Sep 202018
 
Claims Process Simplified

Probably the single most important thing to understand, is that the insurance adjuster works for the insurance company ONLY. Not you, the insured. There are only three entities that can do that on an insurance claim. A licensed Attorney or licensed Public Insurance Adjuster, or You, the #insured. I do not suggest you represent yourself in court, or do you your own taxes… same goes for any insurance claim.

Insurance Claims Process Simplified 

As #Florence finally recedes into history as one of the wettest hurricanes on record for the Carolinas, the actual painful part is just about to begin. Figuring out who owes what from which carrier, and then making them give you their profits in order to pay your claim… Make no mistake, insurance, regardless of the type, is a business. The only way to be profitable in a business is to cut costs. When claims are your only business, the only place to cut costs is to cut claims payments. That simple.

We understand that process, and can accurately assess who owes what, Flood/Wind, and represent you on your claim. We are licensed and bonded, and have been for almost a decade. 

No Recovery, Absolutely No Fee! 

When we do recover… 10%.

Less than you tip a bad waiter.

Jul 102018
 

 

Credit to Randy Hobson, owner of DenTrust USA.

If you think it is bad on auto… residential homes step it up a notch, and commercial goes even further. They are no longer managing “your” risk, they are managing “theirs”.

If your home, church, or commercial property has sustained a covered insurance loss, and you feel like you were paid #pennies, or that something was just not quite right… odds are 99.99% that you were underpaid by at least that much…

No Recovery, Absolutely No Fee!

as always, #ProtectTheInsured

IBustInsuranceClaims.com

 

 

Need a FREE Insurance Claim Review, fill out the contact form below, or call us toll-free at 877-41-2BUST

No Recovery, Absolutely No Fee!

Apr 232018
 
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Mar 292018
 

Seems like a story straight out of a nightmare, and for most homeowners and business owners, that is not the half of it.

As consumers, we purchase goods/services for our benefit, not for our detriment. When you take insurance on its face value, it is supposed to make you whole after a covered loss, provided you paid your premiums, and were honest on your application. See definition below:

Definition of insurance

1a the business of insuring persons or property
b coverage by contract whereby one party undertakes to indemnify or guarantee another against loss by a specified contingency or peril
c the sum for which something is insured

2a means of guaranteeing protection or safety 

  • The contract is your insurance against price changes.

 

  • Frequent hand washing is good insurance against the common cold.

gambling a side bet that a player in blackjack may place when the dealer’s first face up card is an ace

NOTE: An insurance bet can be up to half of a player’s original bet. It wins at 2 to 1 odds if the dealer’s cards add up to 21.

Once a person purchases insurance, there should be a calming effect, knowing that if something happens in the future, you have already insured against that loss. In reality, and over a decade of performing nothing but insurance claims on behalf of the insured, I can tell you without fail, that this is one of the farthest things from the truth I have ever heard.

This post is about a singular insurance company, Nationwide Insurance, a singular law firm, Thompsons, Coe, Cousins and Irons, LLP., who employs the attorneys, and the wherewithal of the remaining factions to commit atrocities against the very people who paid them, trusted them, and ultimately had their lives ruined by them.

That is correct, violating the Public’s Trust for profit.

You see, as insureds, we purchase the product in case of a future, unknown event. We do this knowing that the odds are in the insurance companies favor, which is why they accepted the risk.

As a licensed Public Insurance Adjuster, I have had the pleasure of serving many, many insureds who have had issues with their insurance company when it actually came time to honor the policy they purchased. It is always the same. Insured purchases insurance, pays premiums for extended periods, then suffers a covered loss. What used to be isolated instances, have become common everyday instances of systematic non payments based upon opinions of those who owe you the money… and they have gotten far more advanced with technology, and the use of attorneys prior to the insured initiating a suit of their own. Again, you read that correctly. Insurers are hiring attorneys before anything else has happened, and having them step in the middle of the claims process.

Now, you may ask why? Well, I cannot speak for them, but I can lend you my knowledge and we can all draw our own conclusions.

  1. There is such a thing as pre-litigation discovery that would normally be a part of the claim file. This particular set of information is crucial to identifying when the insurer decided to go south, how many people were involved, and who knew what when. Information that should not be hidden, for any reason… unless you are attempting something nefarious. Now, when attorneys get involved in the beginning, I believe they will attempt a defense that states ALL communications from inception are privileged, and therefore not available for discovery…Again, why in the world would you want this to happen, unless, you were hiding things.

  2. Insurers enjoy what is called “float money”. They enjoy it for very simple reasons… it is very profitable. By their own definition, it is the money they owe, but have managed to keep for extended periods of time. May not sound like much, but it is actually an astounding amount when you compound it. They use this money to invest, to hedge, and to generally make money off of it as long as possible. If they get caught, the pay a miniscule amount as a penalty, and it is business as usual. In fact, last year in Texas, this penalty was cut nearly in half by a paid for legislature, against the will of many, many folks who testified about the harm it brings when insurers pay lessor penalties when they were actually caught. It is akin to catching your child stealing a cookie. Instead of punishment, I am going to give you two more cookies, and request you not do it again.

  3. Attorneys often believe they are above the law, after all, they are the only ones who can change it. When you understand this simple concept, an intelligent person will realize this cannot be so… no one is above the law, and that would especially include attorneys. What we are seeing today is that moral compasses no longer guide these folks, and the law has become something to test to the limits, and when it does not suit their personal agendas, or those of big time clients like insurers… they seek to change them in any way possible. Sometimes, that includes outright breaking of those rules on a level that is hard to contemplate, yet they do it.

I will give you the same response I am often given from unsuspecting insureds… “Cal, if it is against the law, how in the world can they do it?” The answer, well, it is as simple as your local speed limit signs.

Picture this: You are driving along, look over, and see that the speed limit sign reads 75 mph, so be a great driver, and law-abiding citizen… you set the cruise control at 81 mph. Whether you realize it or not, several things occurred in your head before you became a law-breaker.

  • I know this route, and have never seen a patrol on it…

  • Don’t cops give you a grace of 10% over… I’m under that…

  • I haven’t had a ticket in years…

Now, there are many, many more than this, but it is enough. Why… well, at some point during that time, you justified breaking the law. The lack of consequences, or diminished consequences, resulting in breaking the speed limit, which, as you guessed, is against the law.

Now, just imagine, that if on the other end of those justifications… were actual dollars. No sir, not imaginary dollars, but real dollars, and a whole bunch of them. What would be your reasoning for not breaking that speed limit?

Now, imagine you are an insurer, and that speed limit was the claim…

With passing of legislation that reduced their penalties in Texas, they have become much bolder. So much so, that we have had to become proactive in fighting them.

Sometimes, that fight has to occur in a courtroom. Why? It is the only tool that we, as citizens, have to protect ourselves from those who are much more powerful. One may claim that the Department of Insurance should step in, we have tried that route, because it is a part of the process, and as expected prior to sending, they are absolutely no help whatsoever, unless it is in favor of the carrier. (We have filed hundreds of valid complaints over the years, which fell upon deaf ears.)

As always, I have chosen to fight. There are others in my profession who cannot. There are many insured’s, over 90%, who are not even aware that our profession exists. All of them getting bullied on one level or another by insurers and their lawyers. This has to stop somewhere. Might as well be right here, right now. There has been a movement… #ProtectTheInsured, that now includes #IWillNotBeBullied!

We have filed the following lawsuit, found here: Redacted Lawsuit: InsuranceBusters.net v. Nationwide

INSURANCEBUSTERS.NET, LLC IN THE 244th DISTRICT COURT OF ECTOR COUNTY, TEXAS Plaintiff,
V. MICHAEL DOLES, individually; RHONDA THOMPSON, individually; BRlTTANY DUMAS, individually;
and NATIONWIDE GENERAL INSURANCE COMPANY;Defendants. C-18-03-0301-CV

The point of my post is to let others know. Yes, Goliath is huge… but he was defeated by a much smaller David, who had one thing on his side, righteousness.

If you have witnessed the same tactics, please, do not hesitate to contact us. We may be able to help prior to a lawsuit, and if not, we know some outstanding attorneys who do not like to be bullied either.

 

Feb 092018
 
It does not matter where the insurance comes from, or what type it is, or what you bought coverage for… #PropertyInsurance, #HealthInsurance, #AutoInsurance… this is the reality after filing a claim. A whole #system set up for one purpose… #profit.

As a population, we allow ego and pride to lie ourselves. For instance: “I am smart, I am educated, I am a, (Insert doctor, lawyer, preacher… agent/adjuster.) and I can deal with my claim on my own!”

This is an irrational conclusion. I could argue fact and statistics all day long, and win. But it really should not be necessary once the fundamental flaw of the entire process is explained in one simple statement.

The entity who owes you the money, is using their methods, their attorneys, their contracts and rules… to determine how much THEY #owe YOU!

They do this every single day of the year. Their stated goal is to make a profit, as it should be. Unfortunately, profit is a fluid thing for them. As stated above, they are using all of THEIR stuff to report earnings. Nor do their profits include massive expenditures, like #SuperBowls, #Nascar, or any other sport, cause, or event that they can manipulate to attempt and make us all believe they are there for us. That we are in good hands, or that they even represent us at all after a loss.

Fact is, they don’t. Ask your adjuster or agent, if they say they represent you, they are telling a bold-faced lie. They represent the carrier, not you, nor me. Their #loyalty is to their employer, not you.

Why we started InsuranceBusters.net.

Why we have been the target of the most powerful folks in the world, insurers. We figured out a way to do what they promised… #ProtectTheInsured.

While we cannot do medical or third-party, we can annihilate your #PropertyClaim. No Recovery, Absolutely No Fee!

Cal Spoon

Licensed Texas Public Insurance Adjusters #1603054
877-41-2BUST

Local office:
1521 W. Market Street
Suite E
Rockport, Texas 78382