nevada Division of Insurance, Unfair Claims Settlement Practices, Nevada Administrative Code