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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Claims Investigation & Adjusting Procedures | 20% | - Evidence gathering, coverage analysis, and policy interpretation - Claim intake, notice of loss, and initial investigation - Loss valuation, damage assessment, and estimating - Settlement negotiation, reservation of rights, and denial procedures |
| Topic 2: Property & Casualty Coverages | 25% | - Specialty lines — Inland Marine, Flood, Workers' Compensation, Crime - Commercial Property and Businessowners policies - Dwelling and Homeowners policies - General Liability and Commercial General Liability - Automobile coverages — Personal and Commercial |
| Topic 3: Insurance Fundamentals & General Principles | 15% | - Insurance contract elements and legal structure - Indemnity, subrogation, utmost good faith - Risk management and insurable interest |
| Topic 4: New York Insurance Law & Regulations | 25% | - Licensing requirements, eligibility, and examination rules - NY Insurance Law Articles and DFS regulations - Unfair Claims Settlement Practices Act / Regulation 64 - State-specific policy provisions and mandatory endorsements |
| Topic 5: Ethics & Professional Responsibility | 15% | - Fair claims handling standards and professional conduct - Fraud detection and reporting obligations - Fiduciary duty, conflict of interest, and confidentiality |
Which of the following factors is NOT used to determine if an injury qualifies for Workers' Compensation coverage?
Correct Answer: B 🗳️
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Under a Commercial Package Policy (CPP), the first named insured possesses all of the following responsibilities EXCEPT
Correct Answer: A 🗳️
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In order to provide coverage for land-based maritime employees, which endorsement MUST be added to the standard Workers' Compensation Policy?
Correct Answer: B 🗳️
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Which coverage form would a condominium unit-owner purchase?
Correct Answer: D 🗳️
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Under a Crop-Hail insurance policy, which of the following is true?
Correct Answer: C 🗳️
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