Sitemap - 2024 - Excellence in Claims Handling

Thanksgiving Wishes from the Zalma Family

When Rejected in Writing no UM/UIM Coverage

Insurer Properly Sanctioned for Failure to Obey Court Order

The Insurance Examination Under Oath & Millions for Defense & Not a Dime for Tribute

Requiring an Insurer to Waive its Right to Subrogation is a Valid & Enforceable Contract

Appear for a Scheduled EUO or Lose

EUO is a Material Condition Precedent

Occam’s Razor

Zalma's Insurance Fraud Letter - November 15, 2024

Chutzpah – STOLI Fraudster Claims Hardship

Bad Faith Set Up Fails

The Examination Under Oath and Millions for Defense & Not a Dime for Tribute

Chiropractor Disciplined for Improper Billing

No Breach of Contract no Bad Faith

Fraudulent Claims of Injury Defeated

Declaring a Policy Void

Permanent Punishment for Conviction for One Ounce of Cocaine Improper

Insurance Fraud Requires Doctor to Lose his License

Private Limitations of Action Provision Enforced

Proof of Loss Requirement Waived

Zalma’s Insurance Fraud Letter – November 1, 2024

Officer Caught Aiding Criminals for Cash

Man Bites Dog Story: Fraudsters Arbitration Attempts Stopped

Who’s on First & in What Percentage

Pill Mill Doctor’s Conviction Affirmed

Federal Jurisdiction Requires a Federal Issue

Policy Wording Must Limit Appraisal to Quantum Only

Failure to Plead an Identifiable Theory of Liability Requires Dismissal

Misrepresentation by Insurer and/or Agent

UM/UIM Coverage Requires Accident With a “Motor Vehicle”

Forged Referral Defeats Claim Against No Fault Insurer

Res Judicata Foils FOIA Demand

Hit & Run and False Accident Report Punished

Duties and Liabilities of Insurance Brokers

Liability Insurer Has Sole Right to Settle Suits Against Insured

Zalma’s Insurance Fraud Letter – October 15, 2024

Perjury by Witness is a Superseding Cause of Injury

Fifth Amendment Applies in Civil Case

Conviction Affirmed

Gangs Involved in Fraud & Murder

Qualified Immunity to Report Suspected Fraud

Court System Abused by In Forma Pauperis Plaintiff

Chutzpah: Fraud Perpetrator Tries to Use Court to Avoid Paying Judgment

Intentionally Presenting a False Claim is a Crime

Adjuster Only Owes a Duty to the Insurer

Zalma’s Insurance Fraud Letter – October 1, 2024

Failure to Pay a Premium Results in Cancellation

Failure to Pay a Premium Results in Cancellation

No Tort Remedy for Non-Insurance Claims Bad Faith

When Insurance Agent Controlled Action of Broker No Action Against Broker

Genuine Dispute Requires Reversal of Summary Judgment

Policy Conditions Remain when Named Insured Added

It is Fraud to Lie to Your Insurer About Material Facts

Plaintiff Waited Too Long to Sue

Man Bites Dog Story: Fraudsters Must Pay Insurer

Unlicensed Contractor Cannot Enforce Contract

For Want of a Union Mortgage Clause Lender Gets Nothing

Zalma’s Insurance Fraud Letter – September 15, 2024

It is Dangerous for Insurance Fraudster to Ignore Court Orders

Requests for Admission in Texas Are Deemed Admitted if no Response

Intentional Acts, Insurance Claims & Exclusions

Insurance Litigants Should Never Play Games With Discovery

It's Not Nice to Set Your Ex-Wife on Fire

The Hawaiian – A True Crime Story

Right to Subrogation Limited by Lease

Rights Available to the Insurer

THE COVENANT OF GOOD FAITH IS AN ETHICAL DOCTRINE

Suit Must be Prosecuted Diligently

An Appellate Court Will Not Change a Plea Contract

Zalma’s Insurance Fraud Letter – September 1, 2024

Go to my Interview on the Art of Adjusting Podcast

Actual Notice of Cancellation Effective

Convicted of a Variety of Fraud Schemes Including Insurance Fraud

Seven Years in Prison for No Fault Fraud

Duty to Defend the “Bad” Case

Evidence Needed to Defeat a Motion for Summary Judgment

Unambiguous Exclusion Must be Enforced

Move From Colorado to Missouri Defeats Coverage

A Dog is Nothing More than a Dog

No Coverage to Repair or Replace Construction Defects

Rescission For Lie on Insurance Application

Representing Yourself is Foolish

Duty to Defend Under Difficult Fact Situations

The Differences Between a Claim and a Suit

Victims of Bankrupt Insured Collect Nothing

Zalma’s Insurance Fraud Letter August 15, 2024

Waiver of Two Very Specific Rights Does Not Infer a Waiver of all Rights

Sovereign Immunity for State

Nevada Appears to Ignore SCOTUS on Punitive Damages

CEO Used Money From Company & Its Insurers to Defend Criminal Conduct

Defendant Turned Down Plea & Went To Trial

Man Bites Dog Story

Fraud Doesn't Pay but Keeps Trying

Zalma’s Insurance Fraud Letter

Bad Faith Requires an Effective Insurance Policy

No Right to Med Pay if Bill Less Than Deductible

Replacement Cost Coverage Limited

Duty to Defend

Sexual Abuse of Child Excluded

Unambiguous Pollution Exclusion Enforced

Guilty of Workers’ Compensation Fraud

Never Drive a Stolen Vehicle In View of the Owner

Should Have Read "Montana Doesn't Make Bad Faith and Punitive Damages, Easy No Bad Faith in Montana

Agreement to Settle Workers’ Compensation Does Not Compel Payment for Intentional Acts

ANNOYING DISCOVERY DISPUTES

Liability Insurance Claims

Insurance Policy Conditions Must be Applied

Plaintiff Sat on His Rights

Zalma’s Insurance Fraud Letter – July 15, 2024

Present as Real a Free and Imaginary Oral Estimate as Proof of Claim is Fraud

The Phantom Rolls Royce

Common Law Right Eliminated by Statute

No Coverage for Anti-Kickback Settlement

Excellence in Claims Handling Part Two

Fraud Perpetrators Give Up

Excellence in Claims Handling

Fraud Bureau Investigates

Insurer Not Required to Take on the Burden of the Insured's Fraud

Convicted of Insurance Fraud

Duties of the Public Adjuster

SCOTUS & INSURANCE

Zalma’s Insurance Fraud Letter – July 1, 2024

Books Available From Barry Zalma

Concealment of Prior Act of Sexual Abuse Excluded

Damage While Fleeing Police Excluded

Insurers Act to Defeat Fraud

Contract Breach Excluded from D&O Policy

It is Unwise to be a Chameleonic Litigant

Never Delay Responding to Requests for Admission in Arizona

Duties of the Adjuster with Regard to First Party Property Insurance

Arsonist Must Serve Full Sentence

Court Interprets Policy as Written

Auto Insurance only Available for Drivers Listed in Policy

Application Wrongfully Stated No Work on Recreational or Playground Equipment

Zalma’s Insurance Fraud Letter – June 15, 2024

Arbitration Clause in Policy Void in Louisiana

Property Claims

Litigation Sloth Defeats Suit

Insurer Has the Right to Oppose Plan that Exposes it to Potential Fraud

No Financial Loss – No Coverage

RICO Suit Against Chiropractors

Duties of the Insured and the Insurer

Chutzpah From Convicted Dentist

No Coverage for Covid Caused Damage

Arsonist Must Pay Restitution to Insurer

Liars Never Prosper

Zalma’s Insurance Fraud Letter – June 1, 2024

Appeal Dismissed Even With Fraud Allegation

Umbrella Does Not Have Same Exclusion as Primary

Indictment Establishes Probable Cause

Arson-for-Profit Scheme Fails

Insureds are Made More Equal Than Insurers

Who’s on First?

The “Montrose” Exclusion

No Post Conviction Help

Public Policy is Vague and Uncertain

Unique Insurance Fraud In Louisiana

Officer Immune from Suit

Pollution Exclusions

Overcharge of Force Placed Insurance Defense to Foreclosure

Zalma’s Insurance Fraud Letter – May 15, 2024

Insureds Must Negotiate Terms of Coverage Before Inception

Lender Must Elect To Take Insurance Proceeds

No Meeting of Minds No Contract

Why Insurer Spent Millions to Defend Fraudulent Claim

Incompetent Insurance Fraud Claim Results in Conviction

More Important First Party Property Exclusions

Plaintiff Entitled to Know All Insurance Available to Defendants

Building That Could Collapse is Not a Covered Collapse

More Interesting Exclusions

Help, My House Is Falling Into The Sea

Lies on Insurance Application Expensive

Zalma’s Insurance Fraud Letter – May 1, 2024

Criminal’s Money Stays With State

Telling the Truth Can't Be Defamatory

It is Nuts to Assume You are Covered

Exclusions

Choking a Friend to Death Not a Covered Loss

Agent Binds Principal

Assets Forfeited as Restitution for Murder for Profit

Insurer Immune from Malicious Prosecution Suit

Criminal Tries to Get Out of Sentence

Deductible

Unclear Language in Policy Interpreted in Favor of Property Owner

Man Bites Dog & Dog Bites Back

Swimming Pool Claim Sunk

ZIFL, Volume 28, Issue 8

Fairly Debatable Action by Insurer

Pro Se Plaintiff’s Qui Tam Suit Fails

Coinsurance

Who's on First?

Court Slaps Down SLAPP Suit

Marine Insurance Warranties

Real Property Damage Required for Defense

To Plead Fraud Plaintiff Must Identify Acts of Fraud

Life Insurance Can Be Hazardous to Your Health

Never Lie on an Application for Insurance

Compassion Not Available for Arsonist

Zalma's Insurance Fraud Letter - April 1, 2024

Litigation Between Insurers Should be Avoided

Soft Fraud

Red Flags of Insurance Fraud

GUILTY OF WORKERS’ COMPENSATION FRAUD

Passover Begins on April 22, 2024

Insurer Must Report Suspected Fraud

Pollution Exclusion Deters Deliberate or Negligent Behavior that Leads to Environmental Harm

Court Must Read Statute as Written

The Records Warranty

Insurance Policy Warranties

$16 Million to $1

Patient Brokering and Referral Scheme Enjoined

Overwhelming Evidence Establishes Guilt

Zalma’s Insurance Fraud Letter – March 15, 2024

The Contractor

No Alarm No Coverage

CHUTZPAH – CHARGE OF TWO SEPARATE CRIMES DO NOT VIOLATE CONSTITUTION

Arsonist Begs Ohio Court to Release Him From Prison

Insurance Fraud & Politics

Insurance Only Pays for Fortuitous Losses

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

The Insurance Adjuster

How the Adjuster Analyzes the Policy Wording

Fail to Read the Policy at Your Peril

Insurance Policy Warranties

Zalma’s Insurance Fraud Letter – March 1, 2024

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

Go To Jail, Do Not Pass Go, Stay in Jail

Ignore Court Orders at Your Peril

ADA Requires Evidence of Intentional Discrimination

Exclusion for Failure to Advise Insurer of Known Potential Loss

It is Time to Control Punitive Damages

Lie on Application & Find Policy Rescinded

Liar, Liar, Pants on Fire

Insurance Fraud is a Violent Crime

Bloods Gang Member Guilty of RICO to Defraud Insurers

Why to Never Take an Assignment of Claim Against Insurer

Zalma’s Insurance Fraud Letter – February 15, 2024

Insurance Fraud Attempt Defeated

Agent’s Statement Binds Insurer

No Duty to Defend No Possible Duty to Indemnify

Arson and Restitution

Ambiguous Exclusion Unenforceable

Do the Crime, Serve the Time

Serious Injury Does Not Change Policy Wording

The Examination Under Oath - A Condition Precedent

Appraisal Pointless if Coverage Not Provided

A Incomplete Aircraft is Still an Aircraft

Zalma’s Insurance Fraud Letter February 1, 2024

Punitive Damages

Pollution Exclusions

Liability Insurance & the Need for Fortuity

Property Investigation Checklists – 14th Edition

First Party Property Losses

FAKE APPLICATIONS COSTS AGENT HIS LICENSE

Infestation of Vultures Excluded

Special Form Exclusions

False Statement on Application Requires Rescission

Court May Not Rewrite Policy

Who’s on First – Defense and/or Indemnity

TOO FUNNY NOT TO PASS ON!!

Diminution of Value Excluded

You Only Get What You Pay For

The Baseball Card Scam

Zalma's Insurance Fraud Letter - January 15, 2024

Loss of Inventory by Bankruptcy

Exclusions Relating to Proof of Loss

ALLSTATE TAKES A BITE OUT OF CRIME

Murder Pays

No Coverage for Benefits no Right to Bad Faith Damages

Violation of Statute Allows Suit for Negligent Failure to Resolve Insurance Claim

Equity Requires Fairness

Coinsurance

GEICO takes a Bite Out of Fraud

No Right to Indemnity After Policy Limit Exhausted

Failure to Reside at Dwelling Eliminates Coverage

Zalma’s Insurance Fraud Letter January 2, 202