Louisiana Claims Adjuster Standards Quiz
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Questions and Answers

Which of the following is NOT a standard of conduct for claims adjusters according to the text?

  • An adjuster shall treat all claimants fairly. (correct)
  • An adjuster shall not solicit employment for any attorney at law, contractor, or subcontractor.
  • An adjuster shall not have a direct or indirect financial interest in any aspect of the claim.
  • An adjuster shall not acquire any interest in salvage of property subject to the contract with the insurer.
  • What should an adjuster do when handling a claim, according to the text?

  • Provide favored treatment to any claimant.
  • Handle every adjustment and settlement with dishonesty and lack of integrity.
  • Make truthful and unbiased reports of the facts after completing a thorough investigation. (correct)
  • Approach investigations, adjustments, and settlements in a manner prejudicial to the insured.
  • What is NOT allowed for an adjuster in relation to compensation, according to the text?

  • Have a direct or indirect financial interest in any aspect of the claim.
  • Provide remuneration to himself except that to which he is legally entitled.
  • Solicit or accept any compensation from any contractor or subcontractor engaged by or on behalf of any insured. (correct)
  • Receive salary, fee, or other consideration established with the insurer.
  • What should an adjuster do if they witness a licensed insurance representative violating any provision of the Title or department rule?

    <p>Report it to the department</p> Signup and view all the answers

    What should an adjuster do when dealing with elderly claimants?

    <p>Exercise appropriate care</p> Signup and view all the answers

    When can an adjuster negotiate or settle directly with a third-party claimant represented by an attorney?

    <p>With the consent of the attorney</p> Signup and view all the answers

    Can an adjuster interview a witness without the consent of opposing counsel or party?

    <p>Yes, but they should avoid suggesting the witness to suppress or deviate from the truth</p> Signup and view all the answers

    Which of the following is NOT a standard of conduct for claims adjusters?

    <p>Soliciting employment for an attorney at law, contractor, or subcontractor</p> Signup and view all the answers

    What should an adjuster do upon undertaking the handling of a claim?

    <p>Act with dispatch and due diligence in achieving a proper disposition of the claim</p> Signup and view all the answers

    What should an adjuster do when completing a thorough investigation?

    <p>Make truthful and unbiased reports of the facts</p> Signup and view all the answers

    What action should an adjuster take if a witness requests a copy of their signed or recorded statement?

    <p>The adjuster should provide a copy of the statement.</p> Signup and view all the answers

    When can an adjuster advise a claimant to refrain from seeking legal advice or against the retention of counsel?

    <p>An adjuster should never advise a claimant to refrain from seeking legal advice or against the retention of counsel.</p> Signup and view all the answers

    What action should an adjuster take if they are not currently competent and knowledgeable about the terms and conditions of the insurance coverage for a claim?

    <p>The adjuster should not undertake the adjustment of the claim.</p> Signup and view all the answers

    What action should an adjuster take if they witness an unlicensed employee or representative conducting business that requires a license?

    <p>The adjuster should not permit the unlicensed employee or representative to conduct the business.</p> Signup and view all the answers

    Which of the following is NOT considered a violation of the adjuster standards of conduct?

    <p>Advising a claimant to seek legal advice</p> Signup and view all the answers

    When can an adjuster negotiate or effect settlement directly with a third-party claimant represented by an attorney?

    <p>When the attorney consents</p> Signup and view all the answers

    What action should an adjuster take if they witness a licensed insurance representative violating any provision of the Title or department rule?

    <p>Report the conduct to the department</p> Signup and view all the answers

    What is the consequence for an adjuster who violates the provisions in Subsection A of this Section?

    <p>Administrative action and potential penalties</p> Signup and view all the answers

    Which of the following is NOT a standard of conduct for claims adjusters?

    <p>An adjuster shall make truthful and unbiased reports of the facts after completing a thorough investigation.</p> Signup and view all the answers

    What should an adjuster do if they witness an unlicensed employee or representative conducting business that requires a license?

    <p>Report the incident to the insurer.</p> Signup and view all the answers

    When can an adjuster negotiate or settle directly with a third-party claimant represented by an attorney?

    <p>When the adjuster has prior approval from their supervisor.</p> Signup and view all the answers

    Match the following standards of conduct to the related descriptions for claims adjusters:

    <p>Standard 1 and 2 = No financial interest in the claim or salvage Standard 3 and 4 = No solicitation for employment or compensation from contractors or subcontractors Standard 5, 6, and 7 = Fair treatment and adherence to insurance contract Standard 8, 9, and 10 = No prejudice, truthful reports, and honesty in settlements</p> Signup and view all the answers

    Match the following standards of conduct with their respective prohibitions for claims adjusters:

    <p>Standard 1 = Having a financial interest in any aspect of the claim Standard 2 = Acquiring any interest in salvage of property subject to the contract with the insurer Standard 4 = Accepting compensation, directly or indirectly, from any contractor or subcontractor Standard 6 = Providing favored treatment to any claimant</p> Signup and view all the answers

    Match the following descriptions with their corresponding standards of conduct for claims adjusters:

    <p>Making truthful and unbiased reports = Standard 9 Handling every adjustment with honesty and integrity = Standard 10 Not providing favored treatment to any claimant = Standard 6 Not soliciting employment for any attorney at law, contractor, or subcontractor = Standard 3</p> Signup and view all the answers

    Match the following adjuster conduct rules with their descriptions:

    <p>(12) = Reporting violation by any licensed insurance representative (14) = Negotiating or settling with third-party claimant represented by an attorney (17) = Avoiding misrepresentation or misleading statement about policy provisions and laws (20) = Not representing or acting as a public adjuster</p> Signup and view all the answers

    Match the following adjuster obligations with their provisions:

    <p>(15) = Interviewing any witness without the consent of opposing counsel or party (18) = Not undertaking the adjustment of a claim without current competence and knowledge (19) = Not permitting an unlicensed employee to conduct business requiring a license (21) = Not misrepresenting the terms and coverage of an insurance contract to effect settlement of a claim</p> Signup and view all the answers

    Match the following adjuster's responsibilities with their respective rule numbers:

    <p>Exercising appropriate care with elderly claimants = (13) Not advising a claimant to refrain from seeking legal advice = (16) Not undertaking a claim adjustment without current expertise = (18) Not allowing an unlicensed employee to conduct business needing a license = (19)</p> Signup and view all the answers

    Match the rules with their corresponding conduct for an adjuster:

    <p>(16) = Not advising a claimant against seeking legal advice (13) = Exercising appropriate care when dealing with elderly claimants (21) = Not misrepresenting the terms and coverage of an insurance contract (15) = Interviewing any witness without the consent of opposing counsel or party</p> Signup and view all the answers

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