In this course, after an introduction, we will start by taking a look at the issue of licensing by reviewing the need for licensure in relation to an adjuster's interactions with the public. We explore a general overview of the process and become familiar with the basic responsibilities associated with maintaining a license. Then we will review the issues related to the activities an adjuster is prohibited from doing such as practicing law and engaging in misrepresentation. We will also take a look at how the industry has taken steps to assist an adjuster in these areas through self-regulation. After that, we will examine closely claims management from the perspective of what are legally considered unfair practices. Next, we will review some specific legal responsibilities that arise from the adoption of NAIC model laws and from case law, decisions made within our judicial system. We will also talk about special issues that adjusters are faced with including current topics adjusters are embroiled in like subrogation claims, preferred provider shops, representing unauthorized insurers, and the impact of natural disasters like Hurricane Katrina on the claims adjustment process. Finally, we will conclude with a review of an adjuster's responsibilities, talk a bit about the current and emerging controversies in the world of adjusting, and set forth a strategy for every adjuster to use in maintaining appropriate conduct and meeting legal responsibilities.

Course Outline:

  • Module 1 - Introduction
  • Module 2 - Licensing
  • Module 3 - Prohibited Practices/ Ethics
  • Module 4 - Unfair Claims Settlement
  • Module 5 - Miscellaneous Laws
  • Module 6 - Special Circumstances
  • Module 7 - Conclusion

Credit info

Type Credits
Ethics Credits 12.00
General Credits 0.00