See the full video at https://rumble.com/vogxro-zalmas-insurance-fraud-letter-november-1-2021.html and at https://youtu.be / TfyirYOTU98
The Reason for the Examination Under Oath
Courts that interpret submission to an EUO as a condition for recovery generally do not require the insurer to prove that it has suffered actual damage from an insured's unforgivable refusal. investigation. Lorenzo – Martinez v. Safety Ins. Co., 58 Mass. App. Ct. 359, 790 N.E.2d 692, 695–96 (2003). The EUO provides a mechanism for the insurer to confirm the claim by obtaining information which is primarily or exclusively in the possession of the insured.
, the lawyer maintained that representing the insurer questions the interviewee in a manner similar to a deposit in a legal proceeding. Due to the formality of the procedure – it includes an oath and the presence of a certified shorthand reporter – the task of establishing a relationship with the interviewee so that relevant information can be obtained from the insured is more difficult than in an informal interview. Unlike legal proceedings where the questions are limited to those seeking a "yes" or "no" or short answer, the EUO seeks narrative answers from the respondent.
The person taking the EUO must therefore be able to move from lawyer as t. ex. questions in litigation to the broad, inquisitive, narrative seekers questioning. An EUO should never be conducted as if it were an adversarial activity, but only a fact-finding that focuses on the needs of an insurance company and the need to prove a loss is either compensable or not.
Because the EUO is a tool for collecting it maximum amount of information EUO is an effective weapon against insurance fraud. This is because the person taking EUO is knowledgeable about insurance and insurance legislation, while the person being questioned is only aware of the claim made and the fraud he or she may be trying to.
Often, however, the purpose of the EUO is: not to stop fraud but to give an insured person the opportunity to prove their claim in cases where evidence has been destroyed by an accident or is otherwise inaccessible.
New California Mandatory Fraud Warning
Insurers in California should note the requirement to update the mandatory anti-fraud warnings on documents based on the recently signed law of AB1511.
This bill makes application fraud a specific crime in the state.
Georgia pays $ 870,000 to whistleblowers fired by Beck  Who pays for False Claims Act Actions?
Health Insurance Fraud Convictions
Other Insurance Fraud Judgments
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– Barry Z018]
Barry Zalma, Esq., CFE, now limits his internship to the position of insurance consultant specializing in insurance coverage, insurance claims management, non-insurance beliefs 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 a lawyer for insurance coverage and claims management and more than 54 years in the insurance industry.
Subscribe to Excellence in Claims Handling at https://barryzalma.substack.com/welcome.
He is available at http://www.zalma.com and email@example.com. 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 insurers and their claimants to become professionals in insurance claims.
Go to training available at https://claimschool.com; 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