Take a Look! Sponsor Mariposa Ltd Claims is Offering Benefits, Base Salary and Much More!

April 28, 2012

Here is GREAT news shared by ClaimSmentor sponsor Mariposa Ltd Claims  regarding outstanding opportunities to continue your work as an independent adjuster AND receive a base salary and fantastic benefits:

Are You Looking for Financial Stability and a More Stable Way of Life as an Adjuster?


• Would you like to have a regular pay check every two weeks? • Do you need health insurance but cannot afford the monthly premiums or the cost to include your family members? • Have you ever thought about putting money aside for retirement, but it seems like you can never stay ahead and are always playing financial catch-up? • Has additional and continuing education been on your mind, but you simply cannot afford to allocate any funds into that bucket? • Is the price of gasoline getting you worried and discouraged? • Have you given any thought to staying at home and taking care of yourself and your family while working as a regional adjuster versus storm chasing catastrophe work?
Mariposa Insurance Services would like to talk seriously with you if you have answered ‘yes’ to any of these questions.
 What You Can Offer:


• Delivery of quality customer service, policy interpretation, and cost control methodology. • Bring us your current regular business referred to you from carriers – 10+ daily claim assignments per month coming to you direct from insurance carriers. (do not count claim assignments from insurance adjusting companies) • You handle claims on your own or maybe you have a partner or family member helping you. • Three or more years of field experience as a property damage adjuster (commercial, liability/casualty experience is a plus). • Being a licensed adjuster.
What Mariposa Can Offer:


• We hire you as a full time Field Staff Adjuster, with the following offered benefits: o Health, Dental, Vision plans o 401 K with company contribution program o Company car with gas card o Cell phone o Laptop and all required software
• You receive a guaranteed annual base salary up to $40,000 (depending your experience and starting monthly claim volume) • You will receive additional claims to your own current load • You will receive a monthly commission up to 40% of the base fee charged to the carrier, less the base salary for the month • You are eligible for annual discretionary bonuses tied to performance metrics and company profitability. • You benefit from a solid company’s structure and support to ensure that you succeed as a Field Staff Adjuster
Your Responsibilities


• The claims you receive from Mariposa, plus the claims you receive from your current clients fall within this salary/commission agreement. • All claims will be handled under the standards of Mariposa’s Adjuster Guidelines • As your business grows you will need to recruit qualified adjusting personnel to handle the volume and maintain the delivery of quality customer service and cost controls for the client carriers. • Once total assignments to you exceed 50 claims per month (average monthly run rate for three months), an additional 5% commission will be paid directly to you for all claims handled by your adjuster assistants.
FAQ’s

• How long will it take to get on board? o About one week • Will there be a contract between Mariposa and me? o Yes, we will send you a copy to review before you make your decision • What kind of support will I get from Mariposa? o Mariposa is a well-organized independent adjusting firm with systems and expertise available to ensure that you have all the tools and support required to succeed in your job. • How will I be paid? o You will receive an EFT every two weeks representing your base salary as well as the commission from the previous pay period. • Do I have to incur the cost of fuel and automobile wear and tear? o No, you will have a company credit card for fuel and other legitimate ‘on the road’ expenses. The maintenance of the car will be direct billed to the company through specific service providers. • Can I see the fee schedule? o Yes, we can provide you will current schedules, however these are generally negotiated with individuals carriers, so they may differ or change from time to time. • How much money can I expect to make? o This depends on volume, of course, however we intend to grow your business to at least 30-50 claims per month on a regular run-rate. At 40 claims per month, you should gross approximately $100,000 per year.

Instructions to Adjusters for Consideration:
If you feel that your name is on this offer then we want you to contact us. You should provide a current resume along with a letter in your words that addresses why you qualify as a candidate and send to:
Brian Jones Brian.Jones@MariposaLtd.com


Be sure to identify in the subject line “Mariposa Owner/Operator “
You do not need to provide us with the names of the carriers you work with just yet. If the Mariposa Leadership Team feels you qualify based on the information you have provided, Brian will then send you an NDA agreement to protect you and Mariposa in a confidentiality agreement where we can freely discuss further details of the opportunity between the parties.

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It is rare that I would endorse a particular adjusting firm due to the variables involved in evaluating an adjusting firm on important issues such as quality of their adminstration personnel, professionalism of staff, promptness of payments to adjusters, quality of claims management personnel,etc. However, I do STRONGLY endorse Mariposa Claims after working closely with them since the inception of ClaimSmentor in 2005 and their continued committment to mentoring and support of the ClaimSmentor program. I endorse them not because they are a ClaimSmentor sponsor but because of the long term relationship we have developed where I have gotten to know first hand the quality and dedication of the owners of this firm and their managers and importantly that I have gotten fantastic feedback from all independents I have staffed for them over the years during many catastrophe events who consistently report back that Mariposa provides an outstanding CMS Claims Management System (hosted by Click Claims at www.clickclaims.com) , a quality management staff, a friendly and available group at their home office who process assignments and adjuster payments, and…need I say more? One thing I will definitely add- if you are not interested in doing quality work or try to be a turn and burn adjuster then this offer is NOT for you!


2011 Independent Adjusting Firm listing ready for your marketing or resume submission needs!

January 2, 2011

We have completed our ClaimSmentor 2011 listing of independent adjusting firms compiled from recommendations of our members and lists through major independent adjusting firm sources such as NACA and NAIIA. We have approximately 65 firms on our current list. If your firm has not been listed, please email dkmoroy@dimechimes.com to have your firm added if you have been in business a minimum of 3 years with your website, resume email address, office # and fax #. Thanks!

Adjusters – if you have more firms you think would qualify and you recommend them- please send your recommendations to claimSmentor@dimechimes.com or simply reply to this topic. Thanks!

The listing contains the website, resume contact address, link to the online application if required, and contact number.

Use of this list will save you hours upon hours (if not days like it took me to create it) when submitting your resumes to what we hope to be some of the most reputable firms in the property and casualty claims industry.

Should you need the listing, it is free to our ClaimSmentor annual supporters and can be ordered by others needing it by sending a request for information to dkmoroy@dimechimes.com.


Organization Chart for the Claims Handling Blame Game- A Humorous Graph -A Serious Look at Claim Bad Faith Issues

March 6, 2009

Insurance Company – Adjusting Firms- Claim Staff -Reinspectors -Independents  – Public Adjusters
Claim Litigation  Attorneys
 
→   →   (Everyone to R)       ←     ↓        ↑  →                           ←   ↓   →                                 ← (all 3)  →                                                 ← (all 4)
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What a mess  that makes no sense and it isn’t humorous at all. This is a huge insurance consumer issue. Just check out the Bad Faith organization or NAIC (National Association of Insurance Commissioners) for all kinds of information and surveys on claims handling. The link I put to NAIC is their 2009 Report on the Top Complaints by insurance consumers. You can sort by carrier, by type of complaint, by state I think, and much more!
 
When are we also going to get Insurance Departments on board to help improve this by doing the following things I’ve discussed in this blog before:
 
1) Require Insurance companies to report to all state insurance departments consumer links where they provide complaint information for carriers to provide information on adjusting firms that have been dismissed by a carrier for trends of bad faith claim handling issues. Presently, I know of no place when independent adjusters can validly find this information until it is too late. Dismiised firms are not required to be reported (if they are I am not aware of it) so they just move on to solicit new carriers so even more insurance consumers continue to be harmed by firms with bad consumer servicing problems.
 
2) I believe insurance companies require liability and errors and omissions information from adjusting firms before they use them. Are there any reporting requirements by state insurance regulators on claims ratios on E and O policies for adjusting firms or independent or public adjusters so 1) policyholders don’t hire a PA who has a large complaint ratio 2) so adjusting firms have a source to know (other than just checking regulator sites to be sure an adjusters license is still active), and so adjusters can have a valid source to see the complaint ratio of an adjusting firm so they can make a good decision about which adjusting firm they wish to deploy with so they don’t get hooked up with a firm that might be unprofessional?
 
3) Insurance Regulators should require that adjusting firms be required to disclose the name of the owner and the name of any key executives they may have on the payroll and post them on their website.  Often if an adjusting firm develops a bad reputation with adjusters or carriers, they just either a) move to another state so carriers and adjusters cannot find bad information about them at insurance department licensing sites that allow you to research licenses or b) the adjusting firm owners or key executives just change the name of the adjusting firm so adjusters don’t know who they are.
 
4) Another thing that concerns me when trying to find good adjusting firms for newly licensed adjuster recommendations , when asked by ClaimSmentor members , is that so many of the adjusting firms do not list one thing on their ABOUT pages about who the key owners are. I tell them just to go to http://www.whois.net/ but this only tells you when a website domain was open and the contact name and information for the person who opened the site. Sometimes the only results you get there are to the website company they opened the site with but it is one source of information you might try.
 
5) Adjusting firms should be required to post links on all of their websites such as Department of Insurance Consumer Complaint contact information AND information for independent  adjusters as to where they can report violations of adjusting firm contracts with independents and adjuster non- payment of fee bill complaints. If you don’t think there is a need, just check out this site that opened post Katrina and when overloaded by complaints of non payment to adjusters, their system crashed many many times : www.professionalfeecollection.com (site was opened post Katrina and we have no idea what happened to this agency and it’s alliance of attorneys working proactively to collect unpaid independent adjusting firm fees. We know they were overwhelmed by the claim files faxed in to them and the thousands of adjusters attempting to utilize their services. It was run by a Terry Bagsby out of TX. The interesting thing was that these adjusters were all complaining about the same continuous group of adjusting firms based on discussions I had with him in 05/06.
 
6) Adjusting firms should be required by State Insurance Regulators to not only have a contract for independent insurance adjusters but they should be required to have two signed originals so one can be given to the independent adjusting firm and one can be given to the adjuster. I cannot even begin to tell you how many new adjusters have been frankly taken advantage of either not being given a copy of the contract or no contract at all.
 
We wrote in our blog done a few years back called “Splish Splash don’t go taking a bath” on this topic.(See link at bottom of this blog) I always teach new adjusters in our Fundamentals class not to deploy without seeing the contract and making sure they agree to the terms, not to sign blank forms, to watch out for Non-Compete terms, to make sure they know what the fee split is with the adjusting firm (how much they keep of the fee schedule and how much you get based on a percentage fee split) or what your daily rate is if you are getting paid a daily rate how much it is and what your fee split.
 
There is much more information in the blog I wrote linked to above. The very best advice that I would give you is to see your personal attorney about E & O insurance coverage information in the contract to be sure YOU are protected and to be sure that you are not signing something you shouldn’t be signing.
 
7) Insurance regulators need to regulate a) the length of time a carrier has to pay independent adjusting firms and TPA’s who process their claims, the time an adjusting firm has to pay the independents, holdback percentage provisions in contracts and hefty fines for those adjusting firms not paying them within a regulated time).
 
8   ) Insurance Regulators must begin setting regulations for insurance carriers as to what claim handling fines a carrier can pass on and require of  independent adjusting firms and adjusters.
 
They have gotten totally out of control on the RFP requirements I have seen such as Citizens of FL 2007 RFP 08-0016 or 07-0003 with fines as much as 1,000 per vioation. Is what developed after these fines starting being imposed in RFP’s is that independent contracts started transferring these fines on to adjusters in contracts without even specifying what these fines were.
 
9 ) Insurance regulators have got to put a stop to the erroneous information being advertised about the TEXAS adjuster’s license for independent adjusters. Just take a look at the many classifieds telling those interested in a claims career that the TX license with give them licensing in any where from 25-32 states.
 
This is inaccurate as the adjuster still has to fill out applications, finger prints and pay licensing fees for those non resident licenses. Dr Birzon at the University of Central Florida’s Insurance licensing online program has been forced to post a warning such as this on their website link (see News flash column on left of that link) because so many residents of FL had taken TX licensing classes thinking that they were waived from taking the FL Resident adjusters license.
 
I regularly receive resumes from adjusters who are permanent residents of FL that is all that I see in the licensing information of their resume is their TX license info. Dr Birzon has been so helpful answering questions on ClaimSmentor on licensing issues and even helped out a few of our adjusters who were in non compliance on CE’s and had to retake Fl license requirements again so we referred them to his online FL licensing program which the state regulators approved as a means of getting your FL license and bypassing the FL adjusters exam. These adjusters who were working out of a state on a catastrophe assignment could meet the FL Department of Insurance requirement they sit for the exam again by taking Dr Birzon’s online class at night and still service claims assigned to them out of state.
 
10 ) Insurance regulators need to require that any training firm producing adjuster 
training classes be approved by the state department of insurance to meet minimum claims experience requirements ,which I would insist included experience in claims management, as well as professional insurance education requirements that are recognized in the insurance industy such as AIC (Associates in Claims) and/or CPCU course through AICPCU. I have completed IIA, AIC, and 9 sections of CPCU with only one left to go (the much dreaded Accounting session). I cannot tell you strongly enough how much I recommend these courses  for independents as well.
 
11 ) While the insurance regulators do not control which independent firms a carrier uses, they should at minimum require that adjusting firms and TPA’s require some kind of screening. The one I prefer the most is the membership requirements at the National Association of Insurance Adjusters which is an association of independent adjusting firms who have had to go through substantial financial screening and other membership criteria you can view here.
 
12 ) There are good procedures established by the insurance regulators, emergency management, and state governors for adjusters coming in from out of state. They are called emergency adjuster regulations.
 
In a new trend the large adjusting firms are now requiring of independent adjusters, they are requiring that adjusters obtain non-resident licenses in all coastal states and those like Oklahoma  and Minnesota that have regular windstorms. There are valid reasons because carriers and independent firms cannot activate non resident adjusters who do not hold a non resident license in the state of a storm until the governor announces that by his order at the time of an emergency that independent adjusters are allowed in the state to work claims on an emergency license. 
 
If an adjuster secures a non-resident license in all the states a carrier MIGHT deploy them, they can stay longer because emergency licenses are temporary in nature and only allow adjusters to work a storm designated a catastrophe by the governor. Carriers also do not use their national catastrophe teams if there isn’t enough volume in a given state although I’ve read about alot of improvements on this. This is usually do to the fact that they have to bill the region where they deploy the adjusters for their services. Can we do something about this? It appears to me to be the only way carriers and adjusters can deploy adjusters and get around the governors emergency disaster authority. It has created a huge financial burden on independents and on CE reporting requirements when they should be concentrating on servicing insurance consumers. It is also creating a “dumbing down” of independent adjusters that can be used as we often see less experienced independent adjusters deployed because the experienced adjusters tend to leary of jumping through the huge volume of hoops and know that when the big one hits they will be deployed when carriers through out all pre-storm requirements.
 
I regularly refer new independent adjusters to these firms meeting the NAIIA criteria as hopefully a safety net for them when finding reputable firms. See their membership directory here. While I cannot guarantee it will, I would think that it would atleast provide a place to start when considering who is your “A” list of adjusting firms you will work for. How about for carrier independent staffing needs when their core adjusting firms “run out “of  core adjusters (their A team of who they will first deploy based on experience and certifications and licensing”.
 
I do know some excellent firms that might not yet meet all of the NAIIA membership criteria who are trying to do the right thing. Several that come to mind as I have gotten to know their owners through years of membership at ClaimSmentor or through the staffing side of my operation are CSP claims (owners are retired carrier management), Legacy Claims (the one owned by the Ellis’s), and Action Catastrophe Claims. I do not post those here lightly as I have spent almost four years now getting to know them and I listen intently to what experienced adjusters working for them have shared with me, I’ve watched their adjuster training programs, and I’ve heard great reports on their CMS Claim Management systems and payment records with adjusters who complied with file requirements.
 
I know of very very few independent adjusting firms run by owners or managers who have these course certfications. One of my clients who feels as strongly about this is Dennis Martin, CPCU  who runs the FL Division and catastrophe division  of William Kramer and Associates. He is a joy to work with since he understands the issues facing our claim industry , the Florida insurance crisis , and knows what happens when an adjusting firm doesn’t properly manage claims and claims adjusters and CONTROL compliance with file requirements. This is especially important with their primary concentration on commercial claims such as very large Condominum Claim Associations.
 
We co -authored an article for Claims Magazine as the featured story titled “ A Box of Chocolates” in 2008 about condo claims handling. We both can’t thank Eric Gilkey, Editor of Claims Magazine for his skills and patience working with us as neither of us had significant experience in writing an article)!
 
                                                                                                    Some Things to Ponder
This is also another thing that inquiring minds want to know!  If a file is approved first by an independent adjusting firm manager and sent on to the carrier management for approval and they approve the file and pay the claim based on their review how can they possibly go back and fine an adjusting firm a year later when their auditors catch the mistake. I know of a few firms this has happened to. Where are the insurance regulations on this?
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Why do carriers always tell our members and my staffing firm that they don’t want to consider very good experienced catastrophe adjusters for staff positions when they meet all other qualifications such as a four year degree, insurance continuing education requirements,etc? I was astonished over the past four years to receive staffing requests from 3 major carriers that said the following ” we need adjusters but we can’t get approval in our budgets to use a staffing firm. Will you send them out free to your rosters? ” You’ve got to be joking! Take the resources I have developed over 4 years of staffing and building contacts and mass emailing for them free? I did post their notices in our Career Forum where we do post jobs such as these that we come across but I sure wasn’t servicing them free. Also, while I can understand that they think cat adjusters will jump as soon as a major storm hits, don’t tell us that your staff adjusters do not do so as well. What is your turn over rate? The only thing that keeps staff adjusters on your employment lists is the fact you often offer benefits such as health but adjusting firms are
getting just as savvy in some cases and they often get employment applications from your staff adjusters just like my firm does.
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Last but not list in the things to ponder list is the failure of carriers to put a stop to “hand me down” claims. Almost every issue of non-payment to new independent adjusters has come through a 2nd or more tier adjusting firm subcontracting claims out to another adjusting firm when they run out of adjusters. Often , I doubt the carriers even know about it. When the unpaid adjusters contact the carrier, they are often told “sorry….we don’t have a contract with that adjusting firm”…well dang….I guess the first tier firm made a sidetrack agreement with the 2nd tier firm leaving the independent adjusters to hang out to dry. I’m referring to adjusters who have a contract with firm 2 or on down the line but they have no contract with the adjusting firm who had the contract with the carrier. During the 04/05 season when the FL Dept of Insurance set deadlines with HUGE fines, I saw many a carriers hurt when the primary adjusting firms couldn’t account for claim file status. I never even knew this went on until I transferred to the independent claims industry. I had one firm call me and say “and we have the 1st tier contract with the carrier” on this one. Maybe I am wrong and this is a regular practice, but I can tell you the majority of calls my staffing firm received on non-payment issues when they were looking for a new assignment because they weren’t getting paid was from 2nd or more  hand me down claim adjusting firms. I simply think the practice should be forbidden.
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There are four ways I can think of to add these regulations which are long overdue. Not being an insurance regulator, but someone with a huge interest in protecting independent adjusting firms and independent adjusters to preserve our important service to the claims industry:
 
1) Click on the link here to all insurance departments and print out a copy of this blog (just click on the blog title and it will open up just this blog versus reviewing a string of our blogs) and send a copy to either your state insurance department or to any insurance departments where you have worked assignments and/or are licensed. If you fear for your career in claims, just print it out and mail it in and don’t sign your name. If they get flooded with enough copies of this blog, maybe they will listen.
 
2) Print and send a copy to the NAIC who is responsible for cancelling the recommendations for National Licensing. Again, don’t sign it if you don’t want to. Volumes of copies of this might help. The link to the blog on this act is included at the bottom of this blog entry.
 
3) Insurance regulators who are responsible for claim handling regulations can add requirements such as these to their Good Faith claim handling regulations and licensing requirements for independent adjusters and adjusting firm licensing requirements.
 
4) How about Insurance Regulators developing a Code of Conduct form for independent adjusting firms (similar to what carriers require independent adjusting firms and adjusters are required to sign). Look at the NAIC Code of Conduct they require their member adjusting firms comply with
 
There are so many possibilities that can be done to improve the industry, reduce insurance consumer complaints, to reduce the number of consumers who have to resort to use of public adjusters thus reducing their insurance indemnification dollars, and to reduce the ever growing field of claim litigation. It is worse now than I have ever seen in over 30 years in the insurance industry.
 
Which claim career field is really responsible for the problems in our industry? Here’s a complex self assessment test. Is all it takes is four questions:
 
1) Who issues an insurance policy with insurance consumers with obligations required of both insurers and insureds? (Key to answer you will find the answer in column 1)
2) Who has to take instructions from who? (Key to answer- see column 2, 3, 4  as they answer to #1)
 
3) Who contributes to the training issues for the claim industry? See columns 5,4,3,2, and 1
 
4) Are public adjusters and consumer advocate attorneys the only driving force behind the increase in claim litigation? Yes in some instances they are but could they be successful in winning claim litigation cases by the hundreds if they weren’t finding examples of bad faith across the board- see 1, 2, 3, and 4 in the graph).  I don’t think  they are the only contributors of these huge costs which are being passed on to insurance consumers when carriers have to consider defense litigation costs when rates are determined by insurance companies.
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So why are we all mixed up and playing the blame game? This is such a goofy game not befitting of an industry that has such an important place in the lives of  every person in America that has been going on as long as I’ve had a career in claims. Here’s how the game works:
 
Step 1 ) Insurance Companies (common to all major insurers) use independent adjusters when a major storm such as Hurricane Katrina and Ike
 
Step 2) Insurance Companies provide training before the storm only to independent adjusters with atleast 2 years experience and to their staff claim departments UNTIL the big one hits
 
Step 3) Carrier Auditing Departments, Claim Examiners and Managers.  and Reinspectors start rejecting files because they don’t provide training or enough information to adjusters. It is provided during a carrier certification class which is usually a one day training session put on by CARRIERS through ADJUSTING FIRMS THEY SELECT or at a one day catastrophe induction center where they do present a good outline of file handling guidelines if you are experienced enough to just make exception to general claim handling instructions you already know
 
Step 4) Newly licensed adjusters are activated to handle claims when carriers lower their 2 and 3 year experience requirements when they THINK they have run out of adjusters based on information from the pre-selected adjusting firms who may service there claims. ***Let me point out here it is like a “where is Waldo” game for independent adjusters entering the industry to find out who is servicing the claims because the majority of CARRIERS provide no information on their website about which firms are handling their claims (God forbid someone might consider them “employees versus independents). See our prior blogs on the cycle
 
Step 5) Don’t overlook the fact that the file requirements and claims guidelines are changed by CARRIERS almost daily when on storm. Even if an adjuster’s file meets file requirements one day, by the time it make’s it through the claims management cycle (Independent or staff adjuster →Claim Examiner or Claim Manager→Insurance Company who approves claim settlement payment and settles claim with insured (often with in office claim trainees who have never handled a field inspection or an inoffice claim operation TEAM so the insured can get bounced around and never talk to the adjuster who actually inspected their claim?
 
Step 6) Who pulls the authority from most independents which takes away great customer service of explaining their itemized estimate to the insured in person while they are out there …see column one. This also applies to carriers who have pulled field adjusters from handling contents claims and additional living expenses so the insured once again has to deal with multiple adjusters (field and in office) rather than having the personal claim service they desire from one adjuster?
 
Step 7) Carriers then blame everyone in column 2, 3, 4, and 5 for causing poor claim survey results and swears to never use much needed independents so experienced independents leave the claim industry as they have no way to support their families.
 
Step 8. ) A major catastrophe such as Ike and Katrina hit and independent adjusting firms are asked to deploy again to assist storm insurance consumers who have no idea what changes have taken place at the carrier’s regarding claim handling standards as the Carriers in Column 1 do not communicate with individual adjusters or hold yearly claim conferences updating them on the hot topics they have been dealing with while independents were at home trying to support their families. Why don’t they have newsletters for independents (refer to comment above on employee/independent issues). No instead they insist they will stop using independents again.
 
Step 9 ) Return to Step 1 and the cycle we regularly experience starts once again.
For two examples of the blame game see the final report of the Citizens  FL Task Force on Claim handling where they submitted their findings to the Citizens Board of Directors blaming both independents and public adjusters for reopen claim issues. I don’t recall seeing where any responsibility was accepted by this now largest insurer in FL except possibly understaffing with field adjusters but they are moving in the right direction training staff and Independents deployed pre-storm and with face to face meeting requirements that they are visiting unannounced to be sure the adjusters are being taught their claim handling expectations and not just glossed over.
 
See also this news article I posted recently where General Manager, Jim Oliver, of the Texas Windpool partially puts the blame on inexperienced adjusters. This is very exasperating to me when I am going on my fourth year of searching for all carrier claim certification classes for members of ClaimSmentor. I can rarely find them except by the few adjusting firms posting in classifieds which are cost prohibitive to most firms when they haven’t gotten many carrier assignments such as in 2006 and 2007. Carriers have staffed up with employed staff adjusters due to their erroneous decisions in the steps above instead of looking SQUARELY in the eyes of their claim training operations, their current trend to leave the responsibility of deployment of independent adjustering firms instead of the carrier maintaining control (again employee vs independent issues).
 
Should anyone question my dedication to keeping independent adjusters informed for the right reasons…it took me 8 hours of volunteer time to produce this one blog entry to provide resources and information for you.  I had no clue as all of our resources were internally generated as claim staff employees.
 
It has been a very long four years studying the independent insurance adjuster industry and learning that while  I had managed them for years that I knew nothing about what went on before they deployed with us. It has been a major eye opener which I openly share with those in our field who need to get caught up to speed immediately in their decisions on entering the independent field and once they confirm that decision learning the professional way to perform their duties. **Update 3/7/09: You can follow this blog through RSS feeds as long as you are not placing it on a site that has banner ad sales or revenue generated through google ads (exception CADO who also spends untold hours volunteering his time for his site). I am getting referrals to this site from Blog Colony which I still have to research which are new this week and have another site copying my links on right column on their website. I am taking proactive action through ICAN  and this wordpress administration who controls websites so be forewarned if you want to remove them if you are using a link to this site to generate revenue for yours. All independent adjusting firms or claim groups are free to put up a blog roll on this such as the one CADO (www.catadjuster.org) has on their blog page in bottom left corner. WordPress does NOT allow banners or search engine ads at this location so I will be proactive with them to shut your feed to this blog if you are using it for such purposes which we can see on our administation dashboard.
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I welcome any volunteers who want to edit my blog entries to correct mistakes made. I was always taught by my mentor , my dad, not to present a problem without a solution….smile. If you have the solution for my lack of social networking editorial skills I welcome your help in this additional e-mentoring project.
 
For other great resource links, articles, and claims news I highly recommend Roy Cupps CADO  site at www.Catadjuster.org which has operated atleast 10 years. His article section, news section, employer rating section, adjuster resume data base, and so much more . The archived forums provide a wealth of information about the independent opinions. We formed ClaimSmentor with Roy Cupps blessing initially in those forums but took quite a bit of harassment from a few bad apples who felt we were taking away their job opportunites so we moved the site to a private site at www.ClaimSmentor.com. I have nothing but the very highest regard for Roy Cupps and the resource links he keeps updating on his site.
 
Here are links to all prior blogs we have written in our archives since we began this service in July 2007 that discuss these issues on emergency licensing, carrier’s deploying adjusters, claim training, insurance regulations, and all other topics we’ve discussed in today’s current blog for a more thorough understanding of the changes needed :
 
http://dimechimes.wordpress.com/2009/03/06/just-one-claimsmentor-moment-2-twia-adjusters-blog-on-ike-claim-handling-issues/
 
http://dimechimes.wordpress.com/2009/02/27/adjuster-overtime-issues-supplemental-info-from-none-other-than-attorney-gloria-allreds-current-news-letter/
 
http://dimechimes.wordpress.com/2009/02/26/compare-twia-manager-jim-olivers-comments-about-a-major-galveston-storm-608-to-209-statement-on-ike-claims-part-i-of-ii/
 
http://dimechimes.wordpress.com/2009/02/23/branch-consultants-whistleblower-case-reinstated-appeal-court-decision-february-2009also-links-to-info-on-the-rigsby-whistleblower-cases/
 
http://dimechimes.wordpress.com/2009/02/19/citizens-of-fl-board-approves-selection-of-30-selected-adjusting-firms-see-list-here-with-websites/
 
http://dimechimes.wordpress.com/2009/02/19/citizens-of-fl-board-approves-selection-of-30-selected-adjusting-firms-see-list-here-with-websites/
 
http://dimechimes.wordpress.com/2009/02/14/twia-texas-windpool-offers-two-adjuster-certification-workshops-in-march-and-april-2009/
 
http://dimechimes.wordpress.com/2009/02/13/independent-adjusters-participant-in-our-poll-on-carrier-certification-exams/
 
http://dimechimes.wordpress.com/2009/02/13/have-license-ready-to-go-not-so-quick-take-this-self-assessment-test/
 
http://dimechimes.wordpress.com/2009/02/05/have-you-registered-for-your-2009-nfip-adjuster-certification-class/
 
http://dimechimes.wordpress.com/2009/02/05/2509-updates-on-the-state-farm-announcement-in-fl/
 
http://dimechimes.wordpress.com/2009/02/03/we-are-back-next-50-hour-online-fundamentals-of-claims-class-begins-march-2-2009/
 
http://dimechimes.wordpress.com/2008/10/08/2008-claims-magazine-claims-salary-survey-is-up-in-the-october-2008-issue/
 
http://dimechimes.wordpress.com/2008/09/20/new-source-for-temporary-housing-in-houston-tx-area-for-adjusters-and-insured-additional-living-expense-temporary-housing-part-ii/
 
http://dimechimes.wordpress.com/2008/09/17/independent-agents-rank-claim-service-as-top-measurement-of-carrier-performance-part-ii-of-claim-and-agency-relationships-can-make-or-break-an-adjuster/
 
http://dimechimes.wordpress.com/2008/09/03/preliminary-damage-statistics-from-hurricane-gustav-updates-on-temporary-housing-in-gustav-damage-territories/
 
http://dimechimes.wordpress.com/2008/08/26/hurricane-gustav-expected-to-be-major-emergency-tx-and-la-license-links-claim-statistics-for-ts-fay-eduardo-dolly/
 
http://dimechimes.wordpress.com/2008/08/21/fl-emergency-adjuster-regulations-for-tropical-storm-fay/
 
http://dimechimes.wordpress.com/2008/08/26/hurricane-gustav-expected-to-be-major-emergency-tx-and-la-license-links-claim-statistics-for-ts-fay-eduardo-dolly/
 
http://dimechimes.wordpress.com/2008/08/07/ms-ag-hood-and-state-farm-reach-agreement-on-katrina-disputes-wednesday-86/
 
http://dimechimes.wordpress.com/2008/08/05/citizens-of-fl-cancels-rfp-for-independent-adjusters-yet-another-time-in-2008-rebid-now-times-4/
 
http://dimechimes.wordpress.com/2008/07/23/hurricane-dolly-makes-landfall-in-texas-checking-availability-for-rosters/
 
http://dimechimes.wordpress.com/2008/06/26/nationwide-insurance-proposes-one-policy-covering-wind-and-flood-coverage/
 
http://dimechimes.wordpress.com/2008/06/02/auto-adjuster-claim-training-updates/
 
http://dimechimes.wordpress.com/2008/05/29/what-role-are-rising-gas-prices-going-to-play-in-your-deployment-decisions-for-hurricane-season-2008-carriers-and-adjusting-firms-should-meet-the-need/
 
http://dimechimes.wordpress.com/2008/05/23/colorado-hail-tornado-of-may-22-2008-updated-damage-reports/
 
http://dimechimes.wordpress.com/2008/05/19/concerned-regarding-adjuster-fee-schedules-for-citizens-of-fl/
 
http://dimechimes.wordpress.com/2008/05/14/citizens-of-fl-changes-independent-training-requirements-for-2008/
 
http://dimechimes.wordpress.com/2008/05/01/insurance-carrier-claim-certifications-where-do-you-test-for-them-much-improvement-needed-in-the-process-of-certifying-independent-adjusters/
 
http://dimechimes.wordpress.com/2008/04/30/va-tornado-damage-the-carrier-claim-numbers-are-coming-in/
 
http://dimechimes.wordpress.com/2008/04/28/top-blogs-of-interest-to-new-adjusters-july-2007-april-2008/
 
http://dimechimes.wordpress.com/2008/04/18/supplemental-request-41808-for-tx-licensednationwide-certified-adjusters/
 
http://dimechimes.wordpress.com/2008/04/11/immediate-need-for-experienced-adjusters-tx-license-for-storm-claims/
 
http://dimechimes.wordpress.com/2008/04/10/overhead-and-profit-claim-settlement-issues-under-attack-in-3-ongoing-cases/
 
http://dimechimes.wordpress.com/2008/04/09/state-farm-seeks-dismissal-on-rigsby-false-claim-actklg-update-levee-break-sher-decision-including-overhead-and-profit-issues/
 
http://dimechimes.wordpress.com/2008/04/08/fifth-circuit-appeal-opinion-overturns-punitive-damages-in-broussard-vs-state-farm/
 
http://dimechimes.wordpress.com/2008/04/07/allstate-releases-mckinsey-documents/
 
http://dimechimes.wordpress.com/2008/04/02/adjusters-read-about-class-action-lawsuit-in-ok-on-overhead-and-profit-issues/
 
http://dimechimes.wordpress.com/2008/03/29/cori-rigsby-january-2008-deposition-hoped-to-remain-anonymous-lets-compare/
 
http://dimechimes.wordpress.com/2008/03/28/branch-consultants-whistleblower-case-appeal-filed-on-the-dismissed-case/
 
http://dimechimes.wordpress.com/2008/03/06/rigsby-whistleblower-rico-case-motion-to-dismiss-3-of-insurance-carriers-to-focus-on-state-farm/
 
http://dimechimes.wordpress.com/2008/03/06/national-association-of-catastrophe-adjusters-membership-drive-to-31508/
 
http://dimechimes.wordpress.com/2008/02/23/state-farm-vs-hood-part-iii-an-interesting-news-alert-today/
 
http://dimechimes.wordpress.com/2008/02/21/60-earthquake-rocks-nv-ut-parts-of-ca-22108-adjuster-information/
 
http://dimechimes.wordpress.com/2008/02/08/errors-and-omissions-coverage-guest-bloggers-dale-moore-client-relations-director-for-cplic/
 
http://dimechimes.wordpress.com/2008/02/06/storms-in-tn-ky-ak-al-in-mo-ms-of-2508-adjuster-information-on-emergency-licensing-and-damage/
 
http://dimechimes.wordpress.com/2008/02/05/luckwhere-preparation-meets-opportunity-published-208-in-claims-education-magazine/
 
http://dimechimes.wordpress.com/2008/01/11/update-on-the-rigsby-ea-renfroe-whistleblower-case-will-the-klg-get-dismissed-on-cases/
 
http://dimechimes.wordpress.com/2008/01/10/do-you-really-know-what-your-errors-and-omissions-coverage-covers/
 
http://dimechimes.wordpress.com/2008/01/09/should-your-adjusting-firm-or-carrier-be-blogging/
 
http://dimechimes.wordpress.com/2007/12/18/renfroes-deposition-in-the-rigsby-whistleblower-case-interesting-look-into-their-thoughts-on-the-case/
 
http://dimechimes.wordpress.com/2007/12/13/ok-declares-state-of-emergency-allowing-emergency-adjuster-licenses-link-for-application/
 
http://dimechimes.wordpress.com/2007/11/20/major-changes-in-the-way-carriers-recruit-and-train-adjustersis-there-really-a-lack-of-available-adjusters/
 
http://dimechimes.wordpress.com/2007/11/14/tomorrow-is-postmark-deadline-to-get-applications-in-to-join-naca-national-assn-of-catastrophe-adjusters/
 
http://dimechimes.wordpress.com/2007/10/25/what-can-adjusters-learn-from-the-2003-cedar-fire-regarding-litigation-and-complaints-on-claims-from-ca-wildfires-blog-4-ca-wildfires/
 
http://dimechimes.wordpress.com/2007/09/29/claim-career-coachingconsultant-services-for-new-adjusters/
 
http://dimechimes.wordpress.com/2007/09/27/independent-adjuster-vs-employee/
 
http://dimechimes.wordpress.com/2007/09/24/insurance-adjuster-overtime-pay-issues-and-complaints-in-the-news/
 
http://dimechimes.wordpress.com/2007/09/21/valued-policy-law-in-florida-thrown-out-update-on-mierwza-safety-concerns-part-2fl-insurance-crisis-update-go-jeb/
 
http://dimechimes.wordpress.com/2007/09/14/field-adjuster-safety-concerns-be-careful-remembering-katie-froeschle-of-tampa-fl/
 
http://dimechimes.wordpress.com/2007/09/13/humberto-makes-landfall-as-category-1-hurricane-damage-links-and-stats-and-adjuster-licenses/
 
http://dimechimes.wordpress.com/2007/09/12/commitment-part-2-standby-calls-what-should-i-do-how-are-cat-codes-determined/
 
http://dimechimes.wordpress.com/2007/09/12/tropical-depressions-8-and-9-humberto-and-ingrid-standby-discussion-commitment-discussion-continued/
 
http://dimechimes.wordpress.com/2007/09/10/the-big-c-commitment-problems-with-independent-adjuster-relationships-advice-by-guest-blogger-rocke-baker/
 
http://dimechimes.wordpress.com/2007/09/08/ts-gabrielle-east-coast-windpool-and-emergency-licensing-information/
 
http://dimechimes.wordpress.com/2007/08/30/adjustin-to-adjusting-guest-blogger-linda-goodson-first-storm-duty-was-katrina/
 
http://dimechimes.wordpress.com/2007/08/23/whistleblower-cases-and-your-e-and-o-coverage-part-2/
 
http://dimechimes.wordpress.com/2007/08/12/splish-splash-dont-go-takin-a-bath-understanding-independent-firm-contracts/
 
http://dimechimes.wordpress.com/2007/07/31/naic-model-independent-adjusters-licensing-act-cancelledand-changes-in-nm-nc-and-tx-licensing/
 
http://dimechimes.wordpress.com/2007/07/30/who-moved-my-claims-cheesedealing-with-change-in-the-insurance-adjusting-community/
 
http://dimechimes.wordpress.com/2007/07/27/claim-career-information-the-pros-and-cons-of-going-staff-adjuster-versus-independent-adjuster/
 
http://dimechimes.wordpress.com/2007/07/26/catastrophe-adjuster-resumes-the-requirements-to-get-noticed-do-differ/
 
http://dimechimes.wordpress.com/2007/07/26/most-commonly-asked-question-is-how-much-income-can-i-make-as-an-adjuster/
 
 

Breaking News (Smile)- David Rossmiller is Back! First full post on Zach Scruggs

March 3, 2009
 

In the first of our Just a mentor moment sponsored by ClaimSmentor for quick claim hot topic links here we go!

Wow, I had just posted about two days ago in a post about how much those who follow the legal developments on social networks miss David Rossmiller’s posts at the Insurance Coverage Blog.

 Between David’s famous blogs that thousands in claims on our side of the fence (and those just lurking from the other side) get a pretty well rounded pictures of current claim litigation hot topics if you combine reading at Rossmiller’s site expressing an insurance coverage /defense attorney standpoint, Chip Merlin’s blog from a consumer advocate attorney ( an now the infamous Citizens Mission Task Force Consumer Advocate) , now throw in a Slabbed blog review and we have atleast all sides of the published internet social network opinions for viewing.

Yall politics you will love if you want all sides of the stories published together! Hey Yall Politics- when you are you going to add in the Chip Merlin blog to the Scruggs stories so we have all the important blogs? Hint hint…. by the way – wouldn’t claims adjusters and managers love to see these 4 together LIVE on a panel for a Q & A discussion? It would be sold out within 10 minutes!

By the way- if  you scroll down the right side of our blog here, you will find links to Claims Blogs of Interest I have found quite interesting when trying to locate information! We hope you will enjoy them!

http://www.insurancecoverageblog.com/archives/industry-developments-scruggs-nation-zach-was-halfway-home.html#trackbacks

Just another mentor minute link-When was the last time you thanked your mentors?

Here is who I thank as my mentor! Have you thanked yours by paying it forward?

http://www.claimsmentor.com/about.php (Now at 1,010 members and growing)

ClaimSmentor began on 12/08/2005 in recognition of William Robert Kane Sr. my father, my mentor, my friend.ClaimSmentor inception was on the 5th anniversary of his departure.. I thank him continuously for his willingness to mentor me throughout my life and my career. We hope all of you seeking a mentor get matched up so you have someone to truly thank for helping you along the way and that you too pass that on to a new trainee years from now.
 
Thank you David, Slabbed ( I still don’t know who they are), Chip Merlin, and Ya’ll Politics! Now when  will the carriers pipe in? (Yes we know they  THINK they can’t) Feel free to reply to this post and let the claims community know who you want to thank publicly!

March 1, 2009 Announcement to ClaimSmentor and Dimechimes Claim Staffing Roster members- Change in Claim Industry Services

March 2, 2009

 

 

To: All ClaimSmentor Participants/Dimechimes Claim Staffing Roster Members by email
Re: Announcement on Claim Community Services

We would like to announce effective on March 1, 2009 that our staffing firm and
training services will be transitioning our services to 100% Claim Education and
Claim Training services through the following website locations:

The following three sites allow you different forms for your claim career professional
development based on your preferred preference for forums or online education
needs:

1) Our main website for our clearing house to our training information on different sites is  Dimechimes Claims Staffing and Claim Training . We offer Claims Education services, support for professional training sources in the claims industry, Claim Career Coaching for new adjusters who wish individual counseling advice, Resume Preparation Services for Adjusters, Mock Interview preparation for adjusters preparing for their first insurance claims interview for staff  adjuster positions or independent daily adjuster opportunities.

This is also our site for contact for claim staffing and claim recruiting needs by Independent adjusting firms and insurance carriers.

Our goal is progressive growth as an information highway to all available professional sources of training both online and in the field.

2 ) Dimechimes ClaimSmentor Adjuster Information Blog open to the public. This was opened in July 2007 for the many in the claims industry who do not enjoy membership in website forums and wish to retain their privacy while at the same time enjoy updates on hot topics in the claims industry while also locating valuable training sources.

3) We offer ClaimSmentor Forums, Discussion groups, field training study groups, information for trainees to network with experienced adjusters. Links to all opportunities we know about for carrier certification requirements, upcoming adjusting firm seminars,
information about 100% of the online information we can find for online training opportunities for new and experienced adjusters,adjuster licensing information and much more.

Anyone that is a member of our  rosters is welcome to join  us at  ClaimSmentor without the need to provide other registration documents. Is all you need to do is reply to this email with your full name, city, and state and
we will check this information against our rosters and confirm membership by notifying you by email within 10 days of  receipt of your email what your login id and a temporary password to participate there will be.

We  provides opportunities for adjusters, adjusting firms, claim service vendors,  lawyers in the insurance industry, lawyers who handle and understand independent contractor issues , CPA’s that adjuster understand adjuster issues regarding per diem, working out of state and other, and adjusting firm adminstrative members to join us  at ClaimSmentor and network among our members. We are now in our fourth year of operation with just over 1,000 members to include 66 adjusting firm owners and managers, claim industry service vendors, software vendors of a professional nature-direct from the software vendors certified by the software developer themselves, and much more.

Our growth has been progressive and requires verification of id of all members and use of real names as we wish to maintain a postive professional source for those in the claims community. This transition will now allow  career websites with claim job posting advertisement such as www.greatinsurancejobs.com (who by the way has always been mentor friendly notifying us of Claim Career Fairs annually) and claim staffing firms and recruiters to join the ClaimSmentor online e-mentoring group to participate to locate outstanding claim candidates, purchase banner ads to their firm websites, and for a very reasonable annual cost included with the purchase of a banner ad to download resumes from our participants. The same applies to all insurance company HR departments. Contact us at Debbie@Dimechimes.com for information on the cost of banner ads so you can join and utilize our services. There is no charge to join ClaimSmentor for adjusters.

Our closed forum at ClaimSmentor requiring login id allows members to ask questions as trainees hassle free in a major e-mentoring effort to cultivate improved independent adjuster reputations with insurance companies and with policyholders nationwide
as they process claims for those suffering a major crisis in their lives.

* Just do a web search on your name or login id if you participate on blogs or forums open to the public and you would be astonished about the information a potential employer could use against you when you are under consideration for a staff or independent position.

All registrants must register in their real name and claims or bar information is required to verify as well as a work summary or resume to verify your relationship to staff and independent adjusting insurance claims. The site remains closed to public adjusters and public adjusting firms.

There is NO charge to join at this time (exception is Claim Recruiters, Insurance Recruiters, Insurance Staffing Firms, and Insurance Job Posting Sites). They may join our site to post their jobs and to download resumes all included in the cost of their banner ad purchase. The same applies to Insurance Companies who are seeking an excellent  supplemental pool of quality candidates.

 There are minimal charges should you (newly licensed adjusters) wish to participate in our online live claim classes such as our 50 Hour Fundamentals of Property adjusting class which addresses many basic essentials not covered per our participants in basic estimating and scoping classes. 

As we will now have much more time to dedicate our time as an information highway for training opportunities and for hot topics the claim industry faces, we will be actively seeking those with professional credentials to provide Guest
Blog entries for our Adjuster Information blog, to share their job opportunities for trainees and experienced adjusters, and participation in our ClaimSmentor e-mentor program.

Not only will we have this information through our forums live online but beginning April 2009 we will host group networking opportunities available to all adjusting firms and adjusters who are members of ClaimSmentor through volunteer efforts of our members participating in this e-mentor program. Adjusters on our Dimechimes Claim Staffing Rosters who chose to join us will also be able to attend as they would have transitioned to our ClaimSmentor site.

Why are we finalizing this transition?

.First and foremost is our passion for claims education to improve the image of
independent adjusters who service  insurance company claims. Carriers are
limited in understanding our industry by the adjusting firms who service their
claims. We would like to promote information from the adjusters in the claims adjusting community for a better understanding of independent adjuster information needs while at the same time refrainng from a negative environment via public posting sites creating the wrong impression of independent claims members. The public forums do provide a valuable service to our industry providing important industry resource links and articles. I am just not fond of public posting by adjusters in forums as it could create a problem for them when they are under consideration for a job opportunity.

.To enhance professionalism in the independent adjuster/ staff adjuster relationships 

. I can not bear to get one more fearful call from even experienced adjusters hammered for file handling stats while they are living out of their car with no power, showers, housing, cash or food, high speed internet to upload estimates and photos with no empathy from the carriers in many cases for the independent adjuster plight in the first wave of a hurricane. Independent adjusters are not provided housing . The larger adjusting firms may have the resources to reserve an initial block of rooms where their managers are staying but that does not happen for the majority of adjusters deployed. Carrier staff adjusters have housing locations found for them by the carriers with all expenses paid.  The difficulty of this situation is that independent adjusters have no idea how long they will be deployed on an assignment so they really cannot afford to sign rental leases at storm locations. See our posts n Temporary Housing options not only for independent adjusters but for policyholders as well.

.We work hard to create reality training by hosting a mock disaster training for new adjusters reviewing carrier reporting requirements, Dept of Ins Complaints, Consumer Complaints, reality training about assignment organization, ethical consideration for proper file documentation and much more. We prefer to educate adjusters rather than have them go out unprepared in so many cases during Katrina and Ike. There are so many current  safety issues with adjusters under those circumstances.s

. There are not alot of great options for independent adjusting firms to post for job opportunities especially on insurance industry job boards when they have catastrophe needs. The prices for advertisement is cost prohibitive when the independent adjusting firms have no guarantee from a carrier they will even get assignments. Secondly, the insurance recruiting industry normally charges up to a 33% first annual salary distribution for their fee per individual. Just check through the closed and archived purchasing documents at Citizens of FL or research this on the web. That does not work for the hundreds of catastrophe adjusting firms. They may only need these adjusters for a very limited time (carrier determines length and number of assignments) and they need a place where they can post one ad at a reasonable price for their nationwide storm assignments. Very few job sites allow for nationwide posting of jobs even though they are a good source by a candidate searching “all jobs”. We do not charge ANYTHING for job postings in the Career Forum to those recruiters and carriers purchasing an annual banner ad which is less than the cost to post 5 jobs on most job posting sites.

.To cultivate prepared claim trainees for insurance carrier staff opportunities
as well as for those newly licensed adjusters who prefer independent adjusting
opportunities and just do not know what is required beyond licensing.

.To encourage adjusting firms and carriers to do what makes sense regarding carrier certifications. I have had to turn down adjusters with 10 and 20 years adjusting both daily (non catastrophe claims) and catastrophe (known as a multi line adjuster) who were prohibited from deploying because the CARRIER was not flexible when their experience certainly could have substituted from nothing much more than an estimating test or property issues. An adjuster with that much time in the field certainly would have references who could verify the quality of their prior claim handling abilities. Look at our recent poll on carrier certifications and see what adjusters had to say that are participating on the poll. I’ll let it continue to run continuously through March.

.Claim litigation appears to be ever increasing post Katrina and post Ike
storms with a major complaint being that there were unfair claim practices in our industry and my belief that those newly licensed adjusters nationwide have no perception of  what additional training is required. I am especially concerned that they do not understand coverage issues, proper handling of insurance department complaints, and complaint resolution issues. Several of the windpools are now requiring the independents provide their own E & O and their contracts require that independent firms and independents respond to complaints without the assistance of the carrier. That was probably the final straw for me regarding staffing. Both the Citizens RFP and TWIA it is my understanding both require this. You can view the Citizens RFP to view the hold harmless agreements and information on lawsuits. You can check with TWIA for information inquiring about this. Most importantly run to an Errors and Omissions carrier and protect yourself as recommended in the Q & A  blog on here where www.CPLIC.net recommended adjusters definitely carry their own policy. Call Michael Hale there who is also a ClaimSmentor member and he can answer your questions.

You say you have E and O coverage through your adjusting firm? That may have been fine in the past and it may still be today but do not rely on that without confirming this with your attorney or their E and O provider.  Don’t take a chance it is better to be safe and protected versus sorry. Make sure to verify first if your policy provides defense costs if you are named in a suit and also if attorney fees reduce the policy limits or if they are even covered. Again refer to our blog you can find in the right hand column the Categories tab and search for information there.

What I have learned through 2 years presenting classes from trainees would amaze you.

I had no idea of the misconceptions they were learning from others even with a staff management background and claim career of 28 years.

We hope to improve their understanding of our industry BEFORE they go out and commit Bad Faith causing all E & O premiums to increase as well as major problems for adjusting firms and adjusters being subject to claims litigation for their poor ability to handle claims by going out as newly licensed adjusters without functional claims handling abilitites or claims training that was totally insufficient to send them out in the field or to handle in office claims when they have no training in claim communication and policyholder and agent relationships.

.Why don’t insurance regulators provide requirements for independents like they are now enforcing for public adjusters in many states that INCLUDE apprentice field training subject to hefty fines if  there is any fraud by the source confirming they trained under their supervision. Leaving training to fly by night pop up firms that are not monitored by the state regulators unless they offer CE is not an option in my mind t0 atleast preapproval of the course material by the state. If a class provides CE credit for your state that means that the state department of insurance has atleast approved the course material and approved a minimum acceptable instructor criteria.
. We have learned during our move to the independent side of claims operations
that there is too much lacking in communication between independent adjusters and carrier communications prior to assignments at the independent adjusting firm and independent adjuster level.

We have major hope that we can enhance the need for improved avenues of discussion unrelated to a specific deployment or assignment. We certainly cannot do it alone. We have not figured out what the appropriate method is at this time because adjusters and adjusting firms must be “yes” guys and gals to get assignments and so they don’t lose their contracts. I would never put them in that situation. I am not associated with a carrier or an adjusting firm directly any longer and there are many other retires or those that have left the adjusting field who I am sure would be glad to help bring these issues to the front line.

There are two good organizations you can get recommendations for training options. The first is your local claims association and I also highly recommend NACA – National Assn of Catastrophe adjusters. You can look at their website for a business member directory and locate adjusting firms there. I was disappointed when moving to independent status to find that NAIIA- National Assn of Independent Adjusters was for independent adjusting firms not for individual independents. They have strict requirements to include financial standards and number of years in operation before an adjusting firm can join. Adjusters check their list of business members and send your applications to those firm. I hope to live to see the day that they start a mentoring program such as NACA’s where independent adjusters can join as apprentice members. 

It just goes to show even those firms on the independent side aren’t all independent adjuster friendly except for their core adjusters who can belong to such groups. What about the 10’s of thousands of independents who have to take assignments with her ever calls them since they weren’t called out by their “A” list firm (yes we do recommend independents also make good decisions about who they will deploy with first just as adjusting firms do to determine who will go out first based on independent contract terms, fee schedules, fee splits, reputation of the firm., etc). Whatever you do , do NOT accept assignments without a contract spelling out the terms with all blanks filled in. I’ve posted plenty of blogs here about non payment issues independents could not find representation on because they had either no contract or were never given a copy of the one they did sign nor did they ever see a copy of one signed by an authorized individual with the adjusting firm.

. The claims industry has major problems in regulation of independent adjusting
firms concerning payments from adjusting firms to independent adjusters while at
the same time the adjusting firms experience significant delays from carriers who do not have enough staff claim examiners to promptly review and process claims so not only
policyholders can be paid but so that independents can survive while deployed on catastrophe or assisting branch operations for carriers. 

 Many times the adjusting firm’s reputations suffer  due to delayed payments from the carriers. Insurance departments need to establish requirements for turn around time on not only contact and inspected and closings as they do today but on time limits the carriers have to release the payment to adjusting firms so the independent industry can survive.

For example, you can view the latest RFP 08-0016 on the Citizens of FL  Closed Purchasing documents and they have 30 days to pay the adjusting firm after the adjusting firm submits the closed file. This doesn’t account for weeks or months that could pass by before an overwhelmed adjusting firm who insufficiently staffed their office administration staff or hours could process the claims and submit them to carriers.

. To provide an avenue of open communication regarding RFP or request for
proposals for consideration by carrier claim operations who need good firms to represent them during a major storm. We will post any RFP opportunities by carriers now in our forums for carriers who chose to join as sponsors on our site (see banner ad comments above). This will include a mass distribution email to adjusting firms participating on ClaimSmentor linking them to documents on the carriers site announcing RFP’s for consideration by adjusting firms. At BARE minimum, they could post the RFP and bidding process on their site and let independent adjusting firms know when they are up for consideration and who was selected.

.To foster sources for independent adjusting firms wishing to share information
on growing  technology concerns such as electronic discovery issues, claim
management systems, electronic claim files and other important topics specific
to claims.

 In today’s environment, it still surprises me to see firms who email documents in to the carrier with no way for the adjusting firms or independent adjusters to respond to insureds calling in for file status. That is unacceptable claim service when there are valuable CMS Claim Management systems that are available today such as www.Clickclaims.com that not only allow open access to the live data uploaded in a file  24/7 so anyone taking  agents or customers calls on file status can respond professionally to all customer inquiries.

In addition, systems such as www.ClickClaims.com also provide automatic zoning of claim assignments for tighter assignments so adjusters can see more claims without extensive drive time but also to save on high fuel charges thus saving on the cost of claims handling expenses for both independent adjusters but for insurance carriers as well. We all need to be cost conscious in our claim handling so we are not unnecessarily adding to increased insurance premium costs.

Another CMS feature available today is automatic loss notice uploading and automatic creation of the new file and electronic data fields. Did you know they were so progressive today that they have systems that will even place the first notice by automatically calling the numbers on the loss report submitted by the agent to let the insured know that their claim has been received, what the claim number and carrier contact numbers are, as well as the adjusters name and contact phone number. Now that is service! I have personally used the system in 2004 and 2005. I am not showing favorites but relying on a 2006 AMBest award that Clickclaims won for best CMS System. Simsol, Powerclaims, and Xactware all have them. The difference in using an outside system like ClickClaims is that it is not estimate software specific so you can upload estimates from any system.

I am no software estimate guru but the 2 people our industry can count on to answers questions no matter which software program is www.powerclaims.com and www.simsol.com (Gale Hawkins, owner of PC and John Postava with Simsol). Did you know independents are charge 20.00 just to make a call to ask a support help question. Now that is surely not a consumer friendly position when adjusters working out of hotel rooms should be able to count on them for live support good gracious with the cost they have to pay to activate the software while on storm!

. As a survey source to obtain the opinions from independent firms and
adjusters regarding claim handling issues without them fearing loss of contracts
and work assignments by opening the doors to communication by all parties. 

Polls are a good source for evaluating   independent adjuster opinions. How many times do carriers send out polls to independent adjusters or to staff regarding how the ADJUSTERS evaluate the information they received from carriers, the expertise of the temporary independent and staff claim examiners, claim managers, and reinspectors approving or rejecting their files during a storm?

The only surveys I have ever participated were either on our Adjuster Information blog here (and that would be a total of one thus far) OR via carrier surveys on employee opinion surveys evaluating employees opinions on their permanently assigned managers. Doesn’t this leave out evaluation of the entire temporary assignments while out on catastrophe? I can definitely say that we never received one from the carriers state wide in FL in 04 or 05 after processing their losses.

. To enhance adjuster understanding from a CARRIER claim management perspective through our participating carriers and adjusting firm managers assisting in panels and
forum topics both online and through new field ClaimSmentor groups where
professional sources come together for networking purposes similar to claim
association meetings. Watch for our first announcement coming soon!

. To work with carriers directly as a source for claims talent  cultivation through requests directly to enhance information on their websites so the claims adjusting community can find vendors providing required independent carrier certifications and to enhance information adjusters learn at their required training. Survey results
(unscientic on our recent poll on our blog show most adjusters do not feel that
they obtained adequate training on topics other than on than estimating to
properly service claims meeting carrier file requirements.) You see very little advertisements or job postings from the major adjusting firms as they assume everyone knows who they are. I can assure you newly licensed don’t based on information gathered from our class members who have no idea. It should be the CARRIER’s responsibility to openly post the adjusting firm names authorized to handle claims for each storm along with the information such as website and phone numbers so adjusters can apply to service their claims.

It is not enough for carriers to assume we really are out of adjusters just because a particular firm may have run out but check DOI websites. How can this be when there are over 50,000 adjusters just in Texas alone.

. Hopefully to improve carrier requirements for professional  file requirements
that are also policyholder friendly. The adjusting community has developed an
overwhelming opinion that our industry has become more “pretty file”
friendly than insurance consumer friendly. Just one example is the requirement
for “sketch” type diagrams versus allowing an adjuster to prepare a
professional hand written diagram which is adequate. How many times have you had
a file rejected for being off one inch?

While we understand in this age of claim litigation that file standards be consistent, we also understand surveys from sources such as NAIC continue to show time service issues and adjusters feel in many cases it is due to carrier excessive file requirements.

Lets together work to develop tips for carriers so they improve file review standards for their claim managers. We are NOT talking a union here or any of those options bantered about on web forums but professional carrier level panels. This may never happen but possibly the insurance department consumer affairs division can handle meetings for adjusting firms and independent adjusters without the carriers present ( I can hear them now…those dern independents we aren’t using them anymore and the cycle starts all over again instead of creating a positive training environment to mentor independents).

I innocently suggested to a few carrier claim managers and hr personnel that called me about our services to see why they didn’t use newly licensed adjusters as summer interns instead of teachers and college students. Being licensed carriers would have licensed (versus temporarily licensed) people who could be available year around. Don’t get me wrong, teachers that are off for the summer are a great resource but what about the many hurricanes that make landfall September 0 November. We won’t even go where that discussion went. Just check where your insurance carrier dollars are going by turning on the NASCAR races , golf tournaments  or better yet the super bowl.

 Wouldn’t it make sense to offer apprentice temporary independent positions they can staff through adjusting firms or professional organizations such as NACA? If they are available other than scholarships often posted on carrier sites then I have just not been able to find them. Believe me I tried  requesting grants or support from carriers for our e-mentoring program to no avail. “You know carriers don’t sponsor people that don’t work for them”??? I thought that is exactly who independent adjusters serviced. How very disappointing.

. NAIC  (National Assn of Insurnace Commissioner )cancelled the discussion on the Independent Adjuster Model National licensing recommendations in 2007 or 2008. Use the category link to locate that post here. I’ll get the links updated tomorow so you don’t have to search.

Independent adjusters are now being required to obtain non resident licenses in anywhere from 10 to 15( one email and resume this week from a newly licensed adjuster stated they had already completed 18 non resident licenses but had no other training) states versus allowing them to work under emergency adjuster licenses. There are valid reasons for this but this is also a huge added burden financially to independent
adjusters when carrier staff adjusters are not required to obtain them at all as special rules apply to staff adjusters. Some carriers do license those in call centers that handle claims nationally  but that usually does not apply when they have to resort to rotating in daily adjusters temporarily for peak work loads). Check it out on your state department of insurance licensing website).
Can we work together to promote a better way to qualify adjusters who wish to
service catastrophe claim adjusting needs? New adjusters are misinterpreting comments publicly posted on many adjusting firm websites (especially the large adjusting firms because this is what the carriers are requiring I am assuming )about the non resident requirements so rather than obtaining functional training they think non resident license is the only requirement to obtain adjusting firm deployments.

Claims handling is not a game of bingo where you just fill in the dots to win.” B- Fl license”, C- Tx license, diagram- check, photos- check, you get the idea. That seems to be the manner new trainees are being taught which drives me nuts!

. To enhance independent adjusters understanding of professional claim
development through sources such as www.aicpcu.org versus forum training and
attendance at ridiculous prices at the hundreds of new schools or adjuster websites cropping up nationwide put on by some adjusters with little more than 1 or 2 storms under their belt and no true perspective of carrier management expectations from a
management standpoint. We are here to service carriers and minimal claim
handling practices are destroying the independent talent being deployed by
carriers. One such example includes trainees sharing with us that they were taught at a “claim school” they didn’t have to climb roofs and could do “drive by ” photos. Whew- now that brings fear of Bad Faith for sure! A second example is a firm holding classes that has one 30 day assignment to a windpool as his credentials! It is getting pretty dern scary out here without regulations training firms must meet to allowed to teach something so important as claims handling.

.Together the synergy of our group networking together can improve so many
needs not only for the claims industry but for insurance consumers already
facing an insurance coverage crisis as multiple carriers leave the coast.

. To raise awareness for all adjusters on safety concerns while handling claims
in an environment often hostile to the claims industry post Katrina and Ike.  Just search for safety concern posts we have already posted on our blogs about ladder safety and an adjuster murdered while field inspecting a loss near Tampa, FL several years ago.

. To raise awareness of the often overlooked agency / claims relationship that
is being experienced in claims. I find through the 200 plus newly licensed adjusters
taking our class that they were totally unaware of the need to communicate with agents who have worked long and hard to foster clients while at the same time experiencing
underwriting restrictions worse than at any time I recall in over 30 years in claims. We have two or three blogs here on that very topic!

. To foster relationships with insurance departments to enhance information
available to adjusters regarding complaint ratios for adjusting firms while at
the same time requiring insurance companies to notify insurance departments of
adjusting firms dismissed for unethical or poor claim handling issues.

Insurance consumers should not be subject to claim handling by firms showing  trends for providing inferior claim service nor should adjusters who have spent thousands
of dollars training be subject to abuse by the few bad apples in the adjusting
firm community who repeatedly take advantage of adjusters by not paying
 fees  earned to adjusters.

We need to stop adjusters from calling policyholders to see if they have been paid as it is their only source of information as to  whether the independent adjusting firm was paid and they should have been paid. Carriers need to include information on contacting them in their carrier certification and/ or induction center classes in the event an adjuster becomes the victim of such efforts.

This is a widespread problem carriers need to be aware of. Independent adjusters are forbidden to discuss things like this with carrier staff. Advice often posted about placing liens on an insured’s property and other advice that has not been researched through expert attorneys would never be tolerated by carrier and could totally destroy an adjusting firm or adjusters association with a carrier. Let’s find out what the legal community advises through volunteer articles and guest blog posts or links to great articles found on the web written by law firms specializing both in claim litigation from a consumer standpoint as well as attorneys representing carriers. There are some great articles on so many topics available through article links on public law firm websites at no charge so there just is not an excuse for us not to learn from these outstanding resources.

How about the poor advice many new independents are given about “throw away” phones..see our communication blog for more details. Thank goodness for independent firms or insurance companies now requiring voice mail for customer messages. My personal preference which I required while managing at independent firms is that ALL messages from policyholders be logged into the activity log by the call centers or administrative help. I then required the admns bring all messages directly to me if the call was over an adjuster’s failure to show up for an appointment or to return calls. Most carriers do have such strict requirements while many of the independent firms do not implement those requirements if the carrier has not specified this requirement.

. Due to increased litigation published in news sources and blogs, carriers and adjusting firms are being served with suit papers in an ever increasing number. Questions are regularly posed regarding an adjuster’s training, and independent adjusting firm or TPA’s training for adjusters, and to the adjusters  and or carrier executives themselves.

I have been weighing these problems since Katrina litigation and have finally made a decision that I in good conscious cannot comfortably send adjusters out to adjusting firms when we have no control over their payment delays, the carriers training requirements and other liability issues.

 I have decided to pursue growth of our training services to field networking opportunities through ClaimSmentor to help improve the problems just partially outlined above.

“Pay it forward”  to thank the mentors you have had in your life by joining our efforts at ClaimSmentor and through our Linkedin contacts, and by comments adding to discussions either in the forums, this blog, or our linkedin site. Together we can make a differencef in claim relationships.

We will continue to accept registrations through ClaimSmentor. Members will
have the opportunity to upload their resumes and adjusting firms, recruiters, and carriers to upload a flyer or brochure on their company just as they do now. They will also be able to access our Rosters and find talent that may just meet their needs by considering our members.

Firms can sort by state and experience levels as we have trainees through managers and
experienced adjusters. 

As we will no longer be staffing with the exception of a very few select
existing clients or carrier staff positions, we will begin a service for
carriers and adjusting firms who desire mass distributiion of their opportunities
rather than waiting on adjusters who might just happen to find them on web
advertisements.

 We will be proactive for you so you are not left without qualified adjusters should you wish to participate in this service. This will give you additional candidates to consider for deployment when you have depleted your roster of qualified candidates.

All participants at ClaimSmentor should go to the “MY Account tab” after
login and change your preference to allow or not allow emails from our mailing
system to your registration email. However, note that this will also prevent you
from receiving notifications on topics you want updates on. All member profiles
are required to have an active valid email address under our Terms of Use posted
in the forums as well as real first and last name and city and state.

Please allow 10 days to receive your login id and password if you are a new
registrant as we are presently overwhelmed with requests for membership as we
transition thousands of adjusters from our claim staffing rosters to members of
ClaimSmentor for those who confirm they would like to participate.

 If you are a  member of our rosters receiving this announcement by email, we will not automatically register you at www.ClaimSmentor.com. You must reply to the email you receive from Debbie@Dimechimes.com requesting specifically to join. We will not upload your resume or profile fields. You can do that upon first login when you join.

Watch for much more information in our forums coming very soon as well as
upgrades on all of our sites to include this blog and our new Dimechimes ClaimSmentor Claims group located under Insurance Claims groups at :

www.linkedin.com/dimechimesclaimsmentor.com

We cannot thank you enough for your continued support and participation in our
ClaimSmentor e-mentoring project to support the claims industry and to those who were members of our deployment/assignment rosters.

We do hope you will be supportive of our ClaimSmentor efforts. The S in
ClaimSmentor has always stood for service to the claims industry and we will now
“major” in those service attempts!

The only change you should see is improvement in our forums, blog posts, and experience and credentials of mentors who join to participate enhancing your membership at ClaimSmentor, and many more claim assignment opportunities for those moving from our rosters at Dimechimes Claim Staffing as we network and register many new members to bring you information. We will be posting many more insurance and claim recruiters and job posting sites information now that I no longer have will have a competitor joining from the recruiting side.

************

You can find all website and contact information at the About page here on our blog.


Breaking News- Citizens has posted 30 firms selected for Tier 1 on new RFP

June 18, 2008

Special thanks to the claims manager who has shared that Citizens has now posted the names of the 30 adjusting firms selected to fill the new RFP for daily and catastrophe claims.

The information is not in the usual Awarded or Closed Purchasing documents but is listed in the FUTURE Meeting dates section for the Board of Govenor meetings due to a 6/18/2008 2:30 PM Claims Committee meeting where they are seeking approval on their selection of these 30 firms out of the 69 firms submitting RFP documents.

Here are the links to read all of their uploaded documents as they have posted on their website:

https://www.citizensfla.com/about/mDetails_boardmtgs.cfm?event=256&when=Future

**UPDATE 6/19- they’ve  now moved the meeting notes to the PAST meetings link when you click on the Board of govenors notes. Here is the new link where you’ll find all of the documents

https://www.citizensfla.com/about/mDetails_boardmtgs.cfm?event=256&when=Past

 

**note if your system is like mine, I get a security warning any time I try to access a Citizens web page but if you just keep refreshing your web browser the page will eventually come up

These are the documents they presently have uploaded on the left side of this link to the June 18, 2008 Claims committee meeting:

Meeting Documents:
Main Agenda Document:
Claims_Agenda_6_18_08.pdf
Agenda Items:

02A: 02A RFP 08 0016.pdf

02B: 02B 08 0016 Addendum.pdf

03A: 03A IA Daily CAT Exec Summary.pdf

03B: 03B Exhibit A RFP Timeline.pdf

03C: 03C Exhibit B Statement of Work.pdf

03D: 03D Exhibit C Contract Terms and Conditions.pdf

03E: 03E Exhibit D Firms Recommended.pdf

 

It is my understanding directly from the claim manager who advised the documents were posted that they have not yet received communication from Citizens notifying them that they were not selected/were selected. They found the information by searching the web site as well. I had been watching it every several hours for the announcement but in the usual places for Awarded and Closed purchasing documents.

This is a major disappointment for the firms not selected who participated and incurred the expense to host the new face to face training for the 2008 storm season and now “feel like lame ducks” knowing they will work catastrophe claims in 2008 but not selected for 2009. Our sympathies are with these firms.

Make sure to read all of the documents uploaded for their meeting this afternoon as they contain timelines for the transitions for the new firms who will be working as well as designated training periods for the new vendors.

We note that there are several firms not on the current list of 46 firms for the 2008 season so we’ll be furnishing website links for the new firms as soon as we have the list completed for our members over at ClaimSmentor.


Citizens of FL changes Independent Training Requirements for 2008

May 14, 2008

 

Thousands of independent adjusters participated in the 2007 online training requirements with Citizens of FL so they could handle their claims.

We’ve all been notified by numerous adjusting firms that those requirements recently changed yet again to require face-to -face training versus the online training with the independent adjusters due to the change in requirements by Citizens. Many of the vendor emails state the online training you took in the summer/fall of 2007 will NOT qualify you to work 2008 losses.

Evans Claims has the actual email from the Citizens Interim Catastrophe Director, Mike Schwartz posted on their website here:

http://evansclaims.com/wiki/ECS/FlaCit


Here’s what it says in case it is taken down:
May 12, 2008

Memo To: Citizens Independent Adjusters

From: Mike Schwarz
Interim Claims Director – Catastrophe Operations
Citizens Property Insurance Corporation


RE: 2008 Citizens Training

Representatives from your adjusting firms recently attended this years Train the Trainer workshop. They received important updates to our workflows and processes. During our meeting, we also communicated the requirement that face-to-face training be completed by all independent adjusters for 2008. We understand that this is an additional requirement to previous years and we do appreciate the time and travel that will be involved in completion of this training. This extra step is important for us to validate the quality of training provided to our independent partners. We are committed to providing a high level of customer service to our customers and proper training is critical in the achievement of this goal. We thank you for your efforts over the next several weeks as we prepare for the upcoming storm season.

Thank you,

Mike Schwarz
Interim Claims Director- Catastrophe Operations
Citizens Property Insurance Corporation

******

I double checked the Citizens website and it still has the old online requirement information posted on their Adjuster Resources page here (look at top right hand corner where it says Adjuster Training):

https://www.citizensfla.com/adjuster/index.cfm

We are posting copies of all 46 vendors training emails in our ClaimSmentor Seminars Forums as we receive copies so adjusters know where they can find the training. Thus far, we’ve found classes in many states to include TX, FL, GA, AZ,  CO and several others. Most of the emails we have seen thus far are from vendors offering the training free of charge to independents. Citizens still doesn’t have the website links up for the 46 vendors either and we have posted those in our forums as well. They were difficult to find for many of the firms as they weren’t listed correctly on their award list. For example, CNC-Resource out of Mobile,AL is one of the vendors yet they are listed on the Citizens Award list on the adjuster resource link above (bottom left hand column on that page) as Resource CNC and there are several other errors we found in names. They also never updated the award list with the 46th vendor that later added to the award group.

Many adjusters are in an uproar over the continual changes, fee schedule issues and over the Citizens Q & A answers in response to vendors questions as a result of the new RFP for vendors wishing to work  their claims that was posted 4/22/08  through 5/09/2008 on their purchaing site (click here to view RFP 08-0016 and all addendums and revisions) then once again revised 4/28/08 (this is in addition to the initial RFP posted at the beginning of the year that was cancelled for changes). Can you imagine if they have this  much trouble BEFORE a storm has hit just coming up with vendor requirements what the ever changing issues will be once adjusters do begin to work their claims? The adjusters voicing concern are rightfully doing so!

I haven’t had a chance yet to write the blog on the comparison of the 2008 RFP from the 2007 RFP requirements but they are drastic and I”ll try to get that up within the next couple of days and leave this post to addressing the new training challenges only.

If you wish to join  our claim industry group at ClaimSmenor to view the Seminars Forum for this info, you’ll find the registration link on our About Page here on the blog.


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