Florida 3-20 Public Adjusters State Practice Test

Question: 1 / 400

Which unit is responsible for investigating suspicious losses separate from normal claims adjusters' activities?

Fraud Investigation Unit

Claims Review Unit

Special Investigations Unit

The correct answer is the Special Investigations Unit, which is established specifically to handle unusual or suspicious claims that may potentially involve fraud or dishonest practices. This unit operates independently from regular claims adjusters, focusing on the investigation and analysis of claims that raise red flags, such as inconsistencies, anomalies, or patterns indicative of fraudulent behavior.

The Special Investigations Unit is essential in the insurance industry for its specialized approach to detecting and preventing fraud, ensuring that valid claims are processed while deterring fraudulent activity. It employs various techniques and tools, including interviews, surveillance, and forensic analysis, tailored for intricate cases that regular claims adjusters might not thoroughly investigate.

By having this specialized unit, insurers can effectively manage risk and uphold integrity within their claims process.

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Risk Assessment Unit

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