SIU Reliance on Expert

In relying on the evidence of an expert as the basis for denying a claim, an adjuster and an investigator must look at the evidence the expert is providing with the same scientific scrutiny that a judge applying the Daubert and Kumho precedents will apply. If the report of the expert does not meet the tests required by the US Supreme Court, then it cannot be relied upon by as a basis to deny a claim. The not-so-scientific report must be considered no more than an “indicator” or “red flag” of fraud to be corroborated by admissible evidence.

The following video was adapted from my book, “Insurance Claims A Comprehensive Guide” Published by the National Underwriter Company and is available at the Zalma Insurance Claims Library

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