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St. Johnās University
(New York, NY)
[Risk Management and Insurance Program.]
State Insurance Claims Adjusters Certification
New York, NY Claims Adjuster Exam
Course Title and Number: Claims Adjuster Exam Exam Title: Board Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructorās Name] Student Name: [Insert Studentās Name] Student ID: [Insert Student ID]
Examination
180 minutes
Instructions:
- Read each question carefully.
- Answer all questions.
- Use the provided answer sheet to mark your responses.
- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you have completed the Exam.
- This test has a time limit, The test will save and submit automatically when the time expires
- This is Exam which will assess your knowledge on the course Learning Resources.
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State Insurance Claims Adjusters Certification 2024- New York N.Y Auto Adjuster Series 17-66 Exam Review Questions with Answers and Explanations | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Medical coverage under a personal auto policy will cover the insured if he/she is injured while: - =Answer>> Passenger on a bus. EXPLANATION : Personal auto medical coverage is available to the policyholder or a family member (resident relative) injured while occupying, or as a pedestrian, struck by a motor vehicle or trailer designed for use on public roads. It also covers any other persons while they are occupying your motor vehicle. It does not cover injuries sustained while riding in vehicles not intended for use on public roads such as trains, subways and airplanes. All of the following are reasons that an adjuster should keep very detailed log notes, EXCEPT: - =Answer>> To produce notes that will support a fraudulent denial of claims.. The adjuster's log notes are used to determine negligent parties, to assist in detecting fraud, to become a part of the claims file, and to be used in future proceedings. The log Need Writing š¤Help? We've Got You Covered! āļø 100% NO A I or Plagiarism Guaranteedš¤
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example. By comparison, an implied waiver may be the result from some act of neglect on the part of the adjuster. In New York, how often may the Superintendent examine insurers doing business in the state? - =Answer>> As often as he/she deems necessary. Duplicate recovery under New York No-Fault coverage is not permitted. If the employee is covered under the employer's auto policy what might be done to the employee's personal auto insurance coverage: - =Answer>> PP 05 92 will exclude medical expenses from the basic economic loss coverage for no-fault benefits. With commercial lines, endorsement CA 22 49 can be used. The premiums for the basic economic loss (PIP) will be reduced accordingly. What symbol is used for a hired auto in a commercial automobile policy? - =Answer>> Symbol 8 is used to provide hired auto coverage in a commercial automobile policy. It also includes leased, rented or borrowed. A New York licensee subject to an administrative action in another jurisdiction or governmental agency must report such action to the Superintendent within: - =Answer>> The Superintendent must be notified within 30 days of the final disposition of the matter. Jim Johnson has an automobile policy with a combined single limit of $50,000. He has an at-fault accident and incurs the following expenses: $30,000 bodily injury Need Writing š¤Help? We've Got You Covered! āļø 100% NO A I or Plagiarism Guaranteedš¤
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judgment; $30,000 property damage judgment; $5, damage to traffic light; $6,000 attorney's fees for his defense; $300 in premiums for appeal bond; and $75 in bail bond premiums for related traffic violations. What is the maximum amount his insurance company will pay? - =Answer>> 56, The policy cannot pay more than its limit of liability. Under supplemental coverages in the policy, the policy will pay the defense costs plus the cost of the premiums on appeal bonds and bail bonds. What is the meaning of "diminution of value?" - =Answer>> A reduction in the value of a vehicle even after repairs have been made Which of the following is NOT true concerning the Terrorism Risk Insurance Program Reauthorization Act of 2015? - =Answer>> The coverage is not mandatory and can be rejected. Under the 2015 extension, an act of terrorism must be certified by the Secretary of Treasury in concurrence with the Secretary of Homeland Secretary (previously it was the in concurrence with the Secretary of State) and the United State Attorney General. David has damaged his vehicle by striking a tree. He can: - =Answer>> I. Take the car to a repair garage recommended by the insurer. II. Take the car to a garage of his choice. III. Accept payment based on the adjuster's estimate. Need Writing š¤Help? We've Got You Covered! āļø 100% NO A I or Plagiarism Guaranteedš¤
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This breach of trust or dishonesty involving interstate commerce is a violation of USC 1033 and therefore prosecuted by the United States Attorney General's office. Under the commercial auto policy providing physical damage, which of the following offers the broadest coverage? - =Answer>> Comprehensive.. EXPLANATION : Comprehensive coverage would be the broadest because it covers anything that is not defined as collision. The specified cause of loss is a named peril form and thus, is more limited. Driver 1 and Driver 2 are in an accident. Driver 2 has the following damages: Property Damage - $1, Rental Car Expense - $ Emergency Room Expense - $ Lost Wages - $ The extent of the bodily injury will not be known for six months. How should the adjuster on this claim pay damages for Driver 2? - =Answer>> Pay the property damage and rental car expense and settle the bodily injury at a later time.. EXPLANATION : In this case the adjuster should pay for the parts of the claim where he can easily determine its value. He should Need Writing š¤Help? We've Got You Covered! āļø 100% NO A I or Plagiarism Guaranteedš¤
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seek a partial release for these items. He can then settle the bodily injury claim and get a release at a later time. Which of the following is not a commercial auto endorsement? - =Answer>> Change Other Driver.. EXPLANATION : Other available endorsements include: "changes in commercial auto coverage," "medical payments," "uninsured motorist," "underinsured motorists," and "additional insured-lessor." If a person is qualified to receive benefits from the Motor Vehicle Accident Indemnification Corporation and are injured by a "hit and run" driver, how many days do they have to file a claim? - =Answer>> 90 days. EXPLANATION : First they must report the incident to a law enforcement agency within 24-hours. They have 90-days from the date of the accident to file a claim. A New York adjuster commits an act of insurance fraud addressed by the Federal Insurance Fraud Act. The fraud does not affect the financial stability of the company. What is the maximum time the adjuster may be confined to prison? - =Answer>> 10 years is correct. EXPLANATION : Need Writing š¤Help? We've Got You Covered! āļø 100% NO A I or Plagiarism Guaranteedš¤
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EXPLANATION :
Each insurer conducting business in New York must be examined in detail at least once every five years. Any company under investigation is responsible for all expenses involved in the examination. Coach Joe loans his car, covered under a personal auto policy, to assistant coach Tom to take several members of the Lake Recreation Swim Team home after a meet. In the event of an accident, the liability section of the personal auto policy would cover all of the following, EXCEPT: - =Answer>> The auto manufacturer.. EXPLANATION : Coach Joe is covered because he owns the car. Assistant coach Tom is covered because he had Joe's permission to drive his car. Lake Recreation Swim Team is also an insured but only with respect to legal responsibilities for acts or omissions of a person for whom coverage is afforded. Which of the following best describes "no release or walk- away" release? - =Answer>> The bills are paid and no attempt to obtain a separate release is made.. EXPLANATION : The bills presented are paid with no attempt to obtain a separate release, although the wording on the draft or check may also serve as a form of release. After a certain amount of time has passed with no further contact with the claimant, the file is considered closed. Need Writing š¤Help? We've Got You Covered! āļø 100% NO A I or Plagiarism Guaranteedš¤
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The minimum coverage required in New York for uninsured motorists bodily injury is: - =Answer>> $25,000 per person, $50,000 per accident. is correct. EXPLANATION : New York state law established the minimum coverage limits of $25,000 per person, $50,000 per accident and up to $50,000 per person, and $100,000 per accident for death. Richard has been advised by the New York Superintendent of Insurance to cease and desist in the performance of certain infractions of the Insurance Code. He has had a hearing and been issued a cease and desist order. He continues to violate the cease and desist order. He can be fined a penalty of up to: - =Answer>> 5,000 per violation. EXPLANATION : Richard is subject to a penalty of up to $5,000 for each violation. If an insured has more than one auto policy with the same insurer that provides uninsured motorists coverage, which of the following statements about the recovery of benefits is correct? - =Answer>> Total recovery is restricted to the highest limits of those coverages.. EXPLANATION : Only the highest limit would apply. In some states, however, stacking of limits is permitted wherein if the Need Writing š¤Help? We've Got You Covered! āļø 100% NO A I or Plagiarism Guaranteedš¤
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Bodily injury claims are usually classified as types of damages. Which of the following is considered "exemplary" damages? - =Answer>> Punitive Damages. EXPLANATION : Punitive damages (also known as exemplary damages) are damages intended to reform or deter the defendant and others from engaging in similar conduct which formed the basis of the lawsuit. An example would be a driver going 120 miles per hour in a school zone and hits a school bus. Punitive damages would punish this driver and others from repeating the same offense. What is the automobile property damage limit that is required in New York to satisfy the financial responsibility law? - =Answer>> $10,000. John does not own a vehicle and borrows a friend's car and has an accident. John carries named non-owned auto coverage. Which of the following applies to the accident? - =Answer>> John's coverage is excess. EXPLANATION : The named non-owned auto coverage is excess coverage. An insured carries a general liability policy and has hired a trucking company to transport equipment to the business location. The trucking company carries a commercial auto policy. The insured loads a piece of machinery onto the truck and fails to secure it properly. The trucking company is transporting the cargo and it falls off the truck and hits Need Writing š¤Help? We've Got You Covered! āļø 100% NO A I or Plagiarism Guaranteedš¤
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another car. Which policy or policies would cover this claim?
- =Answer>> The trucking company's commercial auto policy would cover the claim.. EXPLANATION : The commercial auto policy would respond to cover the claim for damages to the damaged party. The damage to the cargo itself would not be covered. The trucking company and the insured should both carry cargo coverage. All of the following would be excluded under Coverage D - Physical Damage of a Personal Automobile Policy, EXCEPT: - =Answer>> Permanently-installed telephones.. EXPLANATION : Permanently installed electronic equipment (except radar detectors) is covered, but no custom equipment is covered in a van unless endorsed onto the policy and an additional premium paid. The New York Superintendent of Insurance is: - =Answer>> Appointed by the governor of New York A road construction contractor has mobile equipment used in his business. The state has changed the law and now requires some of the equipment to carry liability insurance to comply with the financial responsibility laws of the state. What symbol will the insurance company use to add these items to the insured's commercial auto policy? - =Answer>> Symbol 19 Need Writing š¤Help? We've Got You Covered! āļø 100% NO A I or Plagiarism Guaranteedš¤
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EXPLANATION :
Transportation expenses in case of a physical damage loss to a covered auto would be considered an indirect loss. The direct loss is the damage to the vehicle. What information would not normally be found on an insurance binder? - =Answer>> The conditions and general exclusions of the insurance contract is correct. EXPLANATION : Conditions and general exclusions will be stated in the actual insurance policy. An insurance binder legally represents the policy while it is being prepared by the insurer. Binders typically contain only the policy specifications and the insured parties. A trailer leased by the named insured from another business is a covered auto under the insured's BAP. While the trailer is connected to a covered truck-tractor owned by the insured, the BAP provides: - =Answer>> Primary liability coverage on the trailer.. EXPLANATION : The BAP would provide primary liability coverage on the trailer in this instance. For physical damage to be covered on this loss the insured would need to have the endorsement, Trailer Interchange Coverage. Tom Smith was at-fault in an automobile accident. Which of the coverages listed would apply to the lost wages incurred Need Writing š¤Help? We've Got You Covered! āļø 100% NO A I or Plagiarism Guaranteedš¤
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by a passenger injured in the other vehicle? - =Answer>> Bodily Injury Liability. EXPLANATION : Lost wages are also known as "compensatory damages" and are sometimes called "special damages." These are expenses where the dollar costs are readily apparent such as lost wages, medical expenses, etc. They are covered under the bodily injury coverage. Which of the following statements is false concerning "no- fault" auto insurance? - =Answer>> Negligence must be proved.. EXPLANATION : In no-fault, a threshold is usually established for injuries where negligence does not have to be proved. In cases where there have been permanent injuries the right to sue is still retained. Need Writing š¤Help? We've Got You Covered! āļø 100% NO A I or Plagiarism Guaranteedš¤
