Property Insurance Roundtable

Sometimes It’s What The Policy Doesn’t Say That Counts

03.06.2018

Our expert panel discusses the ins-and-outs of insurance policies, the importance of understanding what your policy covers, as well as what it does not. In this episode, our panelists will discuss how those with an insurable interest in a property can protect themselves from issues such as inadequate reimbursement should a disaster occur.

Key Takeaways

  • [00:27] After a disaster occurs such as a fire, flood, or severe windstorm damages a property, what are some common mistakes an insured or policyholder makes that results in the inability to provide ‘proof of loss’ to the insurance company?
  • [03:20] Is the ‘inability to provide proof of loss’ a common theme in property damage losses?
  • [05:12] What are the ways in which a policyholder can prevent such roadblocks?
  • [08:00] What does the concept of ‘insurable interest’ mean in relation to a property insurance policy?
  • [09:38] If a person does not have to be the property’s owner in order to have insurable interest, what are some examples of parties that would have an insurable interest in a property?
  • [11:49] A party who has an insurable interest in a property may not be involved in the day-to-day operations, or even be on-site. What types of conflicts can this result in when it comes to insurance policy definitions, interpretations, changes, and the like?
  • [13:28] What can these other parties do to protect their stake in the property, aka their ‘insurable interest’?
  • [17:36] Speaking of ‘Broadening the Named Insured,’ what are some challenges the agent, broker, or policyholder may face, when undertaking this task?
  • [21:11] What are some challenges the agent, broker, or policyholder may expect when ‘Broadening the Property Definition,’ if they have to go that route?
  • [22:09] Suffice it to say that these additions to a property insurance policy can play an important role in helping one avoid a large predicament such as inadequate reimbursement; what is the overall benefit of having them in place?
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Panelists

Jim Mahurin 100x136
James R. Mahurin
Risk Management Consultant and member of the Society of Risk Management Consultants

Self-employed Risk Management and Insurance consultant providing fee-for-service assistance to the insurance buyer.  Perform risk management studies, independent evaluations of commercial insurance programs, conduct competitive proposal/bid process and self-insurance feasibility studies.  Work experience includes projects in approximately twenty states.  Litigation support and expert witness services to law firms began following the Daubert decision in 1993. This work split is approximately fifty/fifty between plaintiff and defense.  Litigation involvement includes agent custom and practice, flood (including both NFIP and private insurance), property, crime, liability, employee benefits, property leases, Broad Form Property Damage (BFPD), etc.  The BFPD includes both course of construction and construction defects.

Tim Larsen has been immersed in the insurance industry for over a decade, having previously served as a claims representative for a major insurance company adjusting first and third party claims and as a practicing attorney representing insurance companies. Prior to joining Adjusters International, he served as General Counsel for the San Francisco Housing Authority, where he oversaw all legal matters for the agency.

As an Executive General Adjuster, Tim handles both residential and commercial cases with special expertise in business interruption and course of construction claims. Through his previous work with insurance companies, Tim is fluent in “insurance speak” – the fine language of policies and procedures that govern the claims negotiation process. With his background in law, Tim applies a legal lens to each of his clients’ cases, using the legal experience he has gained through years of working with insurance companies. He brings first-rate negotiation skills and a unique perspective to the service of his clients and leverages a keen knowledge of what insurance companies need to evaluate a loss to communicate issues effectively and efficiently across the table, helping his clients reach a fair and expeditious result that paves the way for their financial recovery.

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C. Todd Thomas
Vice President of Risk Management

Todd Thomas is the Vice President at Adjusters International. He is also the Chief Consultant and Partner of Adjusters International’s affiliate Sigma Consulting Corp. He has worked in the Management Consulting industry for 23 years. Currently, he works with Adjusters International’s strategic partners to offer the highest quality Risk Management and Disaster Recovery consulting services possible. Thomas has worked in a management capacity on high-profile FEMA, insurance and construction projects since 1996. Thomas regularly serves as an expert witness and Special Master to courts in the area of finance & insurance.

Thomas’ experience assisting public entities, non-profits and other organizations with risk management and insurance includes but is not limited to broker selection, insurance marketing, total cost of risk, risk identification, risk allocation, underwriting, claims, financial risk management, FEMA obtain & maintain compliance, risk analysis, risk management information systems and enterprise risk management.

He is a Fellow of the American Academy of Financial Management (FAAFM), Member of the American Economic Association, Member of the Association of Certified Chartered Economists, a Fellow of the Risk and Insurance Management Society, Member of the Global Risk and Insurance Management Institute, Caribbean Actuarial Association and Member of the Institute and Faculty of Actuaries. Todd is a Chartered Economist (ChE), Certified Risk Analyst (CRA), Certified Organizational Risk Manager (CORM), RIMS Fellow (RF), Fellow of Risk Management (FRM), Chartered Property & Casualty Underwriter (CPCU), Associate in Risk Management specializing in Public Entities (ARM-P), Master Project Manager (MPM), Accredited Financial Analysis (AFA), Accredited Management Accountant (AMA) and Workers Compensation Claims Law Specialist (WCLS).

Moderator

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Brianna Moyer
Digital Marketing Manager & Website Administrator

Brianna Moyer joined the Adjusters International team in 2014 as the Social Media Specialist and was promoted to Digital Marketing Manager and Website Administrator. Brianna collaborates with AI’s nationwide firms to create robust social media campaigns while assisting the firms with updates to their websites regarding new search engine optimization techniques, content, imagery, the latest technology, and more. She regularly reports to management and the firms while measuring the effectiveness of different strategies. Brianna monitors the latest trends in social media and web design to keep AI on the cutting edge.

Since joining Adjusters International, Brianna has introduced new media ventures such as a podcast series titled, Property Insurance Roundtable and producing video clips. Ms. Moyer writes content for the websites which include blogs, web news stories, and landing pages. She has also been instrumental in creating Standard Operating Procedures for various AI initiatives such as trade shows and disaster plan protocols.

Prior to joining Adjusters International, Brianna worked as an Assistant Business Manager and Sales Assistant at Townsquare Media. In her free time, she pursues freelancing opportunities as a graphic designer and website developer.

For further information on this topic, please read our Adjusting Today article: “Sometimes It’s What the Policy Doesn’t Say That Counts!”

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