North Carolina Adjuster Practice Exam

What might indicate that an adjuster has acted outside of their authority?

1. Settlement exceeding established limits

2. Providing accurate assessments

3. Documenting all communications

4. Advising claims within coverage

The correct answer is: Settlement exceeding established limits

An adjuster acting outside of their authority is primarily indicated when they approve a settlement that exceeds the established limits set by their organization or the insurance policy. These limits are in place to control financial exposure and ensure that claims are managed within the parameters set by the insurance company. If an adjuster exceeds these limits, it signals a disregard for policy guidelines and an overreach in their decision-making power. In contrast, other choices highlight acceptable practices for adjusters. Providing accurate assessments is a crucial part of the job and reflects proper conduct. Documenting all communications is essential for transparency and record-keeping in the claims process. Advising claims within the coverage ensures that the adjuster operates within the terms of the policy, which is a responsibility rather than an indication of overstepping authority. Therefore, when the settlement exceeds the established limits, it directly suggests the adjuster is operating outside the constraints of their role.