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The Insurance Examination Under Oath This article is adapted from my new book, The Insurance Examination Under Oath Second Edition, A Tool Available to Insurers to Thoroughly Investigate Claims and Work to Defeat Fraud available at amazon.com as a paperback here  and as a Kindle book here. Effect of a False Statement at EUO Where a plaintiff admits to making false statements with the intent that his insurer rely on those statements, the issue of…
Construction Defects and Insurance & Mold Claims Every claims person – first party property adjusters or third party liability claims adjusters – will be asked to deal with a claim involving construction defects, mold, or a combination of both. Over the last 51 years Barry Zalma has dedicated his life to insurance, insurance claims and the need to defeat insurance fraud. He has created the following library of books and other materials to make it
Payment Only due After Insured and Insurer Reach Agreement on Amount of Loss To collect on a first party property policy of insurance it is required that the insured submit a proof of loss and the insurer agrees that the proof of loss properly states the cause was a covered cause of loss and agrees to the amount of loss stated on the proof is what should be recovered under the policy. In Rigby Enterprises…
It is Difficult to Understand Why Anyone Would buy More Coverage than Others than for Themselves Most states, like South Carolina, require that insurers issue UM/UIM coverage with the same limits as liability coverages unless the insured asks for lower limits. Many reduce limits on UM/UIM to save a few dollars in premium. After an accident with an underinsured or uninsured motorist the insured reconsiders the decision to reduce UM/UIM limits. Unfortunately, wisdom coming after…
A Tool Available to Insurers to Thoroughly Investigate Claims and Work to Defeat Fraud Published today at Amazon.com is the Second Edition of “The Insurance Examination Under Oath” as either a Kindle book or a paperback. Table of Contents Preface Chapter 1 The EUO As A Tool 24 Chapter 2 The EUO Is A Duty Owed By The Insured To The Insurer. Chapter 3 Reasonableness Of The EUO Requirement Chapter 4 A False Statement At
The Insurance Claims Library is Essential to Everyone Who Deals with an Insurance Claim This series of books is the latest addition to Barry Zalma’s insurance claims series of books and articles that will form the most thorough, up-to-date, expert-authored insurance claims guide available today. Thorough, yet practical, this series of books form the ideal guide for any professional who works in or frequently interacts with the insurance industry. Claims professionals, risk managers, producers, underwriters,…
Lies on Application the Sole Responsibility of the Insured who Signed the Application People who lie to their insurer to obtain an insurance policy cannot claim it was the agent’s fault for not stopping the applicant from fabrication. When the insured sought coverage on a rental dwelling that had no water, electricity or gas service and had a bootleg and illegal electrical service attempted to defraud the insurer when he applied for a homeowners policy.…
The Insurance Claims Library Over the last 52 years Barry Zalma has dedicated his life to insurance, insurance claims and the need to defeat insurance fraud. He has created the following library of books and other materials to make it for insurers and their claims staff to become insurance claims professionals. Books from Full Court Press Full Court Press continues to publish expert secondary content. This time it’s a new collection of insurance law treatises…
 ZALMA’S INSURANCE FRAUD LETTER  January 15, 2019  Is Hard Labor for Insurance Fraud a Real Deterrent?   Zalma’s Insurance Fraud Letter, Volume 24, No. 2 Some of the articles you can read in this issue of ZIFL follow:  Louisiana takes Insurance Fraud Seriously Insurance fraud is a crime that takes a great deal of money from the insurance buying public. Estimates – since most insurance frauds succeed no one really knows how much it…
Fictionalized True Insurance Crime Books Sometimes I find it necessary to provide information about insurance fraud that simply cannot be told in a non-fiction book. Although I am no competition for Tom Clancy, the books explain, by fictionalizing a true crime, the reality of insurance fraud becomes easier to understand even if you have nothing to do with the insurance industry. Some of the true crime stories available as a Kindle book or a paperback.…