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DISCLAIMER:
All Blogs and Blog Posts written by, created by, edited by, reviewed by and published by the Owner, Editor or Designer, Jeff Weiss, Jeffrey M Weiss or Weiss, are just "opinions! There is absolutely no "legal" bases or claimed legal bases for any of the statements. These "Blogs" and "Stories" are posted only for the enlightenment of the readers. When actual names are used the Reader should verify all the statements before formulating an opinion of their own. Nothing in any of these Posts should be considered "FACT" until the reader has verified it for themselves. Those who Post a response or reply do it at their own peril and this Blog Post and its owners do not share in or carry any liability or responsibility for their comments.
A place to share your stories about how your life changed when your "claim" was denied. What was the "claim" for and how did you handle or survive the "denial"?
Thursday, February 21, 2013
Wednesday, February 13, 2013
New Insurance Exclusions for "Terrorism"
Here is a copy of an interesting article written by David Dybdahl, CPCU, ARM MBA Senior Consultant, American Risk Management Resources Network, LLC
The reason I post this is because of the recent "fire" that took place at the Big Bear California Cabin where it is believed that the ex-cop Dorner was held out. At one point the news and or LAPD stated that Dorner was considered a domestic terrorist, thus my feeling that the carrier might consider denial of the fire claim? What are your thoughts?
Terrorism and Mold are new exclusions in many HO policies, and it will be interesting to see if the carrier tries to use it.
Jeff
"New Insurance Exclusions for Terrorism and Mold
Create Unprecedented Levels of Uninsured
Risks for Property Managers, Property Owners and Lenders.
Or
Sorry We Forgot to Tell You…
By: David Dybdahl, CPCU, ARM, MBA
Senior Consultant, American Risk Management Resources Network, LLC
Faced with rapidly increasing and unpredictable claims costs, the insurance industry has
over the past year methodically excluded insurance coverage for mold and domestic
terrorism losses on virtually all of the property and general liability insurance policies
sold in the US. The impact on the risk management community from either of these new
exclusions individually would be significant. Together they leave a broad cross section of
insurance buyers including property managers, property owners and lenders with
unprecedented levels of newly uninsured risks.
In light of the magnitude of these loss exposures, it is surprising how complacent
insurance buyers, insurance agents and lenders have been in dealing with them. One
reason for the complacency could be that it is very difficult for insurance consumers to
put these new sources of uninsured loss exposures into perspective. Maybe insurance
consumers would have reacted differently to the unilateral changes in their insurance
coverage if the following cover letter had been sent out explaining the new mold and
terrorism exclusions."
DISCLAIMER: All Blogs and Blog Posts written by, created by, edited by, reviewed by and published by the Owner, Editor or Designer, Jeff Weiss, Jeffrey M Weiss or Weiss, are just "opinions! There is absolutely no "legal" bases or claimed legal bases for any of the statements. These "Blogs" and "Stories" are posted only for the enlightenment of the readers. When actual names are used the Reader should verify all the statements before formulating an opinion of their own. Nothing in any of these Posts should be considered "FACT" until the reader has verified it for themselves. Those who Post a response or reply do it at their own peril and this Blog Post and its owners do not share in or carry any liability or responsibility for their comments.
Monday, February 11, 2013
"DID I DO THAT?"
I’m sure
most of you remember the phrase “Did I do that?” by the TV character Steve
Eurkel! If not it centers around “responsibility”
and of course “liability.” In essence
whenever there is an accident, someone or something caused it! Trick is trying to figure it out especially
when you were not there and are just gathering information from the various
people involved.
There is now
a way you can put your cell phone on your vehicle dash and record a 30 minute
loop of the activities in front of you.
This has been designed as an App to help in the apprehension of
potentially drunk drivers that you might see in front of you while
driving. With this, law enforcement will
have a much better chance of securing a DUI conviction if that is the
case. On the other hand, I think that
all vehicles should have this running at all times, not just for potential DUI’s,
but in the event you are involved in a vehicle accident. Just think how much better your case will be,
that is if you are not at fault, if you have it recorded. Also another plus would be to see the
condition of the vehicle in front of you that you just rear ended before the
collision. How many times do people who
have been rear ended say there was no prior damage to their vehicle.
As to fault,
one carrier I worked for used the DBCD method for determining liability.
D for duty
B for breach
of that duty
C for casual
connection
D for damages
What duty or
obligation did the drivers have just prior to the accident?
Did any
driver breach that duty?
What was the
casual connection between the duty and the breach of that duty that contributed
to the accident?
What were
the damages?
Simple scenario
would be a vehicle backing out of a parking space, versus a vehicle passing
behind it. Both have duties, and in this
case what would they be and who has the greater duty. Of course the person backing up has the
greater duty to be sure the road way is clear.
Yes the driver going behind has a duty to watch for cars backing up and
also needs to maintain a safe speed.
However the greater duty and in the case of the collision would rest
with the vehicle backing up.
There was a
duty, a breach of duty and a casual connection with damages that resulted!
Of course
this is a very simply liability determination, and coming up will present you
with some more complex situations.
“Did I do
that?” by
Frank Rogers
DISCLAIMER: All Blogs and Blog Posts written by, created by, edited by, reviewed by and published by the Owner, Editor or Designer, Jeff Weiss, Jeffrey M Weiss or Weiss, are just "opinions! There is absolutely no "legal" bases or claimed legal bases for any of the statements. These "Blogs" and "Stories" are posted only for the enlightenment of the readers. When actual names are used the Reader should verify all the statements before formulating an opinion of their own. Nothing in any of these Posts should be considered "FACT" until the reader has verified it for themselves. Those who Post a response or reply do it at their own peril and this Blog Post and its owners do not share in or carry any liability or responsibility for their comments.
Wednesday, February 6, 2013
So you want to be an Adjuster?
Not sure if anyone actually sets out in life to become an
Insurance Adjuster! During my early days
in High School and College (60’s and 70’s) I don’t recall any classes or topics
or discussions about that particular career path. Yes there were courses designed for those
that wanted to sell insurance or possibly do Risk Management, but again don’t
recall any specifics about becoming an Adjuster.
Fast forward to mid 70’s when I working in sales and
contemplating marriage, and then came along a company that replaced Electronic
Equipment and Tools (Craftsman) for one of the big carriers. As I was in sales, they offered me a job
which was my introduction to adjusters and claims adjusting. Next thing I know I’m sitting behind a desk
handling first party property claims.
The company did send me to a two week training course where it seemed
socializing was more important than actually learning how to adjust a claim. In particular was this one guy from New York
that did not seem to be interested in learning anything about adjusting. When I asked him why he was not actively involved
in the studies his reply was that he would use the “contractor” who not only
wrote the estimates for him, but would put the most cash in his pocket. Interesting way to handle claims, and little
did I know that this was more the “norm” for adjusters, mostly those in the
field even to this day!
Another interesting side note was that most of the Managers
in the 70’s and 80’s could be found during the Christmas Holidays in the
parking lot picking up their cases of alcohol and turkeys from the various
vendors. Even into the late 90’s I
recall one contractor that would leave envelops with cash in his office top
drawer and on Fridays adjusters would come by and pick them up. Maybe this is why there were never any
legitimate adjuster courses. Like a
person getting introduced to low level drugs, and then moving up the drug
ladder until you were finally addicted. Bottom
line was that you could take two paths in becoming an “adjuster.” The one path would be the adjuster that
actually did their job, took the classes and was not only looking out for the
best interest of the company, but making the insured or claimant whole after
the loss. Than of course there was the
path to riches, or at least perceived riches, which reminds me of the claims
manager that had a swimming pool put in his home at a much reduced price.
So you want to be an adjuster?
Frank Rogers
DISCLAIMER: All Blogs and Blog Posts written by, created by, edited by, reviewed by and published by the Owner, Editor or Designer, Jeff Weiss, Jeffrey M Weiss or Weiss, are just "opinions! There is absolutely no "legal" bases or claimed legal bases for any of the statements. These "Blogs" and "Stories" are posted only for the enlightenment of the readers. When actual names are used the Reader should verify all the statements before formulating an opinion of their own. Nothing in any of these Posts should be considered "FACT" until the reader has verified it for themselves. Those who Post a response or reply do it at their own peril and this Blog Post and its owners do not share in or carry any liability or responsibility for their comments.
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