Public Insurance Adjuster License Exam Glossary

Public Insurance Adjuster
A licensed professional who represents the policyholder (not the insurer) in preparing, presenting, and negotiating a first-party property insurance claim, typically for a fee based on the settlement.
First-Party Claim
A claim a policyholder files with their own insurance company for a covered loss to their own property, as opposed to a claim against another party.
Indemnity
The insurance principle of restoring the insured to the same financial position they held before the loss, without allowing profit from the claim.
Actual Cash Value (ACV)
The replacement cost of damaged property minus depreciation for age, wear, and condition at the time of loss.
Replacement Cost Value (RCV)
The cost to repair or replace damaged property with materials of like kind and quality, without any deduction for depreciation.
Depreciation
The reduction in an item's value attributable to age, use, and wear, which is subtracted from replacement cost to arrive at actual cash value.
Deductible
The portion of a covered loss the policyholder must pay out of pocket before the insurer pays the remaining amount of the claim.
Proof of Loss
A formal, usually sworn statement submitted by the insured detailing the amount, cause, and scope of the claimed loss, often required within a set period after the loss.
Endorsement (Rider)
A written amendment attached to a policy that adds, removes, or modifies coverage from the base policy terms.
Fiduciary Duty
The legal obligation of a public adjuster to act in good faith and in the best interest of the client they represent, including handling any claim funds honestly.
Appraisal Clause
A policy provision that lets the insurer and insured each hire an independent appraiser to resolve a dispute over the amount of loss, with an umpire deciding any remaining differences.
Subrogation
The insurer's right, after paying a claim, to pursue recovery from a third party who was legally responsible for causing the loss.