Public Adjuster Bootcamp August 15-19, 2022
Public Adjuster Bootcamp August 15-19, 2022 (Details Soon)
The use of PWI (Paid When Incurred) in today’s claims environment, is mostly illegal. July 2022 Camp
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The use of PWI (Paid When Incurred) in today’s claims environment, is mostly illegal.
Illegal in the incorrect application of policy language.
Almost all items that would be on a PWI basis would fall under “additional coverages.” Most, not all, but most items would require that the policy first be exhausted, then “if” the additional coverages were needed, they were available under certain circumstances, on a cost incurred basis.
Again, there is a very limited number of times this scenario is needed, where the coverage is needed under that portion of the policy.
General rule of thumb, if there is still funds remaining on the aggregate limit of the policy, the item/amount being withheld is probably not correct.
We will use one of the most common I see. Dumpsters, being paid on a cost incurred basis, then alluding to “additional coverages” section, specifically Debris Removal, claiming that is where the right to withhold is coming.
See the attached actual policy language and the highlighted areas of when that coverage would actually exist. On the frontend, unless… the aggregate is exhausted, and the additional coverage is needed. At which time we would separate the debris removal, and put it under that category of coverage, and it would be ABOVE the policy limit.
There are many key points here… Number one, none of this language comes into play unless the coverage is triggered… Otherwise, the basic coverages of the policy, and when to pay, are outlined in general conditions, are owed, depending on what state you are in, we will use Texas…
Within five business days of the day you knew you owed, and the insured has complied with all policy provisions…
See you July 25th, in camp.
We teach a diverse, national audience. What we attempt to teach spans that process and attempts to incorporate universal practices that are not central to any particular state, but a road map to any of them.
While our specific class topic may have one focus, the class will go over all the items listed below, just not necessarily in that order. (Why we don’t offer CE’s. We can, it is just scripted, with no variance, and not a ton of actual practice.)
We combine them for everyday use in our field, to everyday issues you have in the field. We are you…
I have no idea what the text of the previous post was… so I didn’t try to recreate it… just like a claim. Simply explained my issue, acknowledged that issue, and started over.
If you would like to sponsor a Veteran, just reach out to us.
Below is the general syllabus. I say general because the class normally takes on a life of its own, based upon the class as a whole.
While we are certified to teach the full 24 hour class for CE, no one has ever chosen it over the nuts and bolts, so we are no longer using it as an option. It will come back later in individual modules.
Our Texas State Credentials, found @ hyper-link below.
Type of Study: Classroom
Location 902 51st Street, Galveston, Texas 77551
Course length: Course will be five consecutive days, beginning Monday. Course will be eight hours per day, for a total of 40 hours. We understand that the minimum requirement for our profession is 24 hours. We are not trying to reach the minimums, we are going to exceed them, thereby assuring that anyone who has attended, and passed, will be more than capable of performing the duties of a Licensed Public Insurance Adjuster. For those who need CE, they will receive the hours credited through Sircon and a certificate of completion for 24 hours as well as a certificate of completion for the full 40-hour course.
Time Activity Classroom Hours
08:00 am – 10:00 am Ethics and Law 2.0 hours
10:00 am – 10:15 am Morning Break
10:15 am – 12:00 pm Policy and Interpretation 1.45 hours
12:00 pm – 12:30 pm Lunch
12:30 pm – 02:45 pm Policy and Interpretation 2.15 hours
02:45 pm – 03:00 pm Afternoon Break
03:00 pm – 05:00 pm Application of lesson to a claim 2.0 hours
Acceptance/Rejection/Additional Information Request
Payment of claim
Court decisions on Texas Prompt Payment of Claims
Prior loss history
Duty to fully investigate
Sworn Proof of Loss
Examination Under Oath
Duty of Good Faith and Fair Dealing
Unfair Claims Settlement Practices
Deceptive and false information regarding policy coverage.
Statutory Bad Faith
False, misleading information, failure to disclose known facts impacting the claims adjustment
Recent court decisions interpreting Chapters 541 & 542
Public Adjuster Rules
Public Adjuster Obligations
Ethical and Legal Requirements of Public Adjusters
Conflicts of Interest and prohibited conduct
Unauthorized Practice of Law
Unauthorized Practice of Public Adjusting
Public Adjuster liens
Endorsement of claims check (fiduciary duties)
Rights of Public Adjusters
Interpretation of appraisal provisions (competent and independent)
Survival of bad faith and prompt payment of claims post appraisal
Allowed compensation of appraiser’s expert witness
Insurance Defined & the Principle of Risk
Elements & Characteristics of Insurance Contracts
Important Terms Pertaining to Insurance Contracts
The State Insurance Department
Insurance Companies – Classifications
Insurance companies – Agents, Producers, Brokers
Property Insurance Concepts
Loss Valuation & Settlement methods
Liability Insurance Concepts- Updated 01/05/2018
Unfair Claim Settlement Practice Act – Updated 10/23/2017
Standard Fire Policy- Module A
The Standard Fire Policy – Module B
Dwelling Insurance – A
Dwelling Insurance – B
Dwelling Insurance – C
Dwelling Insurance – D
Dwelling Insurance – E
Eligibility & Definitions
The Homeowner Forms
Exclusions; Section I in Detail
Exclusions; Limits of Liability; Coverage D
Section I – Property Conditions
Section II – Liability Coverages and Exclusions
Liability Exclusions and Additional Coverages
Section I and II Conditions
Personal Inland Marine Insurance
The Personal Watercraft & Yacht Policies – Updated 7/27/2017
The Yacht Policy – 7/27/2017
Introduction to Claims Adjusting – Updated 11/01/2017
Adjusting Insurance Claims — Updated 11/01/2017
Adjusting Property Loss Claims – A
Adjusting Property Loss Claims – B
Texas Public Adjuster Law – Updated 08/03/2018
Personal Auto Policy, Eligibility, Rating Factors
Part A Liability Coverage and Exclusions
Part B Medical Payments; Part C Uninsured Motorist; Part D Coverage for Damage to your Auto
Limits of Liability; Parts E and F Conditions; Other Provisions; Endorsements
Introduction to Commercial Package Policies and the BOP
BOP Eligibility and Coverages
Additional Coverages; Extensions of Coverage
Liability Coverage; Optional Coverages and Endorsements
Introduction to Commercial Property Insurance
Property not covered
Commercial Property Conditions
Cause of Loss Forms
Business Income (Time Element)
Miscellaneous Property Forms and Endorsements
Coverages and Extensions
Deductibles, Endorsements, Exclusions
Personal and Commercial Insurance
Commercial Inland Marine
Commercial Property Floaters Risks
Bailee Forms and Dealers Policies
Conditions (cont.); Exclusions
Introduction to Ocean Marine Insurance; Implied Warranties
Cargo & Freight Insurance; Ocean Marine Forms, Perils & Exclusions
Ocean Marine Claims Handling and Payment of Premium
Aircraft Hull Policies, Aircraft Liability Coverages, Definitions
Admitted Aircraft Liability, Hangar keeper’s Liability, Exclusions
Bonding & Suretyship, Fidelity Bonds and Surety Bonds
Contract Surety Bonding and Financial Institution Bonds
Students who have taken and successfully completed our course should be able to read and understand common policy language and conditions. This would include exclusions, endorsements, and claim filing procedures. After each 6-hour class day, there will be an additional 2 hours dedicated to the open discussion, and actual application, based off our collective knowledge in the field. This equivalates to 40 actual classroom hours, more than the required 24. Finally, if the student is not already licensed, that student should be able to schedule, take, and pass the exam provided by Pearson VUE, then be capable of performing their duties once a license is obtained.
We look forward to helping insurance professionals maintain the highest standards possible, by raising those very standards.
CANCELLATION – REFUND POLICY
All cancellations must be received in writing on or before the 14th day prior to the commencement of the course. Cancellations requests received in writing on or before the 14th day will result in a refund of the registration fee less a 20% administrative charge. Any cancellations less than 14 days prior to the course will result in the forfeiture of the registration fee. Cancellation requests must be made in writing to the registrar at Public Adjuster Boot Camp Attention: Melanie Spoon at 902 51st Street, Galveston, TX 77551-4110.
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