The Fight Against Fraud
Small frauds are to business as a mosquito bite is to a bull elephant. If that mosquito carries a disease, it can kill the elephant. The mosquito of insurance fraud has made the insurance industry ill;
Zalma's Insurance 101 Videoblog
An Insurance Expert's Take On Insurance Coverage and Insurance Claims Handling
Latest from Zalma's Insurance 101 Videoblog - Page 5
Insurance 101 – Chapter 16 Volume 58 – Role of an Insurance Claims Expert
Role of an Insurance Claims Expert
It is a common misconception is that insurance is arcane, difficult to understand, and written using incomprehensible terms only a Supreme Court justice could understand. In reality, an insurance policy is a simple contractual…
Insurance 101 – Chapter 16 Volume 57 – Role of the Witness
Role of the Witness
It is essential that the defense lawyer and the investigator work together as a team to prepare witnesses for the trial. Being on the witness stand with a judge and 12 to 15 jurors listening intently…
Zalma’s Insurance Fraud Letter July 15, 2016, Volume 20, No. 14
False Alarm Warranty Allows Insurer to Void Coverage
In this, the fourteenth issue of the 20th year of publication of Zalma’s Insurance Fraud Letter (ZIFL), Barry Zalma, on July 15, 2016 continues the effort to reduce the effect of insurance…
Claims Legend Award
Insurance 101 – Chapter 16 Volume 56 – Selecting Jurors
Selecting Jurors
The manner in which the questions are asked can also identify important attitudes.
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 101 – Chapter 16 Volume 55 – More on Role of Counsel
More on Role of Counsel
Experience shows that jurors with the following personal characteristics are likely to be more responsive to arguments advanced by an insurer in a case charging an insured with fraud.
The following video was adapted from…
Insurance 101 – Chapter 16 Volume 54 – Role of Counsel
Role of Counsel
When a fraud file is referred to counsel, the attorney is always provided with a complete copy of the underwriting file, a specimen of the policy as it was delivered to the insured, the claims file, and…
Insurance 101 – Chapter 16 Volume 53 – Role of the Investigator
Role of the Investigator
To explain insurance fraud to a prosecutor, insurance defense lawyer, or the public at large that makes up the jury pool, the investigator must tell a story that can be understood by all involved parties.
The…
Insurance 101 – Chapter 16 Volume 52 – Preparing the Case
Preparing the Case
Once the insurer determines that it is probable that a fraudulent claim has been presented, the insurer should report the claim as a suspected fraudulent insurance claim, as required by the appropriate Insurance Fraud Prevention Act.
The…
