Zalma on Insurance
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Insurance Claims professional presents articles and videos on insurance, insurance Claims and insurance law for insurance Claims adjusters, insurance professionals and insurance lawyers who wish to improve their skills and knowledge. Presented by an internationally recognized expert and author.
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October 11, 2023
California Conference of Arson Investigators Training Seminar

Barry Zalma
Oct 11, 2023

California Conference of Arson Investigators Training Seminar
Barry Zalma, Esq., CFE

October 11, 2023

Excellence in Claims Handling is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscribr.

CCAI Training Seminar
AS ONE OF THE SPEAKERS I ENCOURAGE YOU TO SIGN UP TODAY FOR THE OCTOBER 16 – 19, 2023 — CCAI Fire Investigation Training Seminar

The Embassy Suites Hotel is full, so we made arrangements… Click here to make your hotel reservations at the TownePlace Suites – $152.00 per night; Or call them directly at 805 783-2707;
Amazing Instructors – Amazing Topics
Learn: “How Insurers and Arson Investigators Have Taken the Profit from Arson-for-Profit”
from Barry Zalma, Esq., CFE

Interview and Interrogation by Mike Bryant

Learn All About Lithium Ion Battery Fires from Mike Eskra

For The New or Seasoned Investigator, Start Your Career With the Right Foundation by Attending Jeff Campbell’s Class on the Fundamentals of Fire Investigations

Don’t Miss Out on the Burn to Learn Day

Live Demonstrations All Day Long
LIVE BURNS

Register today by calling 909 865-5004

Or click here to register online

$495.00 member

$605.00 non-member
The Fire Investigation Training Seminar includes the following courses:

Interviewing and Interrogation,

Lithium-Ion Battery Fires

Fire Dynamics/Pattern Generation,

Scene Process and Determining Origin

Field Exercise/Live Burns

Live Burn Battery Fires

Burn Pattern Recognition

How Insurers and Arson Investigators Have Taken the Profit from Arson-for-Profit

Fundamentals of Fire Investigation

Panel Discussion with Barry Zalma, Jeff CampbellCCAI Training Seminar

AS ONE OF THE SPEAKERS I ENCOURAGE YOU TO SIGN UP TODAY FOR THE OCTOBER 16 – 19, 2023 — CCAI Fire Investigation Training Seminar

The Embassy Suites Hotel is full, so we made arrangements… Click here to make your hotel reservations at the TownePlace Suites – $152.00 per night; Or call them directly at 805 783-2707;
Amazing Instructors – Amazing Topics

Learn: “How Insurers and Arson Investigators Have Taken the Profit from Arson-for-Profit”

from barry Zalma, Esq., CFE

Interview and Interrogation by Mike Bryant

Learn All About Lithium Ion Battery Fires from Mike Eskra

For The New or Seasoned Investigator, Start Your Career With the Right Foundation by Attending Jeff Campbell’s Class on the Fundamentals of Fire Investigations

Don’t Miss Out on the Burn to Learn Day

Live Demonstrations All Day Long

LIVE BURNS

Register today by calling 909 865-5004

Or click here to register online

$495.00 member

$605.00 non-member
The Fire Investigation Training Seminar includes the following courses:

Interviewing and Interrogation,

Lithium-Ion Battery Fires

Fire Dynamics/Pattern Generation,

Scene Process and Determining Origin

Field Exercise/Live Burns

Live Burn Battery Fires

Burn Pattern Recognition

How Insurers and Arson Investigators Have Taken the Profit from Arson-for-Profit

Fundamentals of Fire Investigation

Panel Discussion with Barry Zalma, Jeff Campbell

Excellence in Claims Handling is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.

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Videos
Posts
21 hours ago
Allegations That Establish Breach of a Condition Defeats Suit

Notice of Claim Later than 60 Days After Expiration is Too Late

Post 5089

Injury at Massage Causes Suit Against Therapist

Read the full article at https://lnkd.in/gziRzFV8, see the full video at https://lnkd.in/gF4aYrQ2 and at https://lnkd.in/gqShuGs9, and at https://zalma.com/blog plus more than 5050 posts.

Hiscox Insurance Company (“Hiscox”) moved the USDC to Dismiss a suit for failure to state a claim because the insured reported its claim more than 60 days after expiration of the policy.

In Mluxe Williamsburg, LLC v. Hiscox Insurance Company, Inc., et al., No. 4:25-cv-00002, United States District Court, E.D. Missouri, Eastern Division (May 22, 2025) the trial court’s judgment was affirmed.

FACTUAL BACKGROUND

Plaintiff, the operator of a massage spa franchise, entered into a commercial insurance agreement with Hiscox that provided liability insurance coverage from July 25, 2019, to July 25, 2020. On or about June 03, 2019, a customer alleged that one of Plaintiff’s employees engaged in tortious ...

00:08:31
June 02, 2025
Zalma’s Insurance Fraud Letter – June 1, 2025

ZIFL – Volume 29, Issue 11
The Source for the Insurance Fraud Professional
Posted on June 2, 2025 by Barry Zalma

Post 5087

See the full video at and at

Read the full article and the full issue of ZIFL June 1, 2025 at https://zalma.com/blog/wp-content/uploads/2025/05/ZIFL-06-01-2025.pdf

Zalma’s Insurance Fraud Letter – June 1, 2025

See the full video at https://lnkd.in/gw-Hgww9 and at https://lnkd.in/gF8QAq4d, and at https://zalma.com/blog plus more than 5050 posts.

ZIFL – Volume 29, Issue 11

The Source for the Insurance Fraud Professional

Read the full article and the full issue of ZIFL June 1, 2025 at https://lnkd.in/gTWZUnnF

Zalma’s Insurance Fraud Letter (ZIFL) continues its 29th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at ...

00:08:42
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May 30, 2025
Plain Language of Policy Enforced

No Coverage if Home Vacant for More Than 60 Days

Failure to Respond To Counterclaim is an Admission of All Allegations

Post 5085

See the full video at https://lnkd.in/gbWPjHub and at https://lnkd.in/gZ9ztA-P, and at https://zalma.com/blog plus more than 5050 posts.

In Nationwide Mutual Insurance Company v. Rebecca Massey, Civil Action No. 2:25-cv-00124, United States District Court, S.D. West Virginia, Charleston Division (May 22, 2025) Defendant Nationwide Mutual Insurance Company's (“Nationwide”) motion for Default Judgment against Plaintiff Rebecca Massey (“Plaintiff”) for failure to respond to a counterclaim and because the claim was excluded by the policy.

BACKGROUND

On February 26, 2022, Plaintiff's home was destroyed by a fire. At the time of this accident, Plaintiff had a home insurance policy with Nationwide. Plaintiff reported the fire loss to Nationwide, which refused to pay for the damages under the policy because the home had been vacant for more than 60 days.

Plaintiff filed suit ...

00:06:50
May 15, 2025
Zalma's Insurance Fraud Letter - May 15, 2025

ZIFL Volume 29, Issue 10
The Source for the Insurance Fraud Professional

See the full video at https://lnkd.in/gK_P4-BK and at https://lnkd.in/g2Q7BHBu, and at https://zalma.com/blog and at https://lnkd.in/gjyMWHff.

Zalma’s Insurance Fraud Letter (ZIFL) continues its 29th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/ You can read the full issue of the May 15, 2025 issue at http://zalma.com/blog/wp-content/uploads/2025/05/ZIFL-05-15-2025.pdf
This issue contains the following articles about insurance fraud:

Health Care Fraud Trial Results in Murder for Hire of Witness

To Avoid Conviction for Insurance Fraud Defendants Murder Witness

In United States of America v. Louis Age, Jr.; Stanton Guillory; Louis Age, III; Ronald Wilson, Jr., No. 22-30656, United States Court of Appeals, Fifth Circuit (April 25, 2025) the Fifth Circuit dealt with the ...

May 15, 2025
CGL Is Not a Medical Malpractice Policy

Professional Health Care Services Exclusion Effective

Post 5073

See the full video at https://lnkd.in/g-f6Tjm5 and at https://lnkd.in/gx3agRzi, and at https://zalma.com/blog plus more than 5050 posts.

This opinion is the recommendation of a Magistrate Judge to the District Court Judge and involves Travelers Casualty Insurance Company and its duty to defend the New Mexico Bone and Joint Institute (NMBJI) and its physicians in a medical negligence lawsuit brought by Tervon Dorsey.

In Travelers Casualty Insurance Company Of America v. New Mexico Bone And Joint Institute, P.C.; American Foundation Of Lower Extremity Surgery And Research, Inc., a New Mexico Corporation; Riley Rampton, DPM; Loren K. Spencer, DPM; Tervon Dorsey, individually; Kimberly Dorsey, individually; and Kate Ferlic as Guardian Ad Litem for K.D. and J.D., minors, No. 2:24-cv-0027 MV/DLM, United States District Court, D. New Mexico (May 8, 2025) the Magistrate Judge Recommended:

Insurance Coverage Dispute:

Travelers issued a Commercial General Liability ...

April 30, 2025
The Devil’s in The Details

A Heads I Win, Tails You Lose Story
Post 5062

Posted on April 30, 2025 by Barry Zalma

"This is a Fictionalized True Crime Story of Insurance Fraud that explains why Insurance Fraud is a “Heads I Win, Tails You Lose” situation for Insurers. The story is designed to help everyone to Understand How Insurance Fraud in America is Costing Everyone who Buys Insurance Thousands of Dollars Every year and Why Insurance Fraud is Safer and More Profitable for the ­­­Perpetrators than any Other Crime."

Immigrant Criminals Attempt to Profit From Insurance Fraud

People who commit insurance fraud as a profession do so because it is easy. It requires no capital investment. The risk is low and the profits are high. The ease with which large amounts of money can be made from insurance fraud removes whatever moral hesitation might stop the perpetrator from committing the crime.

The temptation to do everything outside the law was the downfall of the brothers Karamazov. The brothers had escaped prison in the old Soviet Union by immigrating to the United...

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