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Public adjusters are claims professionals employed solely by a policyholder who has suffered an insured loss of real estate. The public adjuster handles every detail of the claim, in close cooperation with the insured to provide as fair and quick a solution as possible.
The behavior of the public adjuster is governed in most states by statutes. For example, the State of California uses the following statutes to regulate the activities of a public insurance adjuster beginning with § 15000 et seq. Of the Insurance Code and presented in full in Appendix 1. As a licensing charter, it seeks to require a general insurance adjuster to act ethically and believe on his or her client's behalf.
To perform the tasks assigned to a public adjuster to properly represent an insured person, inspect the loss site immediately, analyze the damage, assemble claims information, review the insured's coverage, determine current compensation costs and exclusively serve the customer, not the insurance company while you work. the insurer's adjuster.
The National Association of Public Insurance Adjusters (NAPIA) publishes a code of conduct that sets out the ethical standards that all public insurance adjusters should follow. It contains:
The public adjuster shall not engage in unauthorized jurisprudence, conduct any activity that may be construed as a conflict of interest or obtain a financial interest in salvaged property that is the subject of a claim, nor shall the public adjuster use advertisements that violate the Insurance Act. The public adjuster must use contract forms approved by the Commissioner.
An example of less than appropriate action by a public insurance adjuster and the lawyer representing the same client involved a claim in the 1994 Northridge earthquake that resulted in claims of multiple improper claims handling. The 1994 Northridge, California earthquake caused billions of dollars in damage across southern California.
Public adjusters perform an important service for busy professionals who simply do not have the time or ability to handle a claim to first-class property. By agreeing to pay the public adjuster part of the damage payment, the policyholder understands that after the fee has been paid, the insurer's payment will not be enough to complete the repair and will take the cost as a cost worth saving the insured the time needed. to contact the insurer. An ethical public adjuster will resolve a claim quickly and fairly. An unethical public adjuster will not do that. It is imperative that state regulators apply the requirement that public adjusters comply with state laws and work ethically to resolve requirements.
© 2021 – Barry Zalma
Barry Zalma, Esq., CFE, now limits his practice to serving as an insurance consultant specializing in insurance coverage, insurance claims management, bad faith insurance and insurance fraud almost as much for insurance 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 and claims management attorney and more than 54 years in the insurance industry.
He is available at http://www.zalma.com and firstname.lastname@example.org. Mr. Zalma is the first recipient of the first annual Claims Magazine / ACE Legend Award. 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 insurance companies and their indemnity staff to become insurance professionals.
Go to the podcast Zalma On Insurance at https://anchor.fm/barry-zalma; Follow Mr. Zalma on Twitter at https://twitter.com/bzalma ; Go to Barry Zalma videos at https://www.rumble.com/zalma; Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg; Go to Insurance Claims Library-https: //zalma.com/blog/insurance-claims-library/ T the last two issues of ZIFL are available at https://zalma.com/zalmas-insurance-fraud- letter -2 / podcast now available at https://podcasts.apple.com/us/podcast/zalma-on-insurance/id1509583809?uo=4