New York Accident & Health Insurance Adjuster Latest 2023 Graded A+

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New York Accident & Health Insurance Adjuster Latest 2023 Graded A+ The New York Superintendent of Insurance is ✔✔Appointed by the governor of New York The primary responsibility of the Superin... tendent of Insurance is ✔✔Enforcing the state insurance laws and regulations. An independent adjuster ✔✔A person who acts on behalf of an insurer in investigating and adjusting claims and/ or performing any duties required by the insurer. A public adjuster ✔✔A person who acts on behalf of an insured in negotiating the settlement of certain claims for loss or damage to property. The qualifications for obtaining a New York Accident & Health Adjuster license are: ✔✔Must be 18, submit to finger printing, and must be approved by at least five reputable citizens of the community Following the occurrence of a legitimate, within what period of time can an insured bring legal action against the insurer for failure to promptly and properly settle the claim? ✔✔Within two years after the inception of the loss Failing to acknowledge reasonable communication with respect to claims arising out of policies is an example of: ✔✔Unfair claims practices New York residents securing any type of insurance adjuster license must meet the following qualifications: ✔✔Pass the state licensing examination, maintain a $1,000.00 surety bond. A policy holder must give notice of a claim within _________ or as soon as reasonably possible. ✔✔20 days New York independent adjuster ✔✔acts on behalf of an insurer New York public adjuster ✔✔acts on behalf of the insured The amount of bond required to be filed by an adjuster with the state of New York is: ✔✔$1,000.00 The intentional failure to disclose known facts is known as ✔✔Concealment An adjuster's license expires: ✔✔Biennially on December 31 of even numbered years and may be renewed for an ensuing two calendar years. A business or residential address change must be reported to the insurance department within: ✔✔30 days of the change Federal law addressed fraud, material misrepresentation, embezzlement, and misappropriation of monies involving the interstate commerce of insurance. If found guilty, the punishment will be: ✔✔Imprisonment for up to 15 years When a person is believed to have violated the New York insurance code, the Superintendent will serve the accused a statement of charges and a notice of a hearing. When must the hearing be held? ✔✔10 days after the notice is served Statements made by an applicant for an insurance policy which are supposed to be true are referred to as: ✔✔Representations An act of deliberate deceit with the intent to take property of another or take unfair advantage of another is: ✔✔Fraud Misrepresentation ✔✔Leading a client to believe that a policy contains benefits that it does not contain. A temporary adjuster license can be issued by the Superintendent for _____ days. ✔✔120 A person that has been found to be in violation of unfair or deceptive acts can be find up to ______ for each offence. ✔✔$500.00 Concealment ✔✔The withholding of pertinent information regarding the property or person insured, which if made to the insurer, would cause the insurer to refuse to accept the risk, or demand a higher premium Proof of loss must be submitted by the insured to insurer within ____ of the loss. ✔✔90 days The insurer is required to provide claim forms to the insured within _____ of being notified of the loss. ✔✔15 days Proof of Loss ✔✔A formal statement given to an insurer regarding a loss. What action may an insurer take while an insured is residing in a foreign country? ✔✔Temporarily suspend coverage Medicaid ✔✔The federal and state funded program for those whose income and resources are insufficient to meet the cost of necessary medical care. No loss-no gain require ✔✔Replacing health insurance policies to cover any conditions for which there are ongoing claims under existing coverage. S.H.O.P ✔✔The Small Business Health Options Program double indemnity ✔✔provides for payment of twice the face amount of the policy in the event of the accidental death of the insured. ERISA ✔✔requires plans to provide participants with plan information about plan features and funding, provides fiduciary responsibilities for those who manage and control plan assets; requires plans to establish a grievance and appeals process for participants to obtain benefits An electrocardiogram records the electrical activity of the ✔✔heart Carpal Tunnel Syndrome is an example of a ✔✔Repetitive Motion Injury Emphysema is a disease of ✔✔Lungs Electromyography ✔✔a medical procedure that measures muscle response to nerve stimulation How many bones make up the human skeleton ✔✔206 A medical report referencing a fracture of the right maxillae tells you that this is a fracture of the right ✔✔cheek bone A medical report referencing a micro-fracture of the T-6 vertebrae tells you that this is specifically a ✔✔Small fracture of the sixth thoracic vertebrae An injury to the coccyx indicates an injury to ✔✔The tailbone Plantar flexion occurs at what part of the body? ✔✔Ankle Circumduction ✔✔An anatomical term referring to the circular movement of a body part, such as a ball and socket joint is known as Comminuted fracture ✔✔a type of fracture in which the bone is broken into more than two pieces or crushed MRI ✔✔a test that provides pictures of organs and structures inside the body by using a magnetic field and pulses of radio wave energy Internal Rotation ✔✔a rotation of the shoulder or hip that would point the toes or the flexed forearm inwards Flexion ✔✔a bending movement that decreases the angle between two parts Protrusion ✔✔often applied to the jaw, is the anterior movement of an object Raising the arms laterally, to the sides, is an example of ✔✔Abduction Tachycardia ✔✔The excessive rapidity in the action of the heart usually applied to a heart rate above 100 per minute [Show More]

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