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Hurricane Matthew National Flood Insurance Supplemental Claims - File...

Proofs of Loss for National Flood Insurance claims are always an issue. It is important to file all proofs of loss, even supplemental claimed amounts, properly and timely or face the possibility of no...

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Vandalism - What Exactly is This Peril?

Vandalism is an interesting peril. It can also be an overlooked coverage and I wanted to provide just a few examples.In Lanza Enterprises, Inc. v. Continental Insurance Company,1 a faucet was turned on...

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State Farm Operation Guidelines Regarding Wind and Hail Damage to Composition...

Insurance companies routinely have instructions for their claims adjusters on how to adjust various types of losses. State Farm has some of the most detailed claims guidelines in the industry. I have...

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Public Adjusters Honor Chip Merlin with Lifetime Achievement Award

Lifetime Achievement Awards usually come at the end of a career. That was my first thought when I was surprised by the Florida Association of Public Insurance Adjusters granting me such an honor at...

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Determining Depreciation--Are Policyholders Getting Ripped Off?

Many property insurance company adjusters are required by their companies to determine the amount of depreciation to be taken when arriving at amounts of actual cash value. Many are told to determine...

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Determining Depreciation: The Definition of Actual Cash Value Varies Widely...

In yesterday's post, Determining Depreciation--Are Policyholders Getting Ripped Off, I promised to discuss issues of actual cash value and depreciation. The article I am critiquing giving rise to this...

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Overhead and Profit - Regulatory Criteria for When a Contractor is Required

Overhead and profit was recently mentioned by a colleague, Brandon McWherter, in, When Is Overhead and Profit Due in Tennessee? He noted that the general rule for when contractor overhead and profit is...

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Calculating Depreciation: Are Generic Tables Reliable or Based on Any...

Depreciation tables were first introduced to me when studying accounting at the University of Florida. The tables were based on tax schedules and other accounting methods which usually had nothing to...

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Incentive Pay to Lower Insurance Claims to Policyholders Still Exists

The recent Wells Fargo calamity of opening customer accounts without permission underscores how financial incentives can promote unethical behavior by employees on the front line of servicing...

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Internal Insurance Company Claims Procedures and Documents Ordered Turned...

Think robbers would want to turn over their secret plans and motives so their victims could discuss how they were ripped off and figure out among themselves what they could do to obtain justice from...

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Coinsurance Problem? Consider Filing on an Actual Cash Value Basis

Coinsurance issues were a topic at The National Association of Public Insurance Adjusters meeting yesterday. One suggestion by the panel was to consider whether the policyholder would be better off...

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Computerized Claims Management for Public Insurance Adjusters

    Insurance company adjusters organize their claims files much better than most public adjusters because insurers have invested in computerized claims file management. It may have been that software...

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State Farm Claims Whistleblowers Win in United States Supreme Court and May...

The Rigsby sisters have now prevailed in the highest court of the land in their decade long fight against State Farm.1 The Rigsby sisters were catastrophe adjusters working for State Farm on Hurricane...

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The Pain of Loss Following a Catastrophe

David Hisey is a great guy and has worked for the insurance industry forever. He ran the Winsdstorm Network's golf tournament for over a decade. The picture above is his burned home from the recent...

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Happy Holidays!

Happy Holidays from Merlin Law Group

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Building Losses Before Demolition

A public adjuster asked me for a copy of Cigna Property & Casualty Insurance Company v. Verzi1. It involves a fairly uncommon situation where a building is damaged or destroyed before a...

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