The Need for the Advice of the Coverage Lawyer Who Takes the EUO

Read the whole article at https://www.linkedin.com/pulse/video-explaining-role-insurers-attorney-after-ending-barry and see the full video at https://youtu.be/6LSCmmwDhtM and at https://zalma.com/blog plus more than 3450 posts.

A well-executed EUO is not only one of the insurer’s most effective weapons against fraud. It can also be highly instructive for the adjuster. If an attorney is responsible for performing the examination, the adjuster must make clear that it is his or her obligation to provide sufficient factual information supported by legal authority for the insurer to make a decision on the claim.

The adjuster should also, if possible, attend the EUO to help the attorney and to study questioning techniques. Attorneys, whose job it is to ask questions, will usually do a more thorough job of EUO than will insurance claims staff.

After the EUO, the attorney will usually suggest additional investigation and can also give the adjuster legal advice as to the insurer’s rights, duties, and obligations.

Counsel’s report should include all the facts necessary to support any decision, whether learned in the course of the investigation or from testimony at the EUO.