Conduct of an Adjuster

Improperly denying claims is the denying of claims without conducting a reasonable _______________ based upon all available information.

When does an ‘act’ become an Unfair Method, Unfair Competition, or a Deceptive Act under F.S. 626.9541?

True or False? It is considered an unfair or deceptive claims practices act to adopt and implement standards for the proper investigation of claims.

Any business practices committed or performed with such _________ so as to indicate a general business practice constitutes an Unfair Method, Unfair Competition, and/or an Unfair or Deceptive Act.

Joe Insured has repeatedly asked why he must provide copies of his credit card statements to get his claim settled. The insurance company has advised Joe that they cannot process his claim without them. Joe is uncomfortable sharing his personal information given all of the identity theft he has heard about.

True or False? It is an unfair or deceptive claims act to promptly notify insureds of any additional information necessary for the processing of a claim.

Joe Insured received a claims check without an estimate or any written explanation as to the payment. According to Joe’s calculations the insurance company has only paid about 60% of his claim. The one thing Joe did see and did definitely notice is the words on the front and back of the insurance company’s check ‘FINAL RELEASE OF ALL CLAIMS’.

Joe Insured is on a cruise and cannot sign the Sworn Proof of Loss to settle his claim; he has asked you his Public Adjuster to sign for him.

Failing to pay undisputed amounts of partial or full benefits owed under first-party property insurance policies within ___ days after an insurer receives notice of a residential property insurance claim is considered an unfair or deceptive act or practice.

Attempting to settle a claim on the basis of any material document which has been altered without notice, knowledge or consent of the insured is:

Providing false information to a singular insured or claimant which is knowingly false or misleading is…..

________________ is the making of any oral or written statement which is knowingly false which is calculated to injure such person.

It is an unfair and/or deceptive practice or act not to maintain a complete record of all consumer complaints received….

Homeowner insurance policies obligate policyholders to participate in a potentially expensive and time-consuming ___________ process before litigation can begin.

Homeowner insurance policies obligate policyholders to participate in a potentially expensive and time-consuming application process before __________ can begin.

All BUT which of the following can initiate mediation?

True or False? A policyholder may request legal representation in a mediation.

Who pays for the cost of conducting mediation between an insurance company and insured?

True or False? An insured is required to place an insurer on formal written notice of Their right to mediate: when the policy is first issued; at each renewal; and at the time a claim is filed.

An insurer will be deemed to have failed to appear if the insurer’s representative lacks the_____________ to settle the full value of the claim.

When a mediated settlement has been reached in writing the policyholder has only ____ business days within which to rescind the mediated settlement.

If a mediated settlement has been made by way of a formal written agreement and the payment to the insured has been cashed the three day period to rescind the mediated settlement is _____________.

What is the minimum amount which can be mediated?

An insurer does not have to agree to mediation if the insurer has a reasonable basis to suspect the insured is guilty of __________.

Bigger Home & Auto Insurance company opened a claim for Homeowners’ insured ‘Joe Insured’ the day lightning destroyed all of Joe’s electronics. How many days does Bigger Home & Auto have to deny or pay Joe Insured’s claim?

Residential property insurance companies receiving notice of a claim are required to review and acknowledge receipt of the claim within ____ days.

As regards F.S. 627.70131 ‘Failure to Acknowledge’, any notice to the insurer’s agent constitutes notice to ___ ______.

The phrase “solicitation of public adjusting business” means __________ contact with any person to have any person enter into any agreement engaging the services of a public adjuster for adjusting services.

True or False? The answering of incoming telephone calls by unlicensed persons at the place of business of a public adjuster, is considered solicitation.