True Crime of Insurance Fraud Video Number 81
Professional Insurance Adjusting
Read the full article at https://lnkd.in/gpuMrasz and see the full video at https://lnkd.in/gQ2-4VB3 and at https://lnkd.in/gmVde3im and at https://zalma.com/blog plus more than 4200 posts.
At the turn of the century, insurers, in a search for profit, decimated their professional claims staff. They laid off experienced personnel and replaced them with young, untrained and unprepared people.
A virtual clerk replaced the old professional claims handler. Process and computers replaced skill and judgment.
Insurers intentionally forgot that the promises made by an insurance policy are kept by the professional claims person. A professional claims staff is a cost-effective method to avoid litigation.
A staff of claims professionals dedicated to excellence in claims handling are a profit center for an insurance company. Experience establishes that claims professionals resolve more claims for less money without the need for either party to involve counsel. A happy insured or claimant satisfied with the results of his or her claim will never sue the insurer.
Incompetent or inadequate claims personnel force insureds and claimants to lawyers. Every study performed on claims establish that claims with an insured or claimant represented by counsel cost more than those where counsel is not involved.
A special unit could be established in the office of the Attorney General, funded with the monies taken from the insurance industry to support the war against insurance fraud. This unit should be given a simple mandate: "File and prosecute every insurance fraud brought to the unit by the Fraud Division that has a better than 50% chance of success."
Every person in the US who does not commit fraud is paying to support those who do. A minimum of $20.00 for every $100.00 every person insured pays in premiums goes into the pockets of insurance criminals. If the stories in this book make the reader angry, write to your local District Attorney, States Attorney, Attorney General or US Attorney and let them know of your anger.
If enough people complain perhaps, the prosecution levels will increase. Although each of the Videos I have published and in my book “Insurance Fraud Costs Everyone” are based in fact, the names, locations and facts of the claims have been changed to protect the guilty.
Go to https://claimschool.com.
(c) 2022 Barry Zalma & ClaimSchool, Inc.
Barry Zalma, Esq., CFE, is available at http://www.zalma.com and [email protected]. Barry Zalma, Esq., CFE, now limits his practice to service as an insurance consultant.
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