BROADCASTS.com

b'

An Introduction to the Excellence in Claims Handling Program   

https://zalma.com/blog 

In search of profit, insurers have decimated their professional claims  staff. They laid off experienced personnel and replaced them with young,  untrained, unprepared people. A virtual clerk replaced the old  professional claims handler. Process and computers replaced hands-on  human skill and judgment. Money was saved by paying lower salaries.  Within three months of firing the experienced claims people gross profit  increased.A site for the insurance claims professional and anyone who  wants to know something about insurance, insurance claims, insurance  coverage, and insurance law.

An insurer whose claims staff is made up of people who are less than  professional will find itself the subject of multiple instances of  expensive, counterproductive litigation. The excellence in claims handling program requires thorough training  providing each member of the claims staff with a minimum of the  following:

 1. How to read and understand the contract that is the basis of every  adjustment, including but not limited to: a. The formation of the insurance policy. b. The rules of interpretation. 

2. Tort law including negligence, strict liability in tort, and  intentional torts. 

3. Contract law including the insurance contract, the commercial or  residential lease agreement, the bill of lading, nonwaiver agreements,  proofs of loss, releases and other claims related contracts.

Claims handling without excellence is both dangerous and expensive.  Insurers should develop a professional claims staff and provide  excellence in claims handling because by so doing they will profit more  than if they keep an inadequate and unprofessional claims staff. The series of videos will be available soon for a monthly subscription.