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A video explaining programs and requirements for anti-fraud



See the full video at https://youtu.be/zqZ8J8x3qvY [195659003] Anti-fraud statutes and regulations adopted in the various states now require insurers to set up anti-fraud programs. Common sense should have dictated the existence of such anti-fraud programs from the day the first insurance policy was issued, but insurers have always been enshrined in the Catch-22 obligation to treat all insureds with the utmost good faith. Insurers, who do not want to be accused of bad faith, have always preferred to pay fraudulent claims rather than fight. That it was necessary for states to adopt statutes that force insurance companies to protect themselves must be unique to this industry.

The essence of an anti-fraud program is the insurer's commitment to refuse to pay fraudulent claims. The details of the anti-fraud program are then tailored to the style of the specific insurer, its staff, managers and lawyers.

The anti-fraud programs that have proven to be effective focus on creating and operating a SIU (see detailed discussion below). The insurers who understood the need to fight fraud had SIU in place long before any legislator or insurance department considered it necessary to force insurers to deposit one.


© 2020 – Barry Zalma

Barry Zalma, Esq., CFE, now limits his practice to working as an insurance consultant specializing in insurance coverage, insurance claims handling, cheating and insurance fraudsters almost equally for insurers and insurers . He also acts as an arbitrator or mediator for insurance-related disputes. He practiced law in California for more than 44 years as an insurance coverage and claims lawyer and more than 52 years in the insurance industry. He can be found at http://www.zalma.com and zalma@zalma.com.

Mr. Zalma is the first recipient of the first annual Claims Magazine / ACE Legend Award.

For the past 52 years, Barry Zalma has devoted his life to insurance, insurance claims and the need to defeat insurance fraud. He has created the following library of books and other materials to enable insurers and their claims staff to become insurance claims staff.

https://zalma.com/zalmas-insurance-fraud-letter-2/ Last read two issues of ZIFL here.

Go to Barry Zalma videos on Rumble.com at https://rumble.com/c/c-262921 [1965653] Read posts from Barry Zalma at https://parler.com/ profile / Zalma / post

Listen to the podcast: Zalma om försäkring https://anchor.fm/dashboard/episodesZalma om försäkring

Go to Barry Zalma on YouTube – https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg/

Go to the Insurance Claims Library – https://zalma.com/blog/ insurance -claims-library /

e-mail version of ZIFL, it's free! –


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