Watch the full video at https://youtu.be/PnlpwgMRWxY and at https://rumble.com/Zalma and at barryzalma.substack
In Search of Profit , insurers have decimated their professional indemnity staff. They laid off experienced staff and replaced them with young, untrained, unprepared people. A virtual clerk replaced the old professional claims manager. Process and computers replaced practical human skill and judgment. Money was saved by paying lower wages. Within three months after the experienced damages were dismissed, the gross profit increased. A website for insurance claims professionals and anyone who wants to know something about insurance, insurance claims, insurance coverage and insurance laws.
Insurance persons are persons who:
• can read and understand the insurances issued by the insurer.
• understand the promises made by the insurance and their obligation, as insurers' claims staff, to fulfill the promises made.
• are competent investigators.
• have empathy and realize the difference between empathy and sympathy.
• understands medicine related to traumatic injuries and is sufficiently familiar with tort law to treat lawyers as equals.
• understand how to repair damage to real and personal property and the value of the repairs or property.
An insurer whose staff consists of people who are less than professional will be the subject of several cases of costly, counterproductive disputes.
The competence management program requires a thorough training that gives each member of the emergency personnel at least the following:
1. How to read and understand the contract underlying each adjustment, including but not limited to:
a. The formation of the insurance.
b. The rules of interpretation.
Damages legislation including negligence, strict liability and intentional damages.
Contract law, including the insurance contract, commercial or residential lease agreements, bills of lading, exemption agreements, proof of loss, release and other damage-related contracts.
a. The insured's obligations and obligations in a personal injury.
b. The insurer's obligations and obligations in a personal injury.
c. The insured's obligations and obligations in a claim on first party property.
d. The insurer's obligations and obligations in a claim on first party property.
4. the law on legal requirements and the regulations enforcing it.
5. The thorough investigation:
a. Basic investigation of a car accident.
b. Examination of claims for design defects.
c. Examination of a allegation of non-negligence.
d. Examination of strict liability requirements.
e. Examination of the first party's property claims.
f. The registered statement of the first party's property claimant.
g. The recorded statement or interview with a third party.
h. The insured's recorded statement.
i. The red flags of fraud.
j. SIU and the claimant's representative when suspected fraud.
6. Complaint report.
7. Evaluation and settlement of the claim for damages.
8. How to retain coverage advisors to help when a coverage issue is discovered.
a. How to check coverage advisors.
b. How to instruct coverage advisers on the issue to be resolved.
9. Handles a plaintiff's attorney.
10. Handle personal injury defenders.
11. Evaluation and settlement of the property damage claim.
12. The evaluation process.
13. Arbitration and mediation and the tort agent.
Demand management without quality is both dangerous and expensive. Insurers should develop a professional claims staff and provide excellent skills in claims management as they will thereby earn more than if they retain an inadequate and unprofessional claim staff.
The series of videos will soon be available for a monthly subscription. The video here is a stimulus to the beginning of the courses that will last about an hour each. If you are interested, subscribe to the program Excellence in Claims Handling at barryzalma.substack
© 2021 – Barry Zalma
Barry Zalma, Esq., CFE, now limits his practice to serving as an insurance consultant specializing in insurance coverage, insurance claims handling, bad faith insurance and insurance fraud almost as much 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 and claims management attorney and more than 54 years in the insurance industry.
He is available at http://www.zalma.com and email@example.com. 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 my articles at https://zalma.substack.com, 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