Does an Insured have to Participate in an Examination Under Oath? Do They have to Produce their Financial Records? Why?
by Michael Weinstein, MBW LAW, March 2017
As public adjusters, you handle most claims without the need for your client to have to retain legal counsel; and that is a good thing. When a lawyer has to get involved in a claim prior to payment, the claim usually has some element of “noise.” “Noise” can consist of issues having to deal with a claim's cause and origin, coverage issues, and potential material misrepresentation.
In a typical claim where a lawyer has to get involved, the policyholder, with your assistance, submits a claim for coverage, and the insurance company determines it needs to be investigated, rather than setting the claim up for payment. When this occurs, the claim may be referred to the insurance company's Special Investigation Unit, or SIU. Once the SIU gets involved, further investigation takes place.