Training Required of an Excellence in Claims Handling Program

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:

How to read and understand the contract of insurance that is the basis of every adjustment, including but not limited to:
The formation of the insurance policy.
The rules of interpretation.
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’s 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.

© 2021 – 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 [email protected]. 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 – 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