Ace the North Carolina Adjuster Exam 2025 – Adjust and Triumph with Confidence!

Question: 1 / 400

What should an adjuster do if they uncover evidence of fraud during a claims investigation?

Ignore it to expedite the process

Report it to the appropriate authorities

When an adjuster uncovers evidence of fraud during a claims investigation, the appropriate course of action is to report it to the appropriate authorities. Recognizing and acting on fraud is a critical responsibility for adjusters, as it protects the integrity of the insurance process and ensures that legitimate claims are not adversely affected by fraudulent activities. Reporting fraud helps maintain ethical standards within the insurance industry and supports efforts to prevent future fraudulent claims.

This approach also aligns with regulatory and legal obligations, as many jurisdictions require professionals in the insurance field to report any suspected fraud. Addressing fraud appropriately contributes to a fair and just claims process, preserving the trust and reliability of the insurance system as a whole.

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Contact the claimant to discuss findings

Attempt to resolve it privately

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