
“Zalma on Insurance Claims Volume 101″ – Second Edition
This volume covers
An Insurance Expert's Take On Insurance Coverage and Insurance Claims Handling
“Zalma on Insurance Claims Volume 101″ – Second Edition
This volume covers
…
Policy Void From Its Inception – No Duty to Defend
The implied covenant of good faith and fair dealing applies equally
on the person insured as it applies to an insurer. When a person applies
for insurance and misrepresents material…
“Arson for Profit: How an Attempt to use Arson & Fraud to Fund Terrorism Failed”
This story is based on a real case involving a member of
Russian/Armenian organized crime, real insurers, investigators, lawyers,
fire fighters, and insurance brokers. The…
FRAUD CHECKLIST
Response to fraud checklist.
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
SUMMARY-3
Malcolm Sparrow of Harvard’s Kennedy School of Management cited the dead as a glaring example of how much more needs to be done “to properly excise the cancer of fraud” from healthcare. The healthcare industry does “a terrible job…
SUMMARY-2
Reporting on the inadequacy of governmental oversight of Medicare and Medicaid, a U.S. Senate committee reported last year that Medicare had paid as much as $92 million from 2000 to 2007 for medical services or equipment ordered or prescribed…
SUMMARY
What has been the result of these battles against fraud? Has the number of prosecutions for insurance fraud increased? Not to any appreciable degree. The prosecution of insurance fraud is still rare. State statutes compelling insurers to form fraud…
The Bubenik Case
In Medical Protective Co. v. Bubenik, No. 09-2324 (8th Cir. 02/18/2010) the Eighth Circuit Court of Appeal was faced with this question and resolved it against the person asserting the privilege and in favor of his insurer…
The Fifth Amendment is No Use to a Plaintiff
he Fifth Amendment to the U.S. Constitution protects an individual from being forced to testify in a manner that might incriminate him or her and subject the witness to prosecution. It…
What Can Insurance People Do to Change the Statistics?
It is the obligation of all who work to protect insurers against insurance fraud to do something to change the situation. Methods that are available and that should be exercised by…