Insurance · Bad Faith and Ethics

What constitutes 'bad faith' claims handling by an insurer or adjuster?

Correct answer

Unreasonable conduct in handling a claim — such as unjustified denial, unreasonable delay, failure to investigate properly, or lowball offers without basis — that breaches the duty of good faith and fair dealing

  1. A Paying a claim promptly
  2. B Unreasonable conduct in handling a claim — such as unjustified denial, unreasonable delay, failure to investigate properly, or lowball offers without basis — that breaches the duty of good faith and fair dealing
  3. C Investigating a claim thoroughly
  4. D Requesting documentation

Why this is the answer

Bad faith refers to an insurer's or adjuster's unreasonable or unfair conduct in handling a claim, breaching the implied duty of good faith and fair dealing owed to the insured. Examples include denying a valid claim without a reasonable basis, unreasonably delaying investigation or payment, failing to conduct a proper investigation, misrepresenting policy provisions, or making lowball offers not supported by the facts. Bad-faith conduct can expose the insurer to damages beyond the policy limits, including in some cases punitive damages. Proper, prompt, fair, and well-documented claims handling avoids bad faith. Understanding what constitutes bad faith is critical content for the adjuster exam.
Source: NAIC Adjuster, Bad Faith

Practice more questions

This question is from our Insurance License Practice Tests practice test. Take the full practice test to test your knowledge across all Bad Faith and Ethics and other topics.

Take the Insurance Adjuster practice test →

New to this exam? Our Insurance exam guide explains the format, scoring, and how to prepare.

Related questions

State-specific guides

Need information for your state? Our state guides cover local requirements, fees, and what to expect on exam day.