Category: Insurance Problems

Is a Public Adjuster Estimator a Fiduciary When Hired By An Attorney and Disqualified to Act as Appraiser?

A recent case1 had the following fact pattern of facts and findings: 1. Public adjuster Erick Arias of Universal Loss Consultants, Inc., was hired as a loss consultant for the Plaintiffs with respect to the subject insurance claim. 2. Erick Arias produced an estimate for the Plaintiffs prior to the invocation of appraisal. 3. There… Continue Reading

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Is An Insurance Agent an Order Taker or A Professional Advisor? The South Carolina View

My post earlier this week, Are Insurance Agents McDonald’s Order Takers or Professional Advisors? The Massachusetts View, created some buzz. So, I have decided to follow up with insurance agent law in South Carolina where they are having their presidential primary vote today. If a Northern state like Massachusetts follows the “order taker” view, do… Continue Reading

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Two Views Of Claims Management: Prompt and Full Payment vs. Overpayment Caused By Fraud

Insurance claims adjusting is not easy business. Quality adjustment which vets claims quickly and gets the money to policyholders fairly, promptly and fully is challenging work. I have repeatedly indicated this in numerous blogs. The following quote found in Insurance Company Claims People Are Important, is similar to many comments in other blog posts: Insurance… Continue Reading

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California Court Blocks Insurance Commissioner’s Order That FAIR Plan Expand Coverage Options

California has an insurer of last resort for fire coverage, the FAIR Plan, which I explained in detail in a previous post, What Is The California FAIR Plan? In late 2019 in the wake of hundreds of thousands of non-renewals, California Insurance Commissioner Ricardo Lara ordered the FAIR Plan to start selling more comprehensive policies… Continue Reading

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Are Insurance Agents McDonald’s Order Takers or Professional Advisors? The Massachusetts View

One of the first topics anybody should consider before claiming an insurance agent is negligent is the specific state law on the topic. Since virtually all states require people that sell any type of insurance to be licensed, many find it surprising that some states only impose a duty of care as an “order taker”… Continue Reading

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Paul Yemm is The New President of the American Association of Public Insurance Adjusters

Public adjuster Paul Yemm of Action Adjustment Service was elected President of the American Association of Public Insurance Adjusters (AAPIA). An AAPIA press release announced his election: ‘I’m excited to get involved on a national level to further the public adjusting industry,’ Yemm said. … Yemm has been involved with AAPIA since 2009 and began… Continue Reading

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What Constitutes a Promptly Reasonable and Proper Explanation From My Insurance Company?

Insureds have the right to clearly understand the reason why their claim has been denied, delayed, or underpaid. Insurers have the duty to explain how they determined their adjustment and payments. The Puerto Rico insurance code defines as an unfair settlement and claims handling act, an insurers’:1 Failure to provide promptly a reasonable and proper… Continue Reading

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Court Affirms Contractor Acted as Unlicensed Public Adjuster

The Supreme Court of Iowa in three opinions1 this week affirmed various rulings which held that 33 Carpenters’ contractual assignment was unenforceable, as it was operating as an unlicensed public adjuster. I wrote about the lower appellate court decision in, Contractor Acted as an Unlicensed Public Adjuster, Notwithstanding Assignment of Claim and Benefits. In 33… Continue Reading

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Texas Association of Public Insurance Adjusters Conference Features Adjustment Issue of Storm, Flood, and Water Claims

Merlin Law Group Attorney Mary Fortson celebrated her 20th year in our firm last week. In the summer of 2008, she met with Texas public adjusters Art Jansen and Jim Beneke about re-establishing the Texas Association of Public Insurance Adjusters (TAPIA). Today, TAPIA has 100 paid members. Starting next Tuesday evening March 3 through March… Continue Reading

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Ohioans Have Uncovered Millions in Missing Life Insurance Funds

Original source: http://www.insurance.ohio.gov/Newsroom/Pages/09162019MissingLifePolicySearch.aspx

Our intent is to browse the web each day to guide you to relate to the importance of having a Public Adjuster there to assist you. Take a minute to read this web post we found.

Ohio Department of Insurance Insurance (09/16/19)

A completely free service provided by the Ohio Department of Insurance is helping Ohio residents uncover millions of dollars in life insurance capital they’re rightfully due. The Department of Insurance’s missing life insurance policy and annuity contract hunt service, established in 2009 among the first such services in the country, has matched 2,043 people to funding funds from a policy of a deceased Ohio resident. Beneficiaries have received a total of $11.4 million through the ceremony. Department of Insurance Director Jillian Froment stated,”September is Life Insurance Awareness Month, and we want to make sure each Ohioan is aware of this lost life insurance policy program. Many customers might not realize they tried but couldn’t locate the coverage or that they could be life insurance policy proceeds that are because. We can help in those circumstances and encourage all Ohioans with questions about life insurance to speak to us.”… Read More

Thank you! And please schedule a time with us if you need assistance when dealing with your insurance adjuster. NO claim, NO fee!

Original source: http://www.insurance.ohio.gov/Newsroom/Pages/09162019MissingLifePolicySearch.aspx

Our intent is to browse the web each day to guide you to relate to the importance of having a Public Adjuster there to assist you. Take a minute to read this web post we found.

Ohio Department of Insurance Insurance (09/16/19)

A completely free service provided by the Ohio Department of Insurance is helping Ohio residents uncover millions of dollars in life insurance capital they’re rightfully due. The Department of Insurance’s missing life insurance policy and annuity contract hunt service, established in 2009 among the first such services in the country, has matched 2,043 people to funding funds from a policy of a deceased Ohio resident. Beneficiaries have received a total of $11.4 million through the ceremony. Department of Insurance Director Jillian Froment stated,”September is Life Insurance Awareness Month, and we want to make sure each Ohioan is aware of this lost life insurance policy program. Many customers might not realize they tried but couldn’t locate the coverage or that they could be life insurance policy proceeds that are because. We can help in those circumstances and encourage all Ohioans with questions about life insurance to speak to us.”… Read More

Thank you! And please schedule a time with us if you need assistance when dealing with your insurance adjuster. NO claim, NO fee!