Sitemap - 2021 - Excellence in Claims Handling

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Insurance Fraud Costs Everyone

Construction Defects and Insurance

A Video Explaining Common Law Bad Faith

Belts & Braces Exclusions Sufficient to Avoid Covid Claims

A Video Explaining Some Defenses to Mold Claims

Even With Insurance Wyoming Public Policy Defeats Choice of Law Provision of Contract

Zalma's Insurance Fraud Letter December 15, 2021

A Video Explaining the Private Limitation of Action Provision of a First Party Property Policy

Fraudulent Claim Voids Policy

A Video Explaining Hurricanes and Insurance Coverage

Never Rely on a Certificate of Insurance

A Video Explaining the Basics of Construction Footings & Foundations

Adult Child Not a Resident Relative if she Moves Out of Family Home

A Video About Construction Defect Suits Proliferate Like Kudzu

Liars Never Prosper

A Video Explaining Grounds for Denying a Claim

A Video Explaining How Insurers Avoid Mold Litigation

Money Held by the State Can’t be Given to a Fraud

A Video Explaining Mold & its Effects on Humans

When a Lawyer Represents a Fraud It is Essential to Clearly Withdraw on that Ground

A Video About The Jewelers Block Conditions

GEICO Proactively Fights Fraud by Suing Providers for Damages

A Video Explaining Types of Warranties

No Good Deed Goes Unpunished

Zalma’s Insurance Fraud Letter – December 1, 2021

A Video About the Voluntary Payments Clause

“Chutzpah” to Appeal a Conviction Where Overwhelming Evidence Established a $31 Million Fraud

A Video Explaining Pandemic & Direct Physical Damage

The Insured Has no Right to Control Settlements Made by Insurer

The Insurance Claims Library the Perfect Gift For Claims People

A Video Explaining Conditions Precedent and Subsequent

Crooked Farmer Goes to Jail and Must Pay $2.5 Million in Restitution

My Thanksgiving Wishes

A Video Explaining How to Acquire a Policy of Insurance

Since Insurance Fraud is a Felony Charging Misdemeanors Wasteful

All Ten Volumes of Zalma On Insurance Claims Third Edition Now Available

A Video Explaining Direct & Circumstantial Evidence and The Proof Required

It is Fatal to Your Claim to Lie to Your Insurer

Seeking the Same Remedy Against the Same Parties in a Different Jurisdiction is Improper

A Video Explaining An SIU Profit Center

Being Shot from a Passing Car is Not a Viable UM Claim

Published Today – Zalma on Insurance Claims Part 109 Third Edition

Lawyer Should Know Better – Never Lie on an Insurance Application

Zalma’s Insurance Fraud Letter – November 15, 2021

A Video Explaining How Mold Claims Became Popular

Man Bites Dog Story - Aetna Sues Fraudsters to Recover What was Stolen

A Video Explaining the Union or Standard Mortgage Clause

Insurance Expert May Not Testify About Law or Causation

A Video Explaining The Underwriters at Lloyd’s, London

Ohio Court Allowed Insurance Criminal to Change Felony to Misdemeanor Only to Face an Appeal

Every Professional Claims Person Must Understand Insurance

Drunk Driver Subject to Separate Trial on Punitive Damages

A Video Explaining the Need For Professional Claims Handlers

Don’t Expect Defense or Indemnity from Insurer When One Insured Sues Another

A Video Explaining How Underwriters Protect Against Insureds Who Present a Moral Hazard

The Insured has the Duty to Prove Coverage for Defense

Zalma’s Insurance Fraud Letter – November 1, 2021

View Over 315 FREE Insurance Claims Videos from Insurance Expert

A Video Explaining Insurable Interest

What is Insurance?

A Video About an Essential Element of the Rescission Remedy

Lender Must Treat Mortgagee With Utmost Good Faith

A Video Explaining the Ethical Requirements on a Lawyer to Settle

When One Customer Stabs Another There is No Coverage for the Bar

A Video Explaining the Use of an IME

Creature of Statute, A Joint Insurance Fund, That is Not Insurance Need Not Share with Insurer

A Video Explaining Why Serious Injuries & Clear Liability Require Quick and Thorough Action

No Coverage for Intentional Act After Conviction for Crime of Reckless Homicide

A Video Explaining Insurance for Punitive Damages

Suing Insurance Companies Over Non-Covered Events go on and Fail

Judge Properly Questioned Witness at Trial to Clarify Insurance Fraud Allegations

A Video About the Unscrupulous Public Adjuster

A Video Explaining the Difference Between Claims Made and Occurrence Policies

Building Vacant for Over 30 Consecutive Days Provides No Coverage for Water Damage

A Video Explaining the Obligations of the Public Adjuster

Interpretation of an Insurance Contract of Adhesion

 A Video Explaining the Limitations Imposed by the U.S. Supreme Court on the Award of Punitive Damages

Finding Evidence to Establish a Right to Punitive Damages

Zalma’s Insurance Fraud Letter – October 15, 2021

A Video Explaining the Doctrine of Reasonable Expectations

Clear & Unambiguous Exclusion Must be Enforced

A Video Explaining the Interpretation of Insurance Contracts

Insurer Entitled to Step in Shoes of Insured and Recover More than Three Million Dollars in Fees Paid to Defend Insured

A Video Explaining What to Do When a Claim Includes Multiple Occurrences

Insurer Must Defend and Indemnify Insured Because of Indemnity Agreement in Construction Contract

A Video Explaining the Nature of Insurance Underwriting

Tenth Circuit Makes an Insurance Appraisal a full Arbitration

The Excellence in Claims Handling Program is Coming

A Video Explaining the Construction Contract

To Involve Other Insurers Insured Must Act Promptly

A Video Explaining Insurance for Construction Defects Regarding Structural Failures

Even the Much Reversed Ninth Circuit Requires Direct Physical Loss to Recover for Lost Business due to Covid

Misrepresenting a Material Fact on an Insurance Policy Allows Insurer to Rescind

The Execllence In Claims Handling Program is Coming

A Video Explaining Why Property Insurance Insures People not Property

Unambiguous Policy Condition Must be Followed

A Video Explaining the Need for Professional Liability Claims Adjusters

Court Finally Stopped an Unconscionable Level of Overlitigation

Sixth Circuit Concludes Twice that Covid Shutdown Not Direct Physical Loss

Zalma’s Insurance Fraud Letter - October 1, 2021

A Video on the Requirements to Maintain Insurance as Part of a Construction Contract

Insurer’s $7,870,557.89 Judgment Against Fraudster Stands

How the Adjuster and Insured Agree to Amount of Loss

Colorado State Law Protects Injured Persons from Premature Liens from Hospitals

A Video Explaining how to Obtain a Subrogation Recovery

No Coverage for Qui Tam Suit Filed Before Inception of Policy

A Video On How an Individual Can Help the Government Defeat Fraud

Immediate Offer of Policy Limits Rejected by Plaintiff’s Lawyer Seeking a Bad Faith Case

New Webinars About Excellence In Claims Handling

A Video Explaining the Need to Gather Evidence to Prove Fraud

Hard Work Pays and Default Judgment Entered for Failure to Pay Additional Premium

A Video Explaining the False Claims Act and How Insurers Can Take Advantage of it to Deter Fraud

Insurers Beware: A Chink in the Armor of New York v. Sullivan

A Video About Selecting and Working With Counsel

Man Bites Dog Story: State Farm Sues Chiropractors for Fraudulent Claims

A Video Explaining Evaluation & Settlement

WBusiness Use Exclusion Is Reasonable and Common in a Homeowners Policyarranty Statute Does Not Apply to an Exclusion

A Video About the Birth & Growth of the Tort of Bad Faith

It’s Not Nice to Lie to Your Insurer

A Video Explaining the Need for Ethical Public Adjusters

Claims Made Policies are Very Different from Occurrence Policies

A Video Explaining the Connection Between Ethics and Excellence in Claims

Void Exclusion Does not Void Entire Policy

When Insured’s Assignee Loses in South Dakota He May Not Sue in Minnesota

Zalma’s Insurance Fraud Letter September 15, 2021

A Video Explaining Expected, Intended or Fortuity in Insurance

Insurance Policies Must be Read Using the Common Meaning of the Words in the Policy Like “Physical Loss or Damage”

A Video Explaining that an Insurance Policy is Void if the Insured Swears Falsely in Presenting a Claim

Convicted Insurance Fraud Perpetrator Could Not Understand Why He Was in Jail

A Video Revealing The Birth of the Tort of Bad Faith in Comunale v. Traders & General

Insurance Fraud Indictment Thrown Out Because of Inadequate Presentation to Grand Jury

A Video Recitation of Crisci v. Security Ins. Co. of New Haven, Conn.

Insurance Fraud is a Violent Crime

Insurance Fraud Perpetrators are Creative

Covid Shut Down is not Direct Physical Loss or Damage

A Video Explaining Duty to Defend and the Four Corners Rule

Courts do not Have the Power to Rewrite an Insurance Policy

A Video Explaining How to Avoid Charges of Bad Faith Claims Handling

Reporting Requirement of a Claims Made Policy is a Condition Precedent

A Video Why Fraud Must be Defeated Even in the Face of Claims of Bad Faith

Coverage Counsel Should Not Act Outside the Obligation to Advise the Insurer Client

Zalma’s Insurance Fraud Letter – September 1, 2021

A Video Explaining Why a Claims Made Policy’s Notice Require is not Subject to the Notice Prejudice Rule

A Theft is a Taking of Property

A Video Explaining the Contractual Right of an Insurer to Declare a Policy Void

RTFP (Read the Full Policy) Benefits Limited to Statutory Limits

A Video Explaining the Coinsurance Clause

Household Exclusion Upheld

Coverage, Late Notice & the Notice-Prejudice Rule

The “Chutzpah” of Insurance Fraud Perpetrators

A Video Explaining Compliance with Training Requirement of Fair Claims Regulations

Why it’s Difficult to Fire a Government Employee

A Video Explaining The Development of the Tort of Bad Faith

It is not Defamation to Report a Suspected Fraud to the State

A Video Explaining Uberrimae Fidei

Insurer’s “Gift” to Extend Statute of Was Unenforceable Because it Was Issued After the Statute had Run

A Video Explaining how to Deal With a Demand for Insurance Appraisal

Federal Crop Insurance Law Preempts State Law

A Video Explaining the Doctrines of Waiver & Estoppel with Regard to Insurers

Fraudulent Joinder of Adjuster ins Suit Against Insurer Does Not Work

A Video that Explains that This Isn’t Fraud I Just Need to Save Money

The Texas Eight Corners Rule Won’t Help Suit Against Insurer

A Video Explaining the Application of the Private Limitation of Action Provision

Insurance Broker is Only Required to Acquire the Policy Ordered by the Named Insured

Zalma's Insurance Fraud Letter - August 15, 2021

Montana Supreme Court Allows Restitution to Insurer

A Video Explaining the Application of Other Insurance Clauses

A Video Explaining The Adjuster’s Obligation to the Insurer’s Underwriters

A Video Explaining “Trigger” of Property Damage Coverage

A Video Explaining Wear and Tear and Inherent Vice

A Video Explaining Why Insurers Require the Adjuster to Write a Captioned Report

The Tort of Bad Faith – Statute of Limitations & Unintended Consequences

A Court Will not Rewrite a Policy to Provide Coverage for Insured

A Video Explaining the Contents Required of a Liability Claims File

When Insurer Uses Extrinsic Evidence to Prove Facts Establishing Exclusion There is No Need to Defend or Indemnify

Defenses to Intentional Torts

Claim for Damage to Property that Existed Before Issuance of Policy is Fraud

A Video Explaining “Fortuity” as an Unwritten Exclusion

RICO Violations by Health Care Providers Require Court to Enjoin Arbitrations

Third Edition Treatise: Zalma on Insurance Claims

Zalma’s Insurance Fraud Letter – August 1, 2021

A Video Explaining the SIU Compliance Office

Arbitrators Must Follow Contract Requirements

A Video Explaining How to Allocate Defense Costs When two or More Insurers Insure the Same Risk

The Examination Under Oath as a Tool to Defeat Insurance Fraud

Liability Insurance Is

The Four Corners Rule Strikes Again

All Claims Personnel Must be Trained by September 1, 2021 on Fair Claims Regulations

Sexual Assault in and on an Auto is not “Use” of the Auto

A Video Explaining Foundation & Shear Wall Defects

Appraisers Authority Limited to Determining Actual Cash Value of Loss

A Video Explaining Construction Experts

Falsely Reporting an Auto Stolen is Insurance Fraud

A Video Explaining Some More of the Construction of a Dwelling

Refusal to Testify at Examination Under Oath is a Breach Condition Precedent

To Deal With Construction Defects it is Necessary to Understand Construction – Two

Insurance Fraud as a Federal Crime

A Video Explaining Some of the Construction of a Dwelling

Convicted Insurance Fraudster Appeals Finding She Breached Probation

A Video Explaining the Remedies Available for Defects

Anti-SLAPP Motion by Doctor Charged in Qui Tam Case for Fraud Fails

A Video Explaining the Hazards of Failing to Reside in the Dwelling the Risk of Loss of Which Was Insured

Pollution Exclusion Applies to Coal Dust

Zalma’s Insurance Fraud Letter – July 15, 2021

A Video Explaining the Interpretation of Actual Cash Value

A Video Explaining The Equitable Remedy and Insurance

Arsonist with “Chutzpah” Tries to Get Out of Jail Because of Covid-19

Eighth Circuit Court of Appeals Finds No Physical Loss & No Coverage for Covid Shutdown

Ethics and the Adjuster

A Video About The Public Adjuster & Fraud

Zalma on Insurance Claims – Three New Third Edition Volumes

ETHICS AND THE PUBLIC INSURANCE ADJUSTER

A Video Explaining the Investigation of Third Party Insurance Fraud

A Video: Tools Available to Insurers to Fight Fraud

Waiver of Punitive Damages Must be Clear, Unmistakeable and Unambiguous

A Video Explaining Why a Plaintiff Has no Right to Assert Fifth Amendment Protection

Lessee’s Agreement to Self-Insure Lessor Treated Like Insurance

A Video Explaining the Right of Insurers to Assist Prosecutors

Failure to Initial a Form Became Purchase of UM/UIM Coverage

A Video Explaining Professional Conspiracies

Policy only Insures Members of Same Household

Catastrophe Fraud & Criminal Acts

Intentionally Harvesting Timber Without Right Not a Peril Insured Against

Zalma's Insurance Fraud Letter

Qui Tam Actions Stop Insurance Fraud

The Adjuster & Underwriting

Bad Faith Set Up Fails

Health Insurance Fraud

Statute Requiring Simplified Language in Insurance Policies Does not Add Coverage

A Video Explaining How to Discover and Defeat Insurance Fraud

Attorneys Should Never be Involved in Fraud With Clients

A Video Explaining How to Retain Defense Counsel

An Insured Cannot Commit a “Little” Fraud Anymore than be a “Little Dead”

Conflicts Between Defense Counsel, Insured and Insurer

No Coverage for Failure to Testify at EUO

Preparation for Trial of an Insurance Tort Case & Use of Experts

There are Many “Victims” of the “Mostly Peaceful Demonstrations”

“Regular” Found to be Ambiguous and Domicile to be Residence

Ethics and the IME

Zalma on Insurance

Use of Experts to Resolve Claims

Trial Court’s Lack of Action Made Moot the Issues Raised on Appeal

Advice of Counsel as a Defense to the Tort of Bad Faith

Security Officer Must Be an Employee to be An Insured

Insurance for Punitive Damages

Fairly Debatable Appraisal Award Paid Promptly and in Full Defeats Bad Faith Claim

Zalma's Insurance Fraud Letter - June 15, 2021

Some Grounds for Finding Bad Faith

No Coverage for Injury to a Resident Relative

Defenses to Intentional Torts

Arson & Fraud by Husband Voids Entire Policy

Intentional Torts

If an Insurer Wants to Defeat Coverage it Should Collect Convincing Evidence

Defenses to Accidental Torts

Evidence Establishing Insured Set Fire to Dwelling Avoids Bad Faith

Zalma's Insurance Fraud Letter for June 1, 2021

Water & Wind Damage

Postal Inspector Guilty of Insurance Fraud

An Occurrence Requires Fortuity

Setting a Fire and Presenting a Claim for Items Not Burned is Insurance Fraud & Arson

Law of the Case Defeats Bad Faith Suit

Time to Establish Excellence in Claims Handling

Insurance law, insurance claims, insurance fraud, insurance coverage,