Episodios

  • Episode #44 - Adjusting to AI: The New Frontier in Claim Management
    Jun 20 2024

    Hosts Bill and Chantal are joined by special guest Luis Diaz, a thought-provoking entrepreneur with a passion for technology and insurance claims.

    https://www.linkedin.com/in/luisarturodiaz/

    https://www.gobeyondroadmap.com/

    In this episode, they explore the transformative impact of artificial intelligence on the insurance claims process. Luis introduces Claim Mentor, an innovative AI tool that streamlines claimant statement processing and transcription scheduling. The hosts discuss the challenges faced by adjusters, the importance of the human element in client interactions, and how AI can offer varied perspectives on cases. They also dive into the integration of AI in claim processing, the significance of active listening in interviews, and the crucial role of effective communication in managing customer claims. Tune in to this engaging conversation as they navigate the intersection of technology and human expertise in the dynamic field of insurance claims management.

    For more insights, you might consider a career in liability adjusting or if you're searching for reliable adjusting services, visit Auten Claims Management.

    To explore more about Chantal Roberts and her contributions to the industry, visit CMR Consulting.

    Promotions:

    • Once Upon a Claim: Explore the magical world of claims adjusting through fairy tales. Get your copy now.
    • The Art of Adjusting®: Master the art of claims adjusting with practical insights and expert advice. Purchase here.




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    50 m
  • Episode #43 - Balancing Tech and Touch: The Heart of Claims
    Jun 6 2024

    In this episode, Bill and Chantal explore the human element in claims adjusting. They discuss the importance of empathy, effective communication, and cultural sensitivity in the profession. Bill shares personal stories that highlight the need for adjusters to remember that for many claimants, this is their first and only experience with a loss. Chantal provides practical techniques for de-escalating tense situations, such as speaking softly or using strategic pauses during phone calls.

    They also discuss the challenges of managing stress and emotional resilience for adjusters, emphasizing the importance of continuous education and self-care. The conversation touches on the impact of AI in claims processing and the importance of maintaining the human touch despite technological advancements.

    Listeners are reminded of the importance of picking up the phone and having real conversations with claimants, understanding regional and cultural differences, and educating both themselves and their clients. Bill and Chantal also tease an upcoming episode featuring Luis Diaz, who will discuss the role of AI in the industry.

    For more insights, you might consider a career in liability adjusting or if you're searching for reliable adjusting services, visit Auten Claims Management.

    To explore more about Chantal Roberts and her contributions to the industry, visit CMR Consulting.

    Promotions:

    • Once Upon a Claim: Explore the magical world of claims adjusting through fairy tales. Get your copy now.
    • The Art of Adjusting®: Master the art of claims adjusting with practical insights and expert advice. Purchase here.




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    54 m
  • Episode #42 - The Navigation of Litigation: The Adjuster's Role and Challenges
    May 23 2024

    In this episode, William and Chantal explore the world of litigation and its impact on claims professionals. They discuss the role of adjusters in the litigation process, the importance of effective communication with clients, and the unique challenges faced by elderly individuals on Medicare when filing claims. The episode also covers the 'duty to defend' in insurance policies, handling cases involving attorneys, and the procedures and implications of filing a lawsuit.

    Chantal shares valuable insights from her book, "The Art of Adjusting®," while both hosts emphasize the need for prompt and clear communication to prevent potential bad faith claims. Listen to gain a thorough understanding of these crucial aspects of claims adjusting and learn how to handle the complexities of litigation successfully.

    For more insights, you might consider a career in liability adjusting or if you're searching for reliable adjusting services, visit Auten Claims Management.

    To explore more about Chantal Roberts and her contributions to the industry, visit CMR Consulting.

    Promotions:

    • Once Upon a Claim: Explore the magical world of claims adjusting through fairy tales. Get your copy now.
    • The Art of Adjusting®: Master the art of claims adjusting with practical insights and expert advice. Purchase here.




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    54 m
  • Episode #41 - Deciphering Damages: A Comprehensive Guide to Claim Settlements
    May 9 2024

    Welcome to Episode #41 of "The Art of Adjusting® Podcast" - your go-to resource for expert insights and practical tips on navigating the world of claims adjustment. In this episode, join hosts William Auten and Chantal Roberts as they discuss the challenges of assessing damages in insurance claims.

    To read more on the topic of determining the value of claim settlements, be sure to check out the latest ACM Blog Post on the topic.

    From property damage to bodily injury claims, William Auten and Chantal Roberts explore the complex task of evaluating special and general damages, unpacking common misconceptions and debunking myths along the way. Drawing from their extensive experience in the field, they share real-world examples and practical strategies for accurately valuing claims while ensuring fairness and ethical integrity.

    Tune in as they discuss topics such as replacement costs vs. actual cash value, the concept of betterment, diminished value in automobile claims, and the challenges of determining liability and negotiating settlements. Whether you're a seasoned claims adjuster or just starting out in the industry, this episode provides valuable insights to enhance your expertise and empower you to navigate the complexities of claims adjustment with confidence.

    Interested in learning more? Check out the latest titles by Chantal Roberts:

    - Once Upon A Claim: Fairy Tales to Protect Your Ass(ets)
    - The Art of Adjusting: Writing Down the Unwritten Rules of Claims Handling

    Don't miss out on this informative and engaging conversation on "Deciphering Damages" - only on "The Art of Adjusting® Podcast." Subscribe now and join us as we continue to explore the art and science of claims adjustment, one episode at a time.

    For more insights, you might consider a career in liability adjusting or if you're searching for reliable adjusting services, visit Auten Claims Management.

    To explore more about Chantal Roberts and her contributions to the industry, visit CMR Consulting.

    Promotions:

    • Once Upon a Claim: Explore the magical world of claims adjusting through fairy tales. Get your copy now.
    • The Art of Adjusting®: Master the art of claims adjusting with practical insights and expert advice. Purchase here.




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    44 m
  • Episode #40 - Unpacking Negligence - Key Concepts in Liability and Insurance Claims
    Apr 25 2024

    Join William Auten and Chantal Roberts in this insightful episode of The Art of Adjusting® Podcast as they examine key legal concepts of negligence in the insurance industry. This episode explores topics such as negligence per se, premises liability involving trespassers, licensees, and invitees, along with the principles of strict liability. Discover how these legal frameworks affect insurance claims and the responsibilities of policyholders, illustrated with practical examples and a unique fairy-tale twist.

    In this discussion, they illuminate the complexities of liability and policy language, using a captivating story involving Rapunzel. Learn more about how these issues impact insurance claims by visiting Auten Claims Management, where you can find out how ACM aids insurance companies and self-insured entities in investigating third-party liability claims. Explore the depths of claims adjusting at The Art of Adjusting, where you can also learn about the author Chantal Roberts and her publications. Don’t miss out on Chantal Roberts' new book, “Once Upon a Claim,” available at Bookshop.org. Secure an advance copy and immerse yourself in a world where fairy tales, nursery rhymes, and fables do more than entertain—they educate on the essentials of property and casualty insurance and claims. Roberts turns the potentially daunting subject of insurance into an engaging and accessible guide for confidently navigating claims with insight and authority.

    For more insights, you might consider a career in liability adjusting or if you're searching for reliable adjusting services, visit Auten Claims Management.

    To explore more about Chantal Roberts and her contributions to the industry, visit CMR Consulting.

    Promotions:

    • Once Upon a Claim: Explore the magical world of claims adjusting through fairy tales. Get your copy now.
    • The Art of Adjusting®: Master the art of claims adjusting with practical insights and expert advice. Purchase here.




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    50 m
  • Episode #39 - Policy and Practice: Depreciation of Labor
    Apr 11 2024

    Exploring Depreciation of Labor and Materials

    In this episode of The Art of Adjusting® Podcast, William Auten and Chantal Roberts navigate the complexities of depreciation in insurance claims, focusing on labor and materials. They kick off with an examination of depreciation, from wear and tear to obsolescence, highlighted by insights from Depreciating Materials Only vs. Depreciating Labor and Materials Together. Discussion points include the importance of detailed planning, accurate documentation, and involving insurance contractors early to streamline claims processing.

    Methods to Calculate Actual Cash Value

    William and Chantal discuss calculating actual cash value, covering market value, the broad evidence rule, and policy implications. Learn more about the depreciation debate by checking our this blog on the topic of Depreciation of Labor and Materials, as well as insights on the depreciation of labor from the National Association of Mutual Insurance Companies.

    Debating Depreciation of Labor in Insurance Claims

    The debate on depreciating labor within a claim is evaluated, focusing on legal standards for actual cash value and third-party claims. The hosts focus on clearing up misconceptions and how to form best practices on depreciating labor, overhead, profit, and sales tax.

    William Auten and Chantal Roberts offer invaluable insights for insurance professionals and adjusters on the "depreciation of labor" in insurance claims. Episode #39 is a must-listen for those refining claims handling or seeking insights on insurance adjustments.

    Additionally, Chantal Roberts' upcoming book, Once Upon a Claim: Fairy Tales to Protect Your Ass[ets], releasing May 11, 2024, provides a deeper dive into claims adjustment. Don't miss the chance to win a free print copy of this essential guide for navigating insurance claim complexities.

    For more insights, you might consider a career in liability adjusting or if you're searching for reliable adjusting services, visit Auten Claims Management.

    To explore more about Chantal Roberts and her contributions to the industry, visit CMR Consulting.

    Promotions:

    • Once Upon a Claim: Explore the magical world of claims adjusting through fairy tales. Get your copy now.
    • The Art of Adjusting®: Master the art of claims adjusting with practical insights and expert advice. Purchase here.




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    58 m
  • Episode #38 - Rising Tides, Rising Challenges: Beyond the Floodline
    Mar 28 2024
    In this episode of The Art of Adjusting® Podcast, Chantal Roberts and William Auten dive deep into the complexities surrounding water damage, storm surges, and their implications on insurance policies. They shed light on the critical role of flood-certified adjusters and the nuanced limitations within flood policies, especially in the context of high-value homes in flood-prone areas. The discussion also covers the often-ambiguous policy language, spotlighting specific challenges such as sump pump failure and its coverage issues.



    Understanding the complexities of flood insurance is very important for both flood adjusters, and non-flood adjusters, and to aid in this endeavor, we recommend visiting the FEMA Flood Map Service Center for valuable resources and information. For those looking to deepen their knowledge, Chantal Roberts’ upcoming book, Once Upon A Claim: Fairy Tales to Protect Your Ass(ets), is a must-read. You can pre-order your copy from independent booksellers through Bookshop.org.

    Chantal and William emphasize the paramount importance of empathy in handling insurance claims, underlining the adjuster's role in navigating through these intricate situations with compassion and understanding. The conversation is not just technical but also touches on the human aspect of insurance claims, reflecting on the importance of clear communication and thorough understanding of policy details among homeowners and adjusters alike.

    Listeners can look forward to an insightful dialogue that not only explores the technicalities of insurance policies and the adjuster's role in flood scenarios but also delves into the ethical and empathetic considerations essential in the industry. Additionally, the episode sets the stage for future discussions on depreciation and third-party liability property damage claims, promising more enriching content for professionals and enthusiasts alike in the field of claims management and insurance.

    For those seeking expert assistance in handling third-party liability claims, Auten Claims Management, Inc. offers unparalleled support. Visit www.auten.claims to learn more about how we can assist you in navigating the complexities of personal injury claims, ensuring the best outcomes for your company and policyholders.

    For more insights, you might consider a career in liability adjusting or if you're searching for reliable adjusting services, visit Auten Claims Management.

    To explore more about Chantal Roberts and her contributions to the industry, visit CMR Consulting.

    Promotions:

    • Once Upon a Claim: Explore the magical world of claims adjusting through fairy tales. Get your copy now.
    • The Art of Adjusting®: Master the art of claims adjusting with practical insights and expert advice. Purchase here.




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    51 m
  • Episode #37: Clarity in Contracts: A Claims Adjuster's Guide
    Mar 14 2024

    Chantal Roberts and William Auten unpack the complexities of insurance contracts and the vital role of claims adjusters. Their discussion spans crucial topics from the skills required to understand insurance policies, the implications of 'hold harmless' agreements in leases, to the intricacies of additional insured status and insurer obligations. Through hypothetical scenarios, they illustrate the responsibilities and challenges adjusters face in tenant-landlord disputes and construction contract liabilities.

    This episode also explores the significance of contract reviews, especially concerning indemnification, subrogation, and insurance policy endorsements and exclusions. William and Chantal emphasize the importance of continuous learning and legal consultation in navigating the landscape of insurance claims.

    Learn more about our services at Auten Claims and gain insights from CMR Consulting by visiting CMR Consulting. Additionally, don't miss out on Chantal’s insightful book, Art of Adjusting®, available now.

    In this episode, Chantal also endorses Coverage Opinions (https://coverageopinions.info/) as an invaluable resource for staying informed on insurance coverage issues, reflecting the podcast's commitment to enhancing industry knowledge and practice.

    This episode not only offers a wealth of knowledge for claims adjusters at all levels but also underscores the ongoing need for expertise, clarity, and effective communication in the management of insurance claims.

    For more insights, you might consider a career in liability adjusting or if you're searching for reliable adjusting services, visit Auten Claims Management.

    To explore more about Chantal Roberts and her contributions to the industry, visit CMR Consulting.

    Promotions:

    • Once Upon a Claim: Explore the magical world of claims adjusting through fairy tales. Get your copy now.
    • The Art of Adjusting®: Master the art of claims adjusting with practical insights and expert advice. Purchase here.




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    1 h y 8 m