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Weapons to defeat insurance fraud and liability management



Barry Zalma, Esq., CFE has created a library of insurance damages and other materials to enable insurers and their claims to become insurers. Over the past 51 years, he has engaged his life in insurance, insurance claims and the need to defeat insurance fraud.

Read about insurance fraud and weapons to defeat insurance fraud, the compact property insurance books claim adjustment and liability claims, and other insurance books by Barry Zalma, at http://zalma.com/blog/insurance-claims-library/ [19659003] "Surance Frau & Weapons to Defeat Insurance Fraud"

In Two Volumes

  Product Information Insurance fraud constantly takes more money each year than it did last from the insurance company. No one knows the actual amount with any certainty because most attempts at insurance fraud succeed. Estimates of the magnitude of insurance fraud in the United States range from $ 87 billion to over $ 300 billion each year.

Insurers and state support insurance companies can only estimate how much they lose to fraudulent claims. Lack of sufficient investigation and prosecution of insurance criminals is endemic. Most criminal criminals are not detected. Those who are discovered make

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

No one will ever be able to set an exact number on the lost amount of insurance fraud. Anyone who has looked at the question knows – if they are based on their heart, their intestine or empirical facts determined by the judgments of the crime fraud – the number is huge.

When insurers and governments strive to reduce the amount of insurance fraud the number of insurances provided to insurers and the pseudo-state-based or funded insurers drops logarithmically. Since the appointment of the Attorney General Sessions, the attempt to stop insurance fraud against Medicare and Medicaid has increased.

<img id = "ebooksImgBlkFront" class = "a-dynamic-image frontImage alignleft" src = "https://i2.wp.com/images-na.ssl-images-amazon.com/images/I/ 617K% 2BMibqML.jpg? Resize = 141% 2C225 & ssl = 1 "alt =" Insurance Fraud and Weapon to Defeat Fraud – Volume Two: A Guide for Those Who Work to Defeat Insurance Fraud at [19659011] This book contains appeal decisions regarding insurance fraud from federal and state courts across the country and full text of many insurance fraud.

It is available as both a legal research tool and a product that assists insurance companies, insurance company staff, independent insurance adjusters, investigators for special investigation units, investigators of state fraud and insurance lawyer for to become effective people who are involved in trying to defeat or reduce the effect of insurance fraud.

Volume 1 exists as e n Kindle book and a paperback

Volume two Available as a Kindle book and a paperback

The compact property adjustment booklet insurance claim

A Manual f or the first party's insurance adjuster

The insurance adjustment is not provided in insurance policy.  The Compact Property Adjustment Booklet Requirement: A Guide to the First Party Insurance Adjusters obligation to investigate and prove a claim falls on the Insured. Standard First Party Property Insurance, based on the New York Standard Fire Insurance Policy, contains terms that require the Insured to file a sworn proof of loss within seven days of the loss to prove the insurer's facts and amounts of loss.

The policy 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 proof.

Technically, if the formulation of the policy was followed literally, the insurer could sit back, do nothing and wait for the evidence. If the insured was late to submit the proof, the insurer could decline the claim. If the insured provides early evidence of loss, the insurer may either accept or decline evidence of loss. If the insurer rejected the proof of loss, the insured can either send a new one or give up and not get any of the claim. The guidelines would be difficult because the policy contract limited the right to sue at times when the proof of loss conditions had been fulfilled.

Insured and insurer were not happy with that system. It made it too difficult for a play person to successfully present a requirement. The system, as written in the standard fire policy, seemed to conflict with good faith and fair associations that had been the basis of the insurance contract for centuries. Most insurance companies understood that their insurance policies were mostly unable to comply with the strict compliance with the political conditions. In order to meet good faith and fair insurance companies, the insurer created its duty to act fairly and in good faith with the insured.

Available as a Kindle book.

Available as paper.

"The Compact Compensation Book Adjustment Book"

A Compensation Correction Adjustment Manual

This Compact Compensation Claim Book is designed for  product details to give the new adjustment a basic foundation in what is needed to become a competent and effective insurance adjuster. It is also available as an update for the experienced adjuster.

The force adjusters quickly learn that there is little difficulty with an applicant (the person claiming bodily injury or property damage against an insured person) if the claim is paid as required. The insured may be unhappy if the claimant's claim is paid as presented because most people do not think they were doing anything wrong or fearing an increase in premiums for later policies.

The adjuster must be prepared to anoint the insured's feelings, explain why in the law and the policy it was appropriate to pay the creditor and that the settlement is in the best interest of both the insured and the insurer the representative represents.
The adjuster knows and must be prepared to explain to an insured that if a claim is opposed or denied, the plaintiff will be unhappy, will likely be judged. If not settled immediately, the plaintiff's lawyers will claim 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 resolve immediately could cost the insured his or her reputation and will surely cost the insurer much more than the claim could have been resolved if it had been resolved before the plaintiff retained a lawyer.

Available as a Kindle book

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