Texas Adjuster Practice Test 2025 – 400 Free Practice Questions to Pass the Exam

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Question: 1 / 400

How must adjusters handle claims that involve fraud?

Ignore the fraud to expedite the claims process

Report the suspected fraud to the appropriate authorities and follow legal guidelines

Adjusters have a professional and legal obligation to report any suspected fraud to the appropriate authorities. When fraud is suspected in a claim, it is crucial for adjusters to investigate the situation thoroughly and follow established legal guidelines to ensure compliance with regulations and to protect the integrity of the claims process. Reporting suspected fraud not only helps prevent further fraudulent activities but also preserves the interests of the insurer and its policyholders.

Addressing fraud in a timely manner is essential; ignoring it could lead to greater losses for the insurance company. Handling issues of fraud only during the final settlement or just for personal records can expose the adjuster and the company to legal ramifications. Thus, the emphasis is on proactive reporting rather than passive management of the situation. This approach underscores the importance of ethical practices within the insurance industry to maintain trust and accountability.

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Handle it during the final claim settlement

Document it for personal records only

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