Podcasts Business Zalma on Insurance Explaining the Existence and use of the Red Flags of Fraud

Explaining the Existence and use of the Red Flags of Fraud

Published: Oct. 9, 2020, 2:32 p.m.

b'

The Red Flags of Fraud

\\n

See the full video at https://youtu.be/7-2Hshdbzw0 or at https://zalma.com/blog 

\\n
    \\n
  1. Red Flags are only indicators of fraud.
    2. \\n
  2. They are not evidence of fraud
    3. \\n
  3. They are not proof of fraud.
    4. \\n
  4. They are tools to help claims handlers identify potential fraud for further investigation.
    5. \\n
  5. When more than three substantial red flags appear in a claim  investigation it should be referred to the SIU for further  investigation.
    6. \\n
\\n

What Do You Do When Red Flags Appear?

\\n

If your investigation establishes more than three red flags of fraud prepare a report and request for service to your SIU.

\\n
    \\n
  1. Advise the insured or claimant that additional investigation is  required with a detailed explanation in compliance with the Fair Claims  Practices Regulations.
    2. \\n
  2. Advise the insured that the investigation has been referred to Mr.  ______ __________ or Ms. ______ __________ without identifying the  person as an SIU investigator.
    3. \\n
\\n

\\xa9 2020 \\u2013 Barry ZalmaBarry Zalma, Esq., CFE, now limits his practice to service as an  insurance consultant  specializing in insurance coverage, insurance  claims handling, insurance bad faith and insurance fraud almost equally  for insurers and policyholders. He also serves as an arbitrator or  mediator for insurance related disputes. He practiced law in California  for more than 44 years as an insurance coverage and claims handling  lawyer and more than 52 years in the insurance business. He is available  at http://www.zalma.com and zalma@zalma.com.

\\n

Mr. Zalma is the first recipient of the first annual Claims Magazine/ACE Legend Award.

\\n

Over the last 52 years Barry Zalma has dedicated 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 make  it possible for insurers and their claims staff to become insurance  claims professionals.

\\n


\\nGo to Barry Zalma videos at Rumble.com at https://rumble.com/c/c-262921

\\n

Read posts from Barry Zalma at https://parler.com/profile/Zalma/posts

\\n

Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg/

\\n


\\n


\\n\\n--- \\n\\nSupport this podcast: https://podcasters.spotify.com/pod/show/barry-zalma/support'