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Insurance Claim Delays Deliver Massive Profits To Industry By Shorting Customers

2/1/2020

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By Mollie Reilly and Max J. Rosenthal
WASHINGTON — Unlike many other businesses, the insurance industry is bound by law to act in good faith with its customers. Because of their protective role in the lives of ordinary citizens, insurers have long operated as semi-public trusts. But since the mid-1990s, a new profit-hungry model, combined with weak regulation, has upended that ancient social contract.

“Claims has been converted into a money-making process,” said Russ Roberts, a New Mexico-based management consultant and former business professor at Northwestern University who has studied the insurance industry’s evolution from a service business to a profit-driven machine.

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How to Turn an Insurance Claim from a Negative into a HUGE Positive

2/21/2019

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DORA - B-51 - O & P

2/20/2019

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    Authored by Philip Weber

    Philip has worked for the insurance industry with authority. Philip has been licensed in many states including but not limited to;  CT, FL, KY, LA, MI, MN, MS, MT, OK, OR, RI, SC, TX, UT, WA, WY and was licensed and worked floods for the National Flood Insurance Program (NFIP)
    Listed below are some of the courses and training completed in addition to state required licensing courses and exams.
    ·        Adjusting Business Interruption for Retail Insured’s – Craig Acheson (AHY Forensic Accounting) and Michael C. Little AIC CPCU (Hanover Insurance Group)
    ·        Building Codes: Loss and Claim Exposure management – Kent G. Robinson General Adjuster (Stet Travelers) Isam Hasenin President (Hasenin Consulting Engineers)
    ·        Claims Technology – Dennis Wallen (Reliable Adjusting Company Enterprises)
    ·        Commercial Claims – J.P. Turner
    ·        Commercial Roofing – Donan Engineering
    ·        Commercial Roof Damage Assessment - Haag Engineering
    ·        Condominium Losses - by Elizabeth E. Andrews Esquire & Kirt Varhagen National Product Line Manager (Safeco Insurance)
    ·        Comparing Property and Boiler and Machinery Coverage and Adjustments – Richard Sprock (Bruckmann & Victory LLP) and William F. Cassidy (Douglas G. Patterson & Associates, Inc.)
    ·        Earthquake: When the Big One Hits, Will Your Adjuster be Ready? - By Dan Dyce, (Earthquake Response Manger for CEA)
    ·        Earthquake Coverage and Handling Earthquake Claims - Dan Dyce, (Earthquake Response Manger for CEA)
    ·        Earthquake Damage Assessment and Repair - By John D. Osteraas (Principal Engineering & Practice Director/Exponent Failure Analysis for Menlo Park, CA)
    ·        Estimating Electrical Damage Losses – Donald Skaff (LWG Consulting Inc.)
    ·        Fraud: The Politics of Arson – Gil Minock Assistant VP (Amerisure Insurance Company) Sean O’Brien Atty/Shareholder (Bradshaw Fowler Proctor et al) David J. W. Proctor Atty/ Shareholder (Bradshaw Fowler Proctor et al) Robert Riede Atty/Shareholder (Bullivant Houser Bailey) Chris Van Vleet Special Agent/CFI (Bureau of Alcohol, Tobacco, Firearms
    ·        General Claims Handling Expectations – Dennis Wallen
    ·        Good Faith Claims Handling – Paul W. Burke Partner (Drew Wckl & Farnham, LLP) & Daina E. Kojelis (Zurich North America)
    ·        Hurricane Losses: Using Initial Scope and Reserve Analysis to Manage Expectations and Outcomes – David Wilde Adjuster (Wilde Claims) Elise M. Farnham (Illumine Consulting) Mark Kubena Engineer (Insight Engineering, LP)
    ·        Insurable Interest Problems in the Large Homeowners Claim – Billy J. Handsaker Regional Large Loss Representative III (Allied Insurance/A Nationwide Company) Robert C. Burrell Partner (Borgelt, Powell, Peterson, Frauen)
    ·        Inspection & Evaluation of Residential Roofing - Haag Engineering
    ·        IntegriClaim Expert Class - Nashville PLRB Conference
    ·        Preventing Leakage in Building Damage Estimates – Sam White (Travelers)
    ·        Property Mediation Strategies for Early Resolution - Monica O’Neill Attorney (Kent & McBride) Thomas B. Ruttler Attorney & Steve Zickefoose Regional Claims Analyst (Westfield Group)
    ·        Quality Claim File Notes – Steven J. Polansky Esquire (Marshall Dennehey Warner Coleman Goggin) & Keven Willging Esquire (St Paul Travelers)
    ·        Reconstruction in a Catastrophic Environment – Fred Frederick Manager of NGA Unit (AIG Domestic Claims) Dixon Grier CPA Partner(Matson, Driscoll, and Damico) James L. Wraith Atty/Partner Selvin, Wraith Halman)
    ·        Residential Roof Damage Assessment - Haag Engineering
    ·        Subrogation: Building the Case with Your Expert – Todd Denenberg Partner (Grotefeld & Denenberg) & Kenneth W. Robinson Regional Manager (LWG Consulting)
    ·        Transportation and Warehouse Losses: Coverage, Adjustment, and Subrogation – Marilyn Raia (Bullivant Houser Bailey PC)
    ·        Thorny Issues with Commercial Property Coverages – F.M. Bud Ferrer (Smith Smith Feeley LLP) and Kelly Taylor (CSE Insurance)
    ·        Water Damage Claims – Daniel Berazzani (Liberty Consulting) and Gerald Motejunas (Smith & Brink PC)
    ·        Valuation of Residential and Commercial Contents – Brian Kraynak (Liberty Mutual Insurance Company)
    ·        Wind vs. Wave Damage Assessment - Haag Engineering
    ·        Wood Roof Damage Assessment – Haag Engineering
    ·        Xactimate Basic Class - Nashville PLRB Conference
    ·        Xactimate 24 by Xactware Staff (Three Day Course)
    ·        Xactimate 27 By Xactware Staff at Utah Conference
    ·        IntegriClaim Basic
    ·        IntegriClaim Advanced

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