Insurance 101 – Chapter 8 – Volume 24 – Determine if the Policy Is Valid

Determine if the Policy Is Valid

When a loss is investigated, the claims adjuster must also investigate the background of the policy itself. In most cases the insurer will not learn of a misrepresentation or concealment until a claim is made. Fraud in the inception of a policy can only be discovered if the adjuster completes a thorough investigation. This includes, at the least, the application submitted by the insured at the time the policy was issued. If possible, it should also include statements of fact made by the insured to the agent, the company underwriter, the loss prevention engineer, or the pre-risk inspection service.

The following video was adapted from my book, “Insurance Claims A Comprehensive Guide” Published by the National Underwriter Company and is available at the Zalma Insurance Claims Library

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The author and publisher disclaim any liability, loss, or risk incurred as a consequence, directly or indirectly, of the use and application of any of the contents of this blog. The information provided is not a substitute for the advice of a competent insurance, legal, or other professional. The Information provided at this site should not be relied on as legal advice. Legal advice cannot be given without full consideration of all relevant information relating to an individual situation.

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