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Every Professional Claims Person Must Understand Insurance 

The excellence in claims handling program requires thorough training  providing each member of the claims staff with a minimum of the  following educational programs:  

1 How to read and understand the contract of insurance that is the basis  of every adjustment, including but not limited to: 

2 The formation of the insurance policy. 

3 The rules of interpretation. 

4 Apply the facts learned in a claims investigation to the wording of  the policy. 

In addition State insurance departments across the country are  attempting to micromanage the business of insurance with various  statutes and regulations. Failure to comply with the continuing  education requirements can be used as evidence of an insurer\\u2019s failure  to require its employees to comply with the covenant of good faith and  fair dealing. Insurers should not only ensure that their training  programs conform to those required by the relevant states, but also that  the claims staff consistently apply excellence in claims handling  training in compliance with the requirements of the Regulations.  

\\xa9 2021 \\u2013 Barry Zalma  Barry 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 54 years in  the insurance business.  Subscribe to Excellence in Claims Handling at https://barryzalma.substack.com/welcome.   He is available at http://www.zalma.com and zalma@zalma.com. Mr. Zalma  is the first recipient of the first annual Claims Magazine/ACE Legend  Award. Over the last 53 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.  Go to training available at https://claimschool.com; articles at https://zalma.substack.com,  the podcast Zalma On Insurance at https://anchor.fm/barry-zalma;  Follow Mr. Zalma on Twitter at https://twitter.com/bzalma; Go to Barry Zalma videos at https://www.rumble.com/zalma ; Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg; Go to the Insurance Claims Library \\u2013 https://zalma.com/blog/insurance-claims-library/  The last two issues of ZIFL are available at https://zalma.com/zalmas-insurance-fraud-letter-2/  podcast now available at https://podcasts.apple.com/us/podcast/zalma-on-insurance/id1509583809?uo=4