ZALMA’S INSURANCE FRAUD LETTER JANUARY 15, 2021 See the full video at https://youtu.be/QgrIYI0K_SQ Professional Insurance Adjusting and Insurance Fraud At the turn of the century, insurers, in a search for profit, decimated their professional claims staff. They laid off experienced personnel and replaced them with young, untrained and unprepared people. A virtual clerk replaced the old professional claims handler. Process and computers replaced skill and judgment. Insurers intentionally forgot that the promises made by an…
A Video Explaining the Three Major Responses to Insurance Fraud See the full video at https://youtu.be/P2wMCMkoIDM Insurers are faced with three major types of insurance fraud: Fraud in the inception of a policy of insurance. Fraud in the presentation of a claim by the insured. Fraud in the presentation of a claim by a third party claimant. Fraud in the Inception The insured misrepresents or conceals facts material to the decision of the insurer to…
Denial for Fraud Not Bad Faith But Contract Claim Remains Tammy Lou Hope appealed the trial court’s order granting Defendant Integon National Insurance Company summary judgment on her claims in Tammy Lou Hope v. Integon National Insurance Company, No. COA20-265, Court Of Appeals Of North Carolina (December 31, 2020). BACKGROUND Plaintiff sued Integon alleging that Plaintiff purchased from Defendant an auto liability insurance policy and that her vehicle was damaged. She claims that her vehicle…