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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November 27, 2023
The Perfect Gift for Your Insurance Company & Insurance Claims Clients

Insurance books

Barry Zalma
Nov 27, 2023

Read the full article at https://lnkd.in/g-7PTSQc
and se the full video at https://lnkd.in/gZBDe7xg and at https://lnkd.in/gkD6khTb and at https://zalma.com/blog plus more than 4700 posts.

Most Insurers Have Rules Prohibiting their Employees to Get Gifts

When I was a young lawyer I tried to give gifts to the claims personnel who referred cases to me and my law firm. I tried to provide them with gifts that they would enjoy only to be told I was violating the company rules. I talked with management and was allowed to make a gift to the claims offices and would send them a book for their library. It was acceptable and accepted by the claims people with good grace and didn’t disappear as would a box of Mrs. Field’s cookies.

If you or your firm works with insurers and you wish to thank your clients consider sending a gift of a book or books for your clients that include:

Everything Needed by the Insurance Claims Professional from Barry Zalma at https://zalma.com/blog/insurance-claims-library/. The library contains many books on the subject of insurance.

The Books include:

A Compact Book on How Judges Read, Understand, Interpret and Rule on Insurance Policy Issues

The book is available https://zalma.com/blog/insurance-claims-library/

The Compact Book on Ethics

How Ethical Doctrines from the Beginning of the Written Word to the Present Resulted in the Incorporation of the Covenant of Good Faith

The book is available as a https://zalma.com/blog/insurance-claims-library/

“How to Acquire, Understand, and Make a Successful Claim on a Commercial Property Insurance Policy: Information Needed for Individuals and Insurance Pros to Deal With Commercial Property Insurance”

The Book is now available https://zalma.com/blog/insurance-claims-library/

The Tort of Bad Faith

Available https://zalma.com/blog/insurance-claims-library/

The Equitable Remedy of Rescission of Insurance

Available https://zalma.com/blog/insurance-claims-library/

Insurance Fraudsters Deserve No Quarter

Book That Explains How to Defeat or Deter Insurance Fraud

Available https://zalma.com/blog/insurance-claims-library/

The Examination Under Oath to Resolve Insurance Claims

Available https://zalma.com/blog/insurance-claims-library/

Insurance Fraud – Volume I & Volume II Second Edition

Available https://zalma.com/blog/insurance-claims-library/

The Homeowners Insurance Policy Handbook

How To Buy An Appropriate Homeowners Policy And Successfully Make A Claim To The Insurer

Available https://zalma.com/blog/insurance-claims-library/

It’s Time to Abolish The Tort of Bad Faith

A book examining the creation, history and effect of the Tort of Bad Faith.

Insurance Fraud Costs Everyone

Available https://zalma.com/blog/insurance-claims-library/

California SIU Regulations 2020

Available https://zalma.com/blog/insurance-claims-library/

California Fair Claims Settlement Practices Regulations 2022

Minimum Standards for Adjusting Claims in CaliforniaEvery Claims Person in California Must Read, Understand, or be Trained About the California Fair Claims Settlement Practices Regulations by September 1 of Each Year

Available https://zalma.com/blog/insurance-claims-library/

“Zalma’s Mold & Fungi Handbook”

“Getting the Whole Truth: Interviewing Techniques for the Lawyer”

Learn techniques that can help you interact with others and effectively gather the facts you need.

Zalma on Insurance Claims – Third Edition

Ten Volumes Comprising A Comprehensive Group of Materials on Property & Casualty Insurance Claims

Mold Claims

The Compact Book of Adjusting Property Insurance Claims – Third Edition

A Manual for the First Party Property Insurance Adjuster. https://zalma.com/blog/insurance-claims-library/

The Compact Book on Adjusting Liability Claims, Third Edition

A Handbook for the Liability Claims Adjuster

available https://zalma.com/blog/insurance-claims-library/.

The Little Book on Ethics for the American Lawyer

The practice of law demands more than knowledge of statutory and case law. Available https://zalma.com/blog/insurance-claims-library/

Random Thoughts on Insurance

Available https://zalma.com/blog/insurance-claims-library/
Fictionalized True Insurance Crime Books

Insurance Fraud Costs Everyone

available https://zalma.com/blog/insurance-claims-library/

Candy and Abel: Murder for Insurance Money

How a young lawyer and wise old investigator defeated an Available https://zalma.com/blog/insurance-claims-library/

Murder And Insurance Fraud Don’t Mix

Available https://zalma.com/blog/insurance-claims-library/

Murder & Old Lace: Solving Murders Performed for Insurance Money

Available https://zalma.com/blog/insurance-claims-library/

Arson for Terrorism and Profit

How an Insurance Investigator and Insurance Lawyer Defeated a Plot to use a Fire to Fund Terrorism

Available https://zalma.com/blog/insurance-claims-library/

M.O.M. & The Taipei Fraud

How an Experienced Adjuster Defeated a $7 Million Fake Burglary Claim

Available https://zalma.com/blog/insurance-claims-library/

Arson-For-Profit Fire at the Cowboy Bar & Grill

Available as a paperback. Available as a Kindle book.

The Defeat of a Fake $10 Million Jewelry Robbery Insurance Claim

Available https://zalma.com/blog/insurance-claims-library/
New Books from Full Court Press

The Insurance Law Deskbook.

Paperback, only $95.00 available at https://www.fastcase.com/store/fcp/insurance-law-deskbook-2/

California Insurance Law Deskbook

Available at https://www.fastcase.com/.../california-insurance-law.../ a paperback for only $95.00.

Zalma on Property and Casualty Insurance Insurance Law Deskbook

Learn the insurance basics that are essential to every civil practitioner. Available at Fastcase.com bookstore.

California Insurance Law Deskbook

Fastcase.com bookstore.

Insurance Bad Faith and Punitive Damages Deskbook

All available at fastcase.com bookstore.
From Thomson Reuters

Property Investigation Checklists Uncovering Insurance Fraud, 13th Edition Available at https://store.legal.thomsonreuters.com/.../p/106702361 and as a THOMSON REUTERS PROVIEW eBOOK EDITION https://store.legal.thomsonreuters.com/.../p/106702363
From the American Bar Association

The Insurance Fraud Deskbook

This book is written for individuals who are focused on the effort to reduce expensive and pervasive occurrences of insurance fraud. Lawyers who represent insurers, claims personnel, prosecutors and their investigators can all benefit from this exhaustive resource

Available at http://shop.americanbar.org/eBus/Default.aspx?TabID=251...; or [email protected], or 800-285-2221.

Diminution in Value Damages

How to Determine the Proper Measure of Damage to Real and Personal Property

The Commercial Property Insurance Policy Deskbook

How to Acquire a Commercial Property Policy and Present and Collect a First-Party Property Insurance Claim

If you buy a book I will add all of your clients to my substack non-subscriber list and as free subscribers to Zalma’s Insurance Fraud Letter.
(c) 2023 Barry Zalma & ClaimSchool, Inc.

Please tell your friends and colleagues about this blog and the videos and let them subscribe to the blog and the videos.

Subscribe to Excellence in Claims Handling at locals.com at https://zalmaoninsurance.locals.com/subscribe or at substack at https://barryzalma.substack.com/publish/post/107007808

Go to Newsbreak.com https://www.newsbreak.com/@c/1653419?s=01

Follow me on LinkedIn: http://www.linkedin.com/comm/mynetwork/discovery-see-all...

Daily articles are published at https://zalma.substack.com.

Go to the podcast Zalma On Insurance at https://podcasters.spotify.com/pod/show/barry-zalma/support; Go to Barry Zalma videos at Rumble.com at https://rumble.com/c/c-262921; Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg; Go to the Insurance Claims Library – http://zalma.com/blog/insurance-claims-library.

If you buy a book I will add all of your clients to my substack non-subscriber list and as free subscribers to Zalma’s Insurance Fraud Letter.

Read the full article at https://lnkd.in/g-7PTSQc

00:07:39
Interested? Want to learn more about the community?
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July 18, 2025
Solomon Like Decision: No Duty to Defend – Potential Duty to Indemnify

Concurrent Cause Doctrine Does Not Apply When all Causes are Excluded
Post 5119

Death by Drug Overdose is Excluded

See the full video at https://lnkd.in/geQtybUJ and at https://lnkd.in/g_WNfMCZ, and at https://zalma.com/blog plus more than 5100 posts.

Southern Insurance Company Of Virginia v. Justin D. Mitchell, et al., No. 3:24-cv-00198, United States District Court, M.D. Tennessee, Nashville Division (October 10, 2024) Southern Insurance Company of Virginia sought a declaratory judgment regarding its duty to defend William Mitchell in a wrongful death case pending in California state court.

KEY POINTS

1. Motion for Judgment on the Pleadings: The Plaintiff moved for judgment on the pleadings, which was granted in part and denied in part.
2. Duty to Defend: The court found that the Plaintiff has no duty to defend William Mitchell in the California case due to a specific exclusion in the insurance policy.
3. Duty to Indemnify: The court could not determine at this stage whether the Plaintiff had a duty to ...

00:08:21
July 17, 2025
No Good Deed Goes Unpunished

GEICO Sued Fraudulent Health Care Providers Under RICO and Settled with the Defendants Who Failed to Pay Settlement

See the full video at https://lnkd.in/gDpGzdR9 and at https://lnkd.in/gbDfikRG, and at https://zalma.com/blog plus more than 5100 posts.

Post 5119

Default of Settlement Agreement Reduced to Judgment

In Government Employees Insurance Company, Geico Indemnity Company, Geico General Insurance Company, and Geico Casualty Company v. Dominic Emeka Onyema, M.D., DEO Medical Services, P.C., and Healthwise Medical Associates, P.C., No. 24-CV-5287 (PKC) (JAM), United States District Court, E.D. New York (July 9, 2025)

Plaintiffs Government Employees Insurance Company and other GEICO companies (“GEICO”) sued Defendants Dominic Emeka Onyema, M.D. (“Onyema”), et al (collectively, “Defendants”) alleging breach of a settlement agreement entered into by the parties to resolve a previous, fraud-related lawsuit (the “Settlement Agreement”). GEICO moved the court for default judgment against ...

00:07:38
July 15, 2025
Zalma’s Insurance Fraud Letter – July 15, 2025

ZIFL – Volume 29, Issue 14
Post 5118

See the full video at https://lnkd.in/geddcnHj and at https://lnkd.in/g_rB9_th, and at https://zalma.com/blog plus more than 5100 posts.

You can read the full 20 page issue of the July 15, 2025 issue at https://lnkd.in/giaSdH29

THE SOURCE FOR THE INSURANCE FRAUD PROFESSIONAL

This issue contains the following articles about insurance fraud:

The Historical Basis of Punitive Damages

It is axiomatic that when a claim is denied for fraud that the fraudster will sue for breach of contract and the tort of bad faith and seek punitive damages.

The award of punitive-type damages was common in early legal systems and was mentioned in religious law as early as the Book of Exodus. Punitive-type damages were provided for in Babylonian law nearly 4000 years ago in the Code of Hammurabi.

You can read this article and the full 20 page issue of the July 15, 2025 issue at https://zalma.com/blog/wp-content/uploads/2025/07/ZIFL-07-15-2025.pdf

Insurer Refuses to Submit to No Fault Insurance Fraud

...

00:08:27
July 16, 2025
There is no Tort of Negligent Claims handling in Alaska

Rulings on Motions Reduced the Issues to be Presented at Trial

Read the full article at https://lnkd.in/gwJKZnCP and at https://zalma/blog plus more than 5100 posts.

CASE OVERVIEW

In Richard Bernier v. State Farm Mutual Automobile Insurance Company, No. 4:24-cv-00002-GMS, USDC, D. Alaska (May 28, 2025) Richard Bernier made claim under the underinsured motorist (UIM) coverage provided in his State Farm policy, was not satisfied with State Farm's offer and sued. Both parties tried to win by filing motions for summary judgment.

FACTS

Bernier was involved in an auto accident on November 18, 2020, and sought the maximum available UIM coverage under his policy, which was $50,000. State Farm initially offered him $31,342.36, which did not include prejudgment interest or attorney fees.

Prior to trial Bernier had three remaining claims against State Farm:

1. negligent and reckless claims handling;
2. violation of covenant of good faith and fair dealing; and
3. award of punitive damages.

Both Bernier and State Farm dispositive motions before ...

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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 ...

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