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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 05, 2024
Private Limitations of Action Provision Enforced

Ninth Circuit Finds Covid Generated Rule Tolling Statutes of Limitations Does not Apply to Private Limitations of Action

Post 4926

Read the full article at https://lnkd.in/gFPzqxd6, see the full video at https://lnkd.in/gNyhiZZ7 and at https://lnkd.in/gSnUNHkG and at https://zalma.com/blog plus more than 4900 posts.

William Scollard sued State Farm after it denied his insurance claim alleging that two antique items, worth $126,000, were stolen from his vehicle. The district court granted summary judgment to State Farm, finding that Scollard’s suit was time-barred under the homeowners policy’s one-year limitation period. Scollard appealed.

Private Limitation of Action not a Statute of Limitation

In William Scollard v. State Farm General Insurance Company, No. 23-55747, United States Court of Appeals, Ninth Circuit (November 1, 2024) Scollard argued that Emergency Rule 9, enacted by the California Judicial Council in response to COVID-19, tolls the policy’s limitations provision. The Ninth Circuit noted that Rule 9 only tolls “statutes of limitations and repose[.]” Scollard argued unsucessfully that, because the limitation provision in the policy is mandated by California Insurance Code section 2071, it should be considered a statute of limitation and thus be tolled under Rule 9.

California law also at times distinguishes statutes of limitation, enacted by the legislature, from contractual limitation periods, which are bargained-for terms between the parties. Limitations periods in insurance policies are not “statutes” of limitation; they are contractual limitations on the insurer’s liability.

In certain circumstances and for some purposes, policy terms mandated by Insurance Code section 2071 are properly treated as a statute of limitation. Insurance Code section 2071’s mandated provisions provide the same result and are treated identically to statutes of limitation.

Conclusion

Because Rule 9 arises from the much broader context of COVID-19 and applies widely to all statutes of limitation, excluding contractual limitation periods contained in homeowners policies from the Rule’s scope does not defeat the entire purpose of the Rule.

Neither does the language of Rule 9 support reading it as applying to contractual limitation periods such as this one. The drafters of Rule 9 did not include “or contract” in Rule 9.

Absent any specific indication otherwise, there is no basis in California law to infer that the Judicial Council intended Rule 9 to toll contractual limitation periods.

The Ninth Circuit concluded that Rule 9 does not apply to Scollard’s claims because Rule 9 tolls only statutes of limitation, not limitation provisions contained in contracts like Scollard’s Policy.

ZALMA OPINION

For a reason unknown to me people and their lawyers tend to forget that an insurance policy is a contract. Every standard fire policy and every homeowners policy contain a private limitations of action provision – usually one or two years after the loss causing event, unless waived or extended. In this case Scollard filed his suit against State Farm after expiration of the private limitation of action. Although California’s Judicial Council enacted Rule 9 to extend statutes of limitations because of the lockdowns resulting from the Pandemic it did not even mention private limitations of action provision and Scollard’s suit was time barred.

(c) 2024 Barry Zalma & ClaimSchool, Inc.

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00:06:38
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October 31, 2025
The Zalma Philosophy of Claims Handling – Part 8

The Professional Claims Handler

Post 5218

Read the full article at https://www.linkedin.com/pulse/zalma-philosophy-claims-handling-part-8-barry-zalma-esq-cfe-zdwsc, see the full video at https://rumble.com/v70zl4s-the-zalma-philosophy-of-claims-handling-part-8.html and at https://youtu.be/MIYcF71ffRQ, and at https://zalma.com/blog plus more than 5200 posts.

Claims Commandment X – Thou Shall Not Pretend to be a Lawyer

Some experienced and professional claims people know the law in their area of expertise better than most lawyers.

Adjusters should be adjusters and leave lawyering to lawyers. Similarly, lawyers should be lawyers and never try to be adjusters.

Claims Commandment XI – Thou Shall Empathize With the Claimant

Everyone presenting a claim is unhappy, disturbed, shocked, injured and needs help.

Empathy is identification with and understanding of another’s situation, feelings, and motives. It is the ability to understand another person’s circumstances, point of view, thoughts, and feelings....

00:11:08
October 28, 2025
The Zalma Philosophy of Claims Handling – Part 6

HOW TO CREATE AN EXCELLENCE IN CLAIMS HANDLING PROGRAM

See the full video at https://rumble.com/v70wb2i-the-zalma-philosophy-of-claims-handling-part-6.html and at https://youtu.be/tL5nDKPEs40 and at https://zalma.com/blog plus more than 5200 posts.

Post 5217

This is a change from my normal blog postings. It is my attempt. in more than one post, to explain the need for professional claims representatives who comply with the basic custom and practice of the insurance industry.

An Excellence in Claims Handling program begins with a statement in the insurer’s claims manual or statement of professionalism that it is dedicated to providing excellence in claims handling to every insured who presents a claim.

The excellence in claims handling program should include, at a minimum:

A series of lectures supported by text materials explaining:
A definition of insurance.
How to read and understand an insurance policy.
How to interview an insured, witness, or claimant.
How to assist an insured in the insured’s obligation to ...

00:08:40
October 27, 2025
The Zalma Philosophy of Claims Handling – Part 5

The Professional Claims Handler

Post 5216

Read the full article at https://www.linkedin.com/pulse/zalma-philosophy-claims-handling-part-5-barry-zalma-esq-cfe-jde8c, see the full video at https://rumble.com/v70q4x8-the-zalma-philosophy-of-claims-handling-part-5.html and at https://youtu.be/6b9tZQsEkB4, and at https://zalma.com/blog plus more than 5200 posts.

This is a change from my normal blog postings. It is my attempt. in more than one post, to explain the need for professional claims representatives who comply with the basic custom and practice of the insurance industry.
Standards to be a Professional Claims Adjuster

The Insurance claims professional should be a person who:

1. Can read and understand the insurance policies issued by the insurer.
2. Understands the promises made by the policy.
3. Understand their obligation, as an insurer’s claims staff, to fulfill the promises made.
4. Are competent investigators.
5. Have empathy and recognize the difference between empathy and sympathy.
6. ...

00:08:18
October 31, 2025
The Zalma Philosophy of Claims Handling – Part 9

The Professional Claims Handler
Post 5219

Posted on October 31, 2025 by Barry Zalma

An Insurance claims professionals should be a person who:

Can read and understand the insurance policies issued by the insurer.
Understands the promises made by the policy.
Understand their obligation, as an insurer’s claims staff, to fulfill the promises made.
Are competent investigators.
Have empathy and recognize the difference between empathy and sympathy.
Understand medicine relating to traumatic injuries and are sufficiently versed in tort law to deal with lawyers as equals.
Understand how to repair damage to real and personal property and the value of the repairs or the property.
Understand how to negotiate a fair and reasonable settlement with the insured that is fair and reasonable to both the insured and the insurer.

How to Create Claims Professionals

To avoid fraudulent claims, claims of breach of contract, bad faith, punitive damages, unresolved losses, and to make a profit, insurers ...

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October 20, 2025
The Zalma Philosophy of Claims Handling – Part I

The History Behind the Creation of a Claims Handling Expert

The Insurance Industry Needs to Implement Excellence in Claims Handling or Fail
Post 5210

This is a change from my normal blog postings. It is my attempt. in more than one post, to explain the need for professional claims representatives who comply with the basic custom and practice of the insurance industry. This statement of my philosophy on claims handling starts with my history as a claims adjuster, insurance defense and coverage lawyer and insurance claims handling expert.
My Training to be an Insurance Claims Adjuster

When I was discharged from the US Army in 1967 I was hired as an insurance adjuster trainee by a professional and well respected insurance company. The insurer took a chance on me because I had been an Army Intelligence Investigator for my three years in the military and could use that training and experience to be a basis to become a professional insurance adjuster.

I was initially sat at a desk reading a text-book on insurance ...

post photo preview
October 20, 2025
The Zalma Philosophy of Claims Handling – Part I

The History Behind the Creation of a Claims Handling Expert

The Insurance Industry Needs to Implement Excellence in Claims Handling or Fail

Post 5210

This is a change from my normal blog postings. It is my attempt. in more than one post, to explain the need for professional claims representatives who comply with the basic custom and practice of the insurance industry. This statement of my philosophy on claims handling starts with my history as a claims adjuster, insurance defense and coverage lawyer and insurance claims handling expert.

My Training to be an Insurance Claims Adjuster

When I was discharged from the US Army in 1967 I was hired as an insurance adjuster trainee by a professional and well respected insurance company. The insurer took a chance on me because I had been an Army Intelligence Investigator for my three years in the military and could use that training and experience to be a basis to become a professional insurance adjuster.

I was initially sat at a desk reading a text-book on insurance ...

post photo preview
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