قالب وردپرس درنا توس
Home / Insurance / Barry Zalma's Insurance Claims Library

Barry Zalma's Insurance Claims Library



For the past 53 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 indemnity staff to become professionals in insurance claims.

The law on unintended consequences and the damage to bad faith

The concept of unintended consequences is one of the building blocks of the economy. Adam Smith's "invisible hand", the most famous metaphor in the social sciences, is an example of a positive unintended consequence.

Most often, however, the law on unintended consequences highlights the perverse unexpected effects of legislation and regulation. In 1692, the English philosopher John Locke, a forerunner of modern economists, demanded the defeat of a parliamentary bill

that lowered the maximum allowable interest rate from 6 percent to 4 percent. Insurance is controlled by the courts, through appeal decisions and by government agencies, through laws and regulations. Compliance with appeals decisions, statutes and regulations – different in the various states – is extremely difficult and expensive.

Unfortunately, the insurance business is subject to the law of unintended consequences as if it were on steroids. [19659007] Available as a paperback book

Available as a Kindle book

Insurance fraud – Volume I and Volume II

In two volumes

Insurance fraud continuously takes more money each year than it did last year from the insurance purchase public. No one knows the actual amount with certainty because most attempts at insurance fraud succeed. Estimates of the extent of insurance fraud in the United States range from $ 87 billion to more than $ 300 billion each year.

Insurers and state-backed pseudo-insurers can only estimate the extent to which they lose for fraudulent claims. The lack of adequate investigation and prosecution of insurance offenders is endemic. Most insurance frauds are not detected. Those who are discovered do so

because they became greedy, careless and unprofessional so that the attempted fraud becomes so obvious that it cannot be ignored.

No one will ever be able to place an exact number of the amount lost on the insurance. fraud. Anyone who has looked at the question knows – whether they are based on their heart, their gut or empirical facts established on the basis of convictions for insurance fraud offenses – that the number is huge.

When insurers and governments make serious efforts to reduce the amount of insurance fraud, the number of claims against insurers and pseudo-state or funded insurers decreases logarithmically. Since the appointment of Attorney General sessions, efforts to stop insurance fraud against Medicare and Medicaid have increased.

This book contains appeal decisions regarding insurance fraud from federal and state appellate courts across the country and full text for many insurances

It is available both as a legal research tool and as a product to help insurers, insurance company insurers, independent insurance insurers, independent insurance insurers investigators for special investigative units, state fraud investigators and insurance lawyers to become effective persons involved in the attempt to defeat or reduce the impact of insurance fraud.

Volume one available as a Kindle book and a paperback book.

Volume two Available as a Kindle book and a paperback book

The Compact Book of Adjusting Property Insurance Claims – Second Edition

A User's Guide for First Party Property Insurance Adjuster

The insurance adjuster is not mentioned in a policy insurance. The obligation to investigate and prove liability for damages rests with the insured. First-party standard property insurance, based on New York Standard Fire Insurance, contains terms and conditions that require the insured, within sixty days of the loss, to submit hard evidence of loss to prove the insurer facts and amounts for the loss.

The insurance allows the insurer to then, and only then, respond to the insured's proof of loss. The insurer can then either accept or reject the insured's proof.

 Compact Book of Adjusting Property Claims - Second Edition: A Primer For the First Party Property Claims Adjuster. Technically, if the wording of the policy literally followed the insurer could sit back, do nothing and wait for the proof. If the insured delays the proof, the insurer can reject the claim. If the insured submits proof of loss in a timely manner, the insurer can either accept or reject the proof of loss. If the insurer rejected the proof of loss, the insured could either send a new one or give up and get nothing from the damage. The suit for the insurance would be difficult because the insurance contract limited the right to sue at times when the proof of loss conditions had been met. Insureds and insurers were not happy with that system. This made it too difficult for a layman to successfully make a claim. The system, as written in the standard fire policy, seemed to run counter to the union of good faith and fair trade that had been the basis of the insurance contract for centuries. Most insurers understood that their insured were mostly unable to comply with strict application of the insurance terms. In order to fulfill the union with good faith and fair insurance companies, the insurance adjuster created to fulfill his obligation to act fairly and in good faith with the insured.

The second edition adds new material from 2018 and 2019, is easier to use and more compact than the original.

Available as a Kindle book.

Available as paperback.

The Compact Book on Adjusting Liability Claims, Second Edition

A Handbook for the Adjustment Liability Claims

This compact Book of Adjusting Liability Claims is designed to  Compact Book of Adjusting Liability Claims Second Edition: A Handbook for the Liability Claim Adjuster provides the new adjuster with basic support in what is needed to become a competent and effective insurance adjuster. It is also available as a refresher for the experienced adjuster.

Liability for damages quickly learns that there are no difficulties with a plaintiff (the person who alleges bodily injury or property damage to an insured person) if the damage is paid according to claims. The insured may be unhappy if the claim is paid as it is presented, as most people do not think they did anything wrong or fear an increase in the premium charged for subsequent insurances.

The adjuster must be prepared to anoint the insured's feelings, explain why in law and policy it was appropriate to pay the indemnity and that the settlement is in the best interests of both the insured and the insurer that the adjuster represents.
The adjuster knows and must be prepared to explain to an insured that if a claim is denied or denied, the applicant will be unhappy, will probably bring an action. If not decided immediately, the applicant's lawyers will rake the insured over the coal to prove that the insured is responsible for the damage. The disputes take time, effort and money to determine the extent of the damage and who is responsible for the damage. Failure to settle immediately can cost the insured his or her reputation and will certainly cost the insurer much more than what the damage could have been settled for if it had been resolved before the plaintiff retained a lawyer.

Available as a Kindle book

Available as a paperback book.


© 2020 – Barry Zalma

Barry Zalma, Esq., CFE, now limits his practice to employment as an insurance consultant specializing in insurance coverage, insurance claims handling, insurance claims and insurance fraud almost equally for insurers and policyholders. 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 is available 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 insured.

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

Read posts from Barry Zalma at https://parler.com/ profile / Zalma / inlägg

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 libraries /

https://visitor.r20.constantcontact.com/manage/optin?v=001Gb86hroKqEYVdo-PWnMUkV7pkuOtkiv6oakpgK33CNlNAYW-WBlLCOZFtgvpSdcL7R-tsWKfMVqG6fEuvmM7Hh7gUEJ7yKOdgHDbGl_cGAU%3De-mail version of ZIFL, it is free! –


Source link