Nationwide Agrees to Readjust 500 Miss. Katrina Claims

April 20, 2007

  • May 1, 2007 at 5:31 am
    Dale says:
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    Can any of you believe unemployedjoe is asking someone to present facts??? Good grief man, you have been asked over and over to do that, you go hide and hope those requests will just blow over so you can return to mouthing off aimlessly.

  • May 1, 2007 at 5:35 am
    Dale says:
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    Once again clown, asked for proof of your rantings, you fail miserably and predictably.

  • May 1, 2007 at 5:36 am
    adjusterjoe says:
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    I am the only one who has presented facts. The apologists have done as you, try to justify improper behavior.

  • May 1, 2007 at 5:37 am
    Dale says:
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    No facts, just the same old crap you always say. Generic and repetitive.

  • May 1, 2007 at 5:40 am
    Fact says:
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    Consider how easy it is to commit insurance fraud. Even insurance textbooks
    admit that policies are unread and unreadable. According to Vaughan and Vaughan,
    Fundamentals of Risk and Insurance (8th edition): \”In most cases, the customer
    is asked to purchase a product in which he or she becomes a party to a contract
    that he or she has not read nor would understand if it were read.\” That is
    almost an open invitation to fraud. When selling the contract or when paying
    claims under it, insurance personnel know that the buyer or claimant may be at
    their mercy. Claims adjusters, anxious to make a record by denying claims, have
    a field day. Insurance agents, anxious to earn commissions, can also join the
    field day in puffing and misrepresenting policies.

    Consider also the strength and weaknesses of the parties. On the one hand, you
    have an insurance company, with armies of experts and boxcars full of money. On
    the other hand, you have a claimant, who may not be well advised, who knows
    little about insurance or the policy in question, and who can\’t afford legal
    battles and long delays. But to an insurance company, a legal battle is just
    another routine cost of doing business. It has lawyers in house and all over its
    operating territory. If it denies a claim, it\’s can be in a win-win situation.
    There\’s a good chance the claimant will give up and go away. Even if the
    claimant protests and appeals to higher levels of management or goes to the
    state insurance commissioner, the insurance company can then pay and has the
    benefit of the claimant\’s money sitting in the bank in the meantime. Even if the
    claimant hires a lawyer and sues, the insurer can then settle. Only in
    exceptional cases (when an attorney takes the case, proves that the insurance
    company acted in bad faith, and wins an award of punitive damages for the
    claimant), improper decisions by the company can be profitable for the company.

  • May 1, 2007 at 5:42 am
    adjusterjoe says:
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    YET none of you apologists can refute it. The unjustifiable cannot be justified. State Farm lost all cases and had puniitve awards levied. Please refute this. Oh yeah, you can\’t. State Farm lost in court, now you try to justify it.

  • May 1, 2007 at 5:44 am
    Dale says:
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    How many people are going to copy this editorial? If \’making a record\’ of denying claims is the goal, then SF and Nationwide adjusters have failed as they have paid and closed 99% of all Katrina/Rita related claims. Find a fresh article.

  • May 1, 2007 at 5:45 am
    Cavier Criminal says:
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    Consider how easy it is to commit insurance fraud. Even insurance textbooks
    admit that policies are unread and unreadable. According to Vaughan and Vaughan,
    Fundamentals of Risk and Insurance (8th edition): \”In most cases, the customer
    is asked to purchase a product in which he or she becomes a party to a contract
    that he or she has not read nor would understand if it were read.\” That is
    almost an open invitation to fraud. When selling the contract or when paying
    claims under it, insurance personnel know that the buyer or claimant may be at
    their mercy. Claims adjusters, anxious to make a record by denying claims, have
    a field day. Insurance agents, anxious to earn commissions, can also join the
    field day in puffing and misrepresenting policies.

    Consider also the strength and weaknesses of the parties. On the one hand, you
    have an insurance company, with armies of experts and boxcars full of money. On
    the other hand, you have a claimant, who may not be well advised, who knows
    little about insurance or the policy in question, and who can\’t afford legal
    battles and long delays. But to an insurance company, a legal battle is just
    another routine cost of doing business. It has lawyers in house and all over its
    operating territory. If it denies a claim, it\’s can be in a win-win situation.
    There\’s a good chance the claimant will give up and go away. Even if the
    claimant protests and appeals to higher levels of management or goes to the
    state insurance commissioner, the insurance company can then pay and has the
    benefit of the claimant\’s money sitting in the bank in the meantime. Even if the
    claimant hires a lawyer and sues, the insurer can then settle. Only in
    exceptional cases (when an attorney takes the case, proves that the insurance
    company acted in bad faith, and wins an award of punitive damages for the
    claimant), improper decisions by the company can be profitable for the company.

  • May 1, 2007 at 5:54 am
    Dale says:
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    OK, refute this and then go get a job and quit bothering the grownups.

    CIVIL ACTION NO. 1:06CV001 LTS RHW

    GUICE v. State Farm Fire and Casualty.

    Doesn\’t look like State Farm lost this one and in fact, Senter cites two other recent cases in his opinion where SF offered prrof of water surge v. wind damage.

  • May 1, 2007 at 6:04 am
    adjusterjoe says:
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    details. not a slab case as I recall. small additional amount paid. no real victory for eithr side.



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