Selecting an Expert
When selecting an expert, the insurer should consider whether the state where the claim is brought requires that the expert be licensed before the expert can testify. For example, in Illinois, the appellate court in Thompson v.
Zalma's Insurance 101 Videoblog
An Insurance Expert's Take On Insurance Coverage and Insurance Claims Handling
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Insurance 101 – Chapter 16 Volume 50 – Experts Available to Claims Investigators
By Barry Zalma
Experts Available to Claims Investigators
Experts can be used in almost every type of claim faced by an investigator.
The following video was adapted from my book, “Insurance Claims A Comprehensive Guide” Published by the National Underwriter Company and is…
Insurance 101 – Chapter 16 Volume 49 – The Claims Expert
By Barry Zalma
The Claims Expert
On a personal note, I often testify as an expert witness on the subjects of insurance fraud, insurance claims handling and insurance coverage. Although my fields of expertise, based on training, education, and experience, are not traditionally…
Insurance 101 – Chapter 16 Volume 48 – SIU Reliance on Expert
By Barry Zalma
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…
Insurance 101 – Chapter 16 Volume 47 – Use of a Fraud Expert
By Barry Zalma
Use of a Fraud Expert
The experts called to establish a fraud may give their opinions on their observations and experience. They will have a problem when they claim that the statements and conclusions have been established via the scientific…
Insurance 101 – Chapter 16 Volume 46 – More Use of an Expert
By Barry Zalma
More Use of an Expert
Using Daubert as a guide the court must determine that scientific method is used by the expert.
The following video was adapted from my book, “Insurance Claims A Comprehensive Guide” Published by the National Underwriter…
Insurance 101 – Chapter 16 Volume 45 – Use of an Expert
By Barry Zalma
Use of an Expert
Fraud investigators often rely on experts to help establish fraud. These include engineers, accident reconstructionists, physicians, chiropractors, psychologists, and others who claim a scientific basis for their opinions. The honest qualified expert will only testify about…
Insurance 101 – Chapter 16 Volume 44 – Conspiracy
By Barry Zalma
Conspiracy
Shamis was a person of authority in the Miller law office. If Miller was unavailable, office personnel and others went to Shamis. She reviewed cases, attended meetings during which collisions between automobiles and big-rig trucks were discussed, and apparently…
Insurance 101 – Chapter 16 Volume 43 – Probable Cause
By Barry Zalma
Probable Cause
Although “probable cause” is a concept more usually connected to criminal law, it also applies to civil law situations like reporting fraudulent claims to authorities. Probable cause is not absolute proof beyond a reasonable doubt nor is it…
Insurance 101 – Chapter 16 Volume 42 – Problems of Inadequate Evidence
By Barry Zalma
Problems of Inadequate Evidence
It is dangerous for an insurer to claim an insured committed fraud without a sufficient means of proving fraud to a trier of fact.
The following video was adapted from my book, “Insurance Claims A Comprehensive…