Sitemap - 2023 - Excellence in Claims Handling

Clear Policy Exclusion Defeats Claim

Lie to Your Insurer and You Will Lose

Marine Insurance Warranties

Go to Jail, Do Not Pass Go

Fictionalized True Crime

The Records Warranty

Where There is a Will – There are Relatives

Insurance Fraud as a State Crime

Waiver of Right to Appeal Effective

A Christmas Fable of Fraud

Subrogation Must be Fair

Zalma’s Insurance Fraud Letter – December 15, 2023

Insurance Litigation Never Easy

Activities of Lawyer in the Capacity of an Officer of Another Business Excluded

No Right to Insurance Proceeds After Foreclosure

When Parties Agree to Appraisal Court has no Choice but to Agree

Drunk Driving into a Pole Not a Covered Loss

Mold Suit Must Be Defended

Tardy Claim Allows Judgment for Defendant

Insurance Policy Warranties

Never Assume You Are Insured

Chutzpah: Criminal Seeks Disability Because his Crime was Discovered and Prosecuted

Zalma’s Insurance Fraud Letter – December 1, 2023

Invite your friends to read Excellence in Claims Handling

Too Stupid to Succeed at Fraud

It is Expensive to Lie to Your Insurer

The Effect of the Insured’s Breach of a Material Condition

Unambiguous Policy Terms Must Be Applied

The Perfect Gift for Your Insurance Company & Insurance Claims Clients

Insurance Does Not Cover a Sure Thing

You Win Some & You Lose Some

No Sprinklers – No Coverage

I Am Thankful

“Personal Injury” Coverage Exclusion Eliminates Coverage

No Good Deed Goes Unpunished

Why Insurance Fraud Is Costing You & Your Neighbors

Getting the Whole Truth Part 2 - a Webinar

You Only Get What You Pay For

MURDAUGH’S FRAUD DESTROYS ANOTHER LAWYER

Zalma’s Insurance Fraud Letter – November 15, 2023

Why Insurance Fraud is Costing You & Your Neighbors

Conditions in First Party Property Insurance # 2

No Written Agreement Ends Claim as an Additional Insured

Conditions in First Party Property Insurance Policies

INSURANCE CRIME DOES NOT PAY

The Insurance Claims Library

Certificates of Insurance

Contiguous Trigger is Law in West Virginia

Insurance Fraud is a Violent Crime

Florida Refuses to Offset Tort Damages with Bad Faith Damages from an Underinsured Motorist Insurer

“Post Loss Underwriting” - How the Equitable Remedy of Rescission Was Changed to a Tort

Politics and Insurance Fraud

Insured Must Get Excess Insurer’s Permission Before Settling Claim

Millions for Defense and Not a Dime for Tribute

Admitting to Facts That Establish Exclusion Is Fatal

Facts Are Important

Zalma’s Insurance Fraud Letter – November 1, 2023

No Privilege When Documents Placed in a Dispositive Motion

UNDERWRITING HAZARDS

Withholding Coverage for Criminal Acts Disincentivizes Criminal Conductrime Does Not Allow Insurer to Pay

No Court Has Unlimited Patience

The Amoral Public Adjuster

How Insurers and Arson Investigators Have Taken The Profit from Arson-for-Profit Schemes

Always Give Yourself the Same Limits You Give Third Parties

Only Fools Fail to Read Policy and Assume Coverage Exists

Conviction by Plea Manifestly Just

Auto Insurance Fraud

What a Great Country!

After Avoiding Prison Fraudster Appeals Unsuccessfully

Contributory Negligence Still a Defense in Maryland

Zalma’s Insurance Fraud Letter – October 15, 2023

Infringement Exclusion Affirmed

Not Wise to Explain Scheme to Defraud to FBI Informants

California Conference of Arson Investigators Training Seminar

Evidence Required to Prove Fraud

Insurer Not Obligated to Share With Successor Insurer

Court Affirms Intent of Insured and Insurer

Ethics and Insurance

Employee’s Illegitimate Acts Insured

Giving Up Right of Subrogation Cost Insurer $25 Million

Man Bites Dog: GEICO Bites Fraudsters

Never Complain When You Win

Zalma’s Insurance Fraud Letter – October 1, 2023

You Only Get What You Pay For

Louisiana v. North Carolina Insurance

Sexual Assault Excluded

Sovereign Immunity Defeats Claim

You Win Some, You Lose Some

No Duty to Accept Offer Five Times Policy Limit

Underwriting Against Moral Hazards

Imperfect Investigation Not Bad Faith

Parties to Insurance Contract Alone Can Commit Bad Faith

Do the Tort – Pay the Damages

Lies on Application & Insurance Never Existed

MORAL HAZARD

Zalma’s Insurance Fraud Letter – September 15, 2023

Arson for Profit Scheme Defeated by Rescission

No Defense for Assault & Battery

Unwritten Intent Uninforceable

Barry Zalma Will Speak at the California Conference of Arson Investigators Fall Seminar

Insurer Has Right to Control Defense

Claims In A Catastrophe

Criminal Lawyer Effectively Defended Child Abuser

How to Defeat Insurance Fraud

Taking the Profit Out of Fraud is Effective

ETHICS AND INSURANCE

It’s Not Nice to Accuse a Person of Insurance Fraud

What is Insurance?

Crime Doesn’t – Pay it Costs

Zalma's Insurance Fraud Letter - September 1, 2023

Appraisal Exists to Establish Quantum of Loss

Information Request not Refusal to Appear

The Nature of Underwriting

Hindsight Can’t Change Policy Limits

Unambiguous Exclusion Effective

Insurance Fraud is a Violent Crime

Liars Must Always Lose

Litigants Must Never Assume

Allstate’s Qui Tam Actions Work to Take the Profit Out of Fraud

The Montrose Exclusion

Sovereign Immunity

How Not to Commit Arson

Never Lie to Insured

Insurer Protects its Insured with a Settlement

Zalma’s Insurance Fraud Letter – August 15, 2023

Strict Compliance With Warranty Required

Refusal to Pay Starts Running of Limitation of Action

No Fortuity No Coverage

A Lawyer by Any Other Name is Still a Lawyer

The Spoons Ran Away With Insurance Money

Conditions

Hurricane Warranty Sinks Claim

Suit Fails for Failure to Read Policies

No Defense Because of Six Month Delay

Trigger of Coverage

Lawyer Paying For Clients Guilty

NY Applies Policy as Written

Zalma's Insurance Fraud Letter - August 1, 2023

No Sprinklers No Coverage

Video 21 - The Homeowners Policy

Is a Covid-19 Lawsuit Frivolous?

No Coverage After Expiration of Policy

No Right to Subrogation

A Threat of Litigation is not a Claim

Torch Down Roofing Exclusion Unambiguous

Creative Pleading Does not Avoid Punishment for Sloth

Man Bites Dog

Denying Letter Seeking an Arson Fire is Frau

Video 20 - the Jewelers Block Policy

Jail-House Lawyer Fails

Excellence in Claims Handling and the Examination Under Oath

Zalma’s Insurance Fraud Letter – July 15, 2023

Mistake Not Grounds for Bad Faith

Res Judicata – You Only Get to Bite Defendant Once

Magistrate's Report Affirmed

Residence Requires Presence

Potentially Compromised Embryos not a Direct Physical Loss

To Stack or Not to Stack, That is the Question

Liars May Never Prosper

Arbitration May be used to Resolve Fraud

Zalma’s Insurance Fraud Letter – July 1, 2023

The Fourteenth Amendment to the Constitution Ensures Racial Equality

No Privity, No Right to Sue

Fortuity

Where there is a Will There are Relatives

Rescission

It’s Not Nice to Defraud Your Elderly Mother

Defense Required Because Exclusion is Ambiguous

No Restitution from Defrauded Insurer

Courts do not Make Different Contracts

No Coverage to Run Down Your Wife

MORAL HAZARD

Excellence in Claims Handling Video No. 19

Video Number 18

Judicial Restraint

Bee Gees Were Right: Staying Alive is Important

Life Insurance Can Be Hazardous to Your Health

Zalma’s Insurance Fraud Letter – June 15, 2023

Primary Insurer On First

No Defense of False Advertising

Policy Enforced as Written

No Damages for Litigating While Black

No Cover for Faulty Workmanship

Convicted Killer Must Stay in Jail

Second Attempt at Same Argument Fails

Restitution Order Can’t Be Discharged in Bankruptcy

Tinkle Steals as an Authorized Representative

Zalma's Insurance Fraud Letter - June 1, 2023

No Claim – No Coverage

Underwriting is Always Before a Policy Is Issued

The History of the Equitable Remedy of Rescission

Rescission of Insurance

The Law of Unintended Consequences

Fraud Investigation

Insured Obligated to Set Policy Limits

Steal from Government Go to Jail

How Not to Commit Arson

The Real Cost of Fraud

Video Number 17

Intentional Act Defeats Coverage

No Damage = No Case

Zalma’s Insurance Fraud Letter – May 15, 2023

The Insurance Claims Library

Panel Rehearing Denied by Ninth Circuit

Prison for 195 Years

Pay the Limits as Written

Who Let the Dogs Out?

Millions for Defense: Not a Dime for Tribute

More Rules of Contract Interpretation

Video Number 16

Prejudice Not Required for Claims Made Policy

ADA Abuse

Judgment for Unjust Enrichment

It’s Not Nice to Sell a Property You Don’t Own

Zalma’s Insurance Fraud Letter – May 1, 2023

Policy Words Overrule Unwritten Intent

MOLD EXCLUSION APPLIES

Restitution Required

Marine Policy not Crop Insurance

Qualified not Absolute Privilege

Chutzpah! Fraudster Sues Twice

Reservation of Rights Requires Reimbursement of Settlement Paid

No Duty to Defend

A Video Explaining Liability Insurance

Sovereign Immunity

Collateral Estoppel Prevents New Litigation

A Webinar on Getting the Whole Truth

Zalma’s Insurance Fraud Letter – April 15, 2023

Investigation of First Party Property Claims

Webinar: Getting the Whole Truth

Exclusion for Vehicles with Less than Four Wheels Invalid in Oregon

No Right to Waive Subrogation

Fraud by any Other Name is Still Fraud

Excellence in Claims Handling

Sue Promptly or Lose

Convicted Fraudsters Must Make Restitution

The Defeat of a Fake $10 Million Jewelry Robbery Insurance Claim

Fraudster Must Stay in Jail

Rescission Applies to Bus Jumpers

No Respondeat Superior for Impaired Driver

Zalma's Insurance Fraud Letter = April 1, 2023

No Contract Compelling Arbitration Between Insurer and Insured No Arbitration

Mortgagee has no Right to Insurance Proceeds After Debt Paid

WILFUL ACT EXCLUDED BY CALIFORNIA STATUTE

No Contact With Vehicle = No Coverage

Broker Only Agent of Insured

Failure of Lawyer to Report Claim Fatal to Coverage

“The Passover Seder For Americans”

Malicious Prosecution Not Insurable in California

MCS-90 Endorsement Not Insurance

A Video Explaining Various Kinds of Insurance Policies

New for Subscribers Only

No Breach of Contract no Bad Faith

Arsonist Acting as his Own Lawyer Fails

Court Refuses to Rewrite Policy

New Fiction About Insurance Fraud

Criminal Sexual Abuse of Students Excluded

Zalma’s Insurance Fraud Letter – March 15, 2023

Defense Refused

First Party Property Fraud

“The Passover Seder For Americans”

Chutzpah – Claim from Killer Refused

Indemnity Required

Arbitrator’s Factual Errors Not Ground to Vacate Award

New for Subscribers Only

The Liability Claims Adjuster

No Water to Sprinkers - No Coverage

She Did It!

Vexatious Litigant Warned

Employer Provided Life Policy Expired

Zalma’s Insurance Fraud Letter – March 1, 2023

Agent's License Removed for Fraud

Homeowners Policy Never Covers Business Pursuits

Books to Create the Insurance Professional

CGL is a Third Party Liability Policy

Unambiguous Exclusion Must Be Applied

Zalma’s Insurance Fraud Letter – February 15, 2023

The Trees that Washed Away

Only Probable Cause Needed

Seventh Circuit Applies Contractual Limitation of Action Provision

Michigan’s Common Law Considers an Independent Insurance Agent is an Agent of the Insured

Conviction for Second-Degree Reckless Homicide Could be an Accident

Video Number 13 - Claims Counsel

Liability Insurance Only Protects Other than the Insured

GOOD CAUSE FOR IME ESTABLISHED

Zalma’s Insurance Fraud Letter – February 1, 2023

Go Directly to Jail

212 Years in Prison for Fraud

How Russian Immigrants Became Rich

Eleventh Circuit Allows Retrial of Esformes

Never Breach a Condition Precedent

No Defense for Economic Damages Alone

Imposter not a Customer

Insured Must Occupy Dwelling

COVID Does Not Cause Physical Loss or Damage

No Duty to Defend

Zalma’s Insurance Fraud Letter – January 15, 2023

An Excellence in Claims Handling Program

Late Claim Costs Plaintiff

Pollution Exclusions Clear

Farmer’s Poor Records Costs

Why Insurance Fraud Succeeds

Insurer Must Act to Protect Its Insured

The Covenant of Good Faith

Employment Exclusion Effective

Renewal is a New Contract

Failure to Read Defeats Suit

New Book for New Year

Liar, Liar, Pants on Fire