Florida Department of Education
Curriculum Framework 

Program Title:	Insurance Claims Adjuster
Program Type:	Career Preparatory
Career Cluster:	Finance

Career Certificate Program	
Program Number	M810015	
CIP Number	0252190806	
Grade Level	30, 31	
Program Length	40 hours	
Teacher Certification	Refer to the Program Structure section.	
CTSO	Collegiate DECA, PBL	
SOC Codes (all applicable)	For program SOC codes, please see the Program and Course Tables section of the CTE Program Resources page linked below.	
CTE Program Resources 	http://www.fldoe.org/academics/career-adult-edu/career-tech-edu/program-resources.stml	
Basic Skills Level	N/A	

Purpose

This program offers a sequence of courses that provides coherent and rigorous content aligned with challenging academic standards and relevant technical knowledge and skills needed to prepare for further education and careers in the Finance career cluster; provides technical skill proficiency, and includes competency-based applied learning that contributes to the academic knowledge, higher-order reasoning and problem-solving skills, work attitudes, general employability skills, technical skills, and occupation-specific skills, and knowledge of all aspects of the Finance career cluster. 

This 40-hour course content will include but is not limited to the following:  Insurance terms and concepts, insuring; personal and business automobiles, personal and commercial inland marine, residential and commercial property, general liability, worker compensation, crime insurance and health insurance.

The course also covers Florida State rules and regulations governing insurance agencies as well as ethics and agency operations.

Additional Information relevant to this Career and Technical Education (CTE) program is provided at the end of this document.

Program Structure

This program is a planned sequence of instruction consisting of one occupational completion point.

This program is comprised of courses which have been assigned course numbers in the SCNS (Statewide Course Numbering System) in accordance with Section 1007.24 (1), F.S.  Career and Technical credit shall be awarded to the student on a transcript in accordance with Section 1001.44(3)(b), F.S.

To teach the course listed below, instructors must hold at least one of the teacher certifications indicated for that course.

The following table illustrates the postsecondary program structure:

OCP	Course Number	Course Title	Teacher Certification	Length	
A	RMI0094	Insurance Claims Adjuster	Approval by and Registration with the Florida Department of Financial Services 	40 hours	

Regulated Programs

The program prepares students for initial employment investigating claims, negotiating settlements, and authorizing payments to claimants. 

Florida Statutes (F.S.) Chapter 626:
626.2817, F.S., Regulation of course providers, instructors, school officials, and monitor groups involved in pre-licensure education for insurance agents and other licensees.--
(1)  Any course provider, instructor, school official, or monitor group must be approved by and registered with the department (Florida Department of Financial Services) before offering pre-licensure education courses for insurance agents and other licensees.   

More information on the requirements for students to become a licensed insurance adjuster can be found at: http://www.myfloridacfo.com/Division/Agents/Licensure/General/default.htm. 

Florida’s Career Readiness Skills for CTE Programs

Employability Skills	
01.0	Apply academic skills to workplace scenarios.	
01.01	Use reading skills.	
01.02	Use writing skills.	
01.03	Use mathematical strategies and procedures.	
01.04	Use scientific principles and procedures.	
02.0	Design a solution to an industry problem.	
02.01	Use critical thinking.	
02.02	Use creativity.	
02.03	Make sound decisions.	
02.04	Solve problems.	
02.05	Reason. 	
02.06	Plan and organize.	
03.0	Manage resources within an industry project	
03.01	Manage time.	
03.02	Manage money or resources.	
03.03	Manage materials.	
03.04	Manage personnel.	
04.0	Oversee the subcomponents, operations and output of a technical or organizational system.	
04.01	Manage systems.	
04.02	Monitor systems.	
04.03	Improve systems.	
05.0	Use information for decision making.	
05.01	Locate information.	
05.02	Organize information.	
05.03	Use information.	
05.04	Analyze information.	
05.05	Communicate information.	
06.0	Apply relevant technology to workplace scenarios to aid productivity.	
06.01	Use technology.	
07.0	Interpret and express interpersonal communication.	
07.01	Communicate verbally.	
07.02	Listen actively.	
07.03	Comprehend written material.	
07.04	Convey information in writing.	
07.05	Communicate nonverbally.	
07.06	Interpret nonverbal communication.	
08.0	Interact with others to accomplish workplace goals.	
08.01	Collaborate with others in a team.	
08.02	Respond to customer needs.	
08.03	Exercise leadership.	
08.04	Negotiate to resolve conflict.	
08.05	Respect others.	
09.0	Manage personal behavior to maximize productivity and professional growth.	
09.01	Demonstrate responsibility and self-discipline.	
09.02	Adapt and show flexibility.	
09.03	Work independently.	
09.04	Demonstrate a willingness to learn.	
09.05	Demonstrate integrity.	
09.06	Demonstrate professionalism.	
09.07	Take initiative.	
09.08	Display positive attitude.	
09.09	Take responsibility for professional growth.	
Job Attainment	
10.0	Find, assess and apply to job opportunities.	
10.01	Identify online job posts relevant to his or her career aspirations.	
10.02	Compare and contrast the job posts’ required qualifications, job duties, compensation, benefits and employers. 	
10.03	Define what information, documentation and writing prompts are required for the positions.	
11.0	Communicate personal competence, character and fit for a job opportunity.	
11.01	Develop a resume.	
11.02	Write a cover letter.	
11.03	Curate a professional portfolio that includes work products.	
11.04	Prepare for and experience a mock job interview.	
12.0	Cultivate and leverage relationships to professionally advance.	
12.01	Request a signed reference letter, letter of recommendation and/or an online skill/professionalism endorsement. 	
12.02	Develop a plan to cultivate a professional digital footprint.	
12.03	Develop a networking plan for a specific industry of interest.	

Standards

After successfully completing this program, the student will be able to perform the following:

01.0	Demonstrate mathematics knowledge and skills.
02.0	Use oral and written communication skills in creating, expressing and interpreting information and ideas. 
03.0	Demonstrate language arts knowledge and skills.
04.0	Solve problems using critical thinking skills, creativity and innovation.
05.0	Demonstrate the importance of health, safety, and environmental management systems in organizations and their importance to organizational performance and regulatory compliance. 
06.0	Use information technology tools.
07.0	Demonstrate leadership and teamwork skills needed to accomplish team goals and objectives.
08.0	Describe the roles within teams, work units, departments, organizations, inter-organizational systems, and the larger environment.
09.0	Describe the importance of professional ethics and legal responsibilities.
10.0	Explain the importance of employability and entrepreneurship skills.
11.0	Demonstrate an understanding of property and liability insurance concepts, insurance contracts, and law and adjusting practices.
12.0	Demonstrate an understanding of casualty/liability insurance.
13.0	Demonstrate an understanding of fire and allied lines, including marine dwelling insurance.
14.0	Demonstrate an understanding of motor vehicle physical damage and mechanical breakdown insurance.
15.0	Demonstrate an understanding of health insurance.
16.0	Demonstrate an understanding of residual markets.
17.0	Demonstrate an understanding of selected Florida statutes and rules.
18.0	

Florida Department of Education
Student Performance Standards

Program Title:	Insurance Claims Adjuster 
Career Certificate Program Number:	M810015

Course Number:  RMI0094 
Occupational Completion Point:  A 
Insurance Claims Adjuster – 40 Hours	
01.0	Demonstrate mathematics knowledge and skills.  The students will be able to:	
01.01	Demonstrate knowledge of arithmetic operations.	
01.02	Analyze and apply data and measurements to solve problems and interpret documents.	
01.03	Construct charts/tables/graphs using functions and data.	
02.0	Use oral and written communication skills in creating, expressing and interpreting information and ideas.  The students will be able to:	
02.01	Select and employ appropriate communication concepts and strategies to enhance oral and written communication in the workplace.	
02.02	Locate, organize and reference written information from various sources.	
02.03	Design, develop and deliver formal and informal presentations using appropriate media to engage and inform diverse audiences.	
02.04	Interpret verbal and nonverbal cues/behaviors that enhance communication.	
02.05	Apply active listening skills to obtain and clarify information.	
02.06	Develop and interpret tables and charts to support written and oral communications.	
02.07	Exhibit public relations skills that aid in achieving customer satisfaction.	
03.0	Demonstrate language arts knowledge and skills.  The students will be able to:	
03.01	Locate, comprehend and evaluate key elements of oral and written information.	
03.02	Draft, revise, and edit written documents using correct grammar, punctuation and vocabulary.	
03.03	Present information formally and informally for specific purposes and audiences.	
04.0	Solve problems using critical thinking skills, creativity and innovation.  The students will be able to:	
04.01	Employ critical thinking skills independently and in teams to solve problems and make decisions.	
04.02	Employ critical thinking and interpersonal skills to resolve conflicts.	
04.03	Identify and document workplace performance goals and monitor progress toward those goals.	
04.04	Conduct technical research to gather information necessary for decision-making.	
05.0	Demonstrate the importance of health, safety, and environmental management systems in organizations and their importance to organizational performance and regulatory compliance.  The students will be able to:	
05.01	Describe personal and jobsite safety rules and regulations that maintain safe and healthy work environments.	
05.02	Explain emergency procedures to follow in response to workplace accidents.	
05.03	Create a disaster and/or emergency response plan.	
06.0	Use information technology tools.  The students will be able to:	
06.01	Use personal information management (PIM) applications to increase workplace efficiency.	
06.02	Employ technological tools to expedite workflow including word processing, databases, reports, spreadsheets, multimedia presentations, electronic calendar, contacts, email, and internet applications.	
06.03	Employ computer operations applications to access, create, manage, integrate, and store information.	
06.04	Employ collaborative/groupware applications to facilitate group work.	
07.0	Demonstrate leadership and teamwork skills needed to accomplish team goals and objectives.  The students will be able to:	
07.01	Employ leadership skills to accomplish organizational goals and objectives.	
07.02	Establish and maintain effective working relationships with others in order to accomplish objectives and tasks.	
07.03	Conduct and participate in meetings to accomplish work tasks. 	
07.04	Employ mentoring skills to inspire and teach others.	
08.0	Describe the roles within teams, work units, departments, organizations, inter-organizational systems, and the larger environment.  The students will be able to:	
08.01	Describe the nature and types of business organizations.	
08.02	Explain the effect of key organizational systems on performance and quality. 	
08.03	List and describe quality control systems and/or practices common to the workplace.	
08.04	Explain the impact of the global economy on business organizations.	
09.0	Describe the importance of professional ethics and legal responsibilities.  The students will be able to:	
09.01	Evaluate and justify decisions based on ethical reasoning.	
09.02	Evaluate alternative responses to workplace situations based on personal, professional, ethical, legal responsibilities, and employer policies.	
09.03	Identify and explain personal and long-term consequences of unethical or illegal behaviors in the workplace.	
09.04	Interpret and explain written organizational policies and procedures.	
10.0	Explain the importance of employability and entrepreneurship skills.  The students will be able to:	
10.01	Identify and demonstrate positive work behaviors needed to be employable.	
10.02	Develop personal career plan that includes goals, objectives, and strategies.	
10.03	Examine licensing, certification, and industry credentialing requirements.  	
10.04	Maintain a career portfolio to document knowledge, skills, and experience.	
10.05	Evaluate and compare employment opportunities that match career goals.	
10.06	Identify and exhibit traits for retaining employment.	
10.07	Identify opportunities and research requirements for career advancement.	
10.08	Research the benefits of ongoing professional development.	
10.09	Examine and describe entrepreneurship opportunities as a career planning option.	
11.0	Demonstrate an understanding of property and liability insurance concepts, insurance contracts, and law and adjusting practices.  The student will be able to:	
11.01	Describe insurance contracts in general.	
11.02	List and discuss insurance property and liability.	
11.03	List and apply adjusting practices.	
12.0	Demonstrate an understanding of casualty/liability insurance.  The student will be able to:	
12.01	Explain automobile liability.	
12.02	Define uninsured motorists.	
12.03	Explain Florida automobile no-fault (PIP).	
12.04	Define Florida financial responsibility law.	
12.05	Interpret miscellaneous forms of automobile insurance including business auto policy.	
12.06	Discuss general liability.	
12.07	Define excess/umbrella liability.	
12.08	Explain professional liability and employment-related practices liability as commercial casualty insurance.	
12.09	Explain homeowners liability.	
12.10	Detail farm liability.	
12.11	Discuss boiler and machinery coverage.	
12.12	Explain crime and surety coverage.	
12.13	Explain Workers Compensation law and employers liability.	
13.0	Demonstrate an understanding of fire and allied lines, including marine dwelling insurance.  The student will be able to:	
13.01	List and explain dwelling policies.	
13.02	Define homeowners insurance.	
13.03	Identify commercial property policy.	
13.04	Explain the national flood insurance program.	
13.05	Describe business owners policy.	
13.06	Discuss inland marine insurance.	
13.07	Discuss ocean marine insurance.	
13.08	Describe aircraft policies and special aviation coverage.	
14.0	Demonstrate an understanding of motor vehicle physical damage and mechanical breakdown insurance.  The student will be able to:	
14.01	Explain part D and endorsements in personal auto policy.	
14.02	Discuss business auto policy.	
14.03	List and explain mechanical breakdown.	
15.0	Demonstrate an understanding of health insurance.  The student will be able to:	
15.01	Explain general policy provisions and application.	
15.02	List and explain the types of policies.	
15.03	Compare and contrast health maintenance organizations and preferred provider organizations.	
15.04	Explain disability.	
15.05	Examine Medicare supplement.	
16.0	Demonstrate an understanding of residual markets.  The student will be able to:	
16.01	Recognize the Florida Automobile Joint Underwriting Association (FAJUA).	
16.02	Recognize the Citizens Property Insurance Corporation (formerly Florida Windstorm Underwriting Association (FWUA)) Ref: 627.351, F.S.	
16.03	Recognize the Florida Workers Compensation Joint Underwriting Association (FWCJUA).	
17.0	Demonstrate an understanding of selected Florida Statutes and Rules.  The student will be able to:	
17.01	Examine the adjuster licensing requirements.	
17.02	List and discuss the conduct of the adjuster.	
17.03	Examine the violations and the Code of Ethics.	

Additional Information

Laboratory Activities

Laboratory investigations that include scientific inquiry, research, measurement, problem solving, emerging technologies, tools and equipment, as well as, experimental, quality, and safety procedures are an integral part of this career and technical program/course. Laboratory investigations benefit all students by developing an understanding of the complexity and ambiguity of empirical work, as well as the skills required to manage, operate, calibrate and troubleshoot equipment/tools used to make observations. Students understand measurement error; and have the skills to aggregate, interpret, and present the resulting data. Equipment and supplies should be provided to enhance hands-on experiences for students.

Career and Technical Student Organization (CTSO)

CTSOs are co-curricular career and technical student organizations providing leadership training and reinforcing specific career and technical skills. Career and Technical Student Organizations provide activities for students as an integral part of the instruction offered. Other CTSOs not listed in this curriculum framework or recognized by the Florida Department of Education are permissible provided they support student mastery over the standards and benchmarks of this curriculum framework.

Cooperative Training – OJT

On-the-job training is appropriate but not required for this program.  Whenever offered, the rules, guidelines, and requirements specified in the OJT framework apply. 

Accommodations

Federal and state legislation requires the provision of accommodations for students with disabilities to meet individual needs and ensure equal access. Postsecondary students with disabilities must self-identify, present documentation, request accommodations if needed, and develop a plan with their counselor and/or instructors. Accommodations received in postsecondary education may differ from those received in secondary education. Accommodations change the way the student is instructed. Students with disabilities may need accommodations in such areas as instructional methods and materials, assignments and assessments, time demands and schedules, learning environment, assistive technology and special communication systems. Documentation of the accommodations requested and provided should be maintained in a confidential file.

Note: postsecondary curriculum and regulated secondary programs cannot be modified.