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The Art of Adjusting® Podcast

William Auten & Chantal Roberts

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Dive deep into the world of insurance claims with our podcast, newly rebranded as "The Art of Adjusting®"—a title echoing the revered book of the same name. This revamped podcast is not just a beacon for professionals navigating the adjuster landscape but also a wealth of insights for those curious about the intricacies of the industry. We're thrilled to announce that Bill Auten, owner of Auten Claims Management, will now share the mic with a stellar co-host, Chantal Roberts. Chantal isn’t j ...
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Happy Independence Day! We think you will find this to be an educational episode. William and Chantal discuss several challenging subjects related to motor vehicles and homeowner policies. They explore car classifications, modernizing policies, and the roles of claims adjusters. They analyze how changing policyholder needs and new technologies like…
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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 intro…
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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. Cha…
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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…
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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…
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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. Disco…
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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 Deprecia…
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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 hi…
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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. T…
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In this episode of "The Art of Adjusting® Podcast," hosts Chantal and William discuss the intersection of history, legal intricacies, and the dynamic world of insurance claims. They take a journey from the ancient Egyptian invention of leap years to the details that define modern insurance policies, focusing on the important aspects of policy effec…
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In this episode we discuss the complex intersection of artificial intelligence (AI), deepfake technology, and cybersecurity within the insurance claims handling process. Our distinguished panel, including Chantal Roberts, William Auten, and Sean C. Griffin, addresses the escalating threat of voice impersonation and email scams powered by AI. There …
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In this episode of The Art of Adjusting® podcast, Chantal Roberts and William Auten dive into a topic that doesn't get enough attention in the insurance adjusting world: mental health. They're joined by Brandon Cabrera, and together, they shine a light on the stress that comes with the job and share some smart ways to take care of yourself. Learn m…
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In this episode, Bill and Chantal explore the critical skill of statement taking in claims adjusting, highlighting its importance in both 1st party property losses and 3rd party liability 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 …
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Welcome to The Art of Adjusting® Podcast where our hosts Chantal and William dive into insurance claims and legal challenges. In this episode, we’ll discuss the nuances and complexities that insurance adjusters face, especially concerning bad faith lawsuits and adhering to the Unfair Claims Practices Act. Learn more about our services at Auten Clai…
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In this holiday episode of our podcast, we undertake fascinating discussion on legal matters with a sprinkle of holiday whimsy. Join our hosts, Chantal and William, as they navigate the world of closed captioning before welcoming a special guest, Donna Meehan, a distinguished partner at Cosmich, Simmons & Brown, PLLC in Jackson, Mississippi. Learn …
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In Episode 30 of The Art of Adjusting®, Chantal and William explore the relationship between insurance agents and adjusters. This discussion, inspired by a colleague’s email about a conversation between an agent and an adjuster, focuses on essential skills in the insurance industry. Learn more about our services at Auten Claims and gain insights fr…
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So, what's the first thing that the insurance company looks for when they're looking at an injured worker or workers compensation claim in the state of Georgia? Well, first thing they say is the person who's injured. Are they even an employee or they an independent contractor? And so, that's a huge deal. If they're an employee, okay now they go the…
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We received a call the other day about someone who was talking about a deposition. And their question was, "How do you win a deposition?" And the short answer is, you really can't win a deposition. You really can't win your case with a deposition. You can lose your case with the deposition depending upon how that goes but you usually will not be. W…
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So, what is discovery In a workers compensation claim in Georgia? Well, discovery can mean several things but it's usually written documentation. It can also be a deposition. But typically you see them most commonly in what are called request for admissions where you are requesting that the other party admit that a statement is true. Interrogatorie…
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We were contacted the day by someone who works at a bar. "One night a customer assaulted her during her work. She filed a police report. And the police said, "Unless she knows who her attacker was they cannot do anything." So, the employer will not pay for her hospital bills. And she has no health insurance. What should she do?" this is a case wher…
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We received a question the other day. "I was driving on the highway and a large tractor trailer in front of us lost part of its tire. We were injured and the police came. However, there was no way to get the driver's information because he was long gone. He kept driving. We did get the name of the trucking company. Our insurance company says we nee…
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Hello, Ty Wilson here. We're answering a couple of questions that we've received over the last couple of weeks. This question is, "I have a case currently. I was on work restrictions. So, sounds like a work injury, and my supervisor made me work full duty regardless am I liable for that." I'm not sure I understand the whole, "Am I liable for that?"…
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Join us for this heartfelt and insightful podcast episode that discusses the unique experiences of insurance adjusters during the Thanksgiving season. In this special Thanksgiving edition, hosts Bill and Chantal share their personal stories and challenges of working on this family-centric holiday. They explore the balancing act of managing work res…
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Hello. Ty Wilson. Georgia workers compensation attorney here. And we're answering questions today. Snd so, our question today is, What if I was injured in Georgia but now I live in Alabama? Do I still have a workers compensation claim? And the short answer is, yes. A lot of what determines where you can file your claim is where were you hired. And …
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So, a question we got today was What if I'm a subcontractor? Hello my name is Ty Wilson I'm a Georgia workers compensation attorney and we're answering questions today. And this question was, "I've been injured on the job but I'm a subcontractor. How does that change my situation?" Well, as a subcontractor you're not an employee and so you're not c…
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We're covering some questions that we have received over the last couple of weeks. And I'm just gonna read the question. "I'm having a terrible time getting answers from the insurance company that represents the person that hit my daughter. They have so many excuses. But meanwhile, my daughter's car is towed. And she is still having medical issues …
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We received a couple of questions I want to try to go through today. And so let's start with the first one. "Can an employer deny your workers compensation playing If you've been on the job for three days?" Well, the short answer is no, they cannot. We've represented people who were injured on the first day literally. Signing the agreement to work …
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So another question we received the other day is, "Is it true that you can't get money from a settlement if your injuries are back and neck?" Well, this is a very short answer but, no. That's not true at all. In fact a big portion of the claims that we have represented have been neck and or back claims. And so, there's no barring or saying that you…
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Look, Ty Wilson here. I'm Georgia Workers Compensation attorney practicing law in the state of Georgia. and our video topic for today is choke points and what we mean by choke points are. What are some of the things in workers compensation claims that can cause unnecessary delay denial, frustration what have you? And so, when someone first gets inj…
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We received another question the other day. Someone had been injured on the job. They got surgery on one of their legs and they got returned back to work. And when they got returned back to work they were subsequently fired at work. And then, they're still getting medical care. And so it looks like they're gonna need another surgery down the road o…
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"Subrogation Simplified" is part of our podcast series designed to foster education and dialogue among professionals across the insurance industry. With a special focus on claim professionals, we aim to explore the various facets of insurance to enlighten, inform, and provoke thoughtful discussions. Learn more about our services at Auten Claims and…
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We received a good question the other day from someone who was asking, "Can an independent medical evaluation or defense medical examination doctor put you on modified duty when they're not your authorized treating or your main doctor?" And the short answer is, they can put that in their records. They can make that recommendation. However, the real…
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We received a question the other day about someone who had been terminated as a result of a work injury. And they were asking well, "How long does the employer have to wait to post a job for my position?" Well, here in the state of Georgia, we are At-will State. They can terminate you for cause or for no cause at all. And so, there is no set time o…
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And the fact of the matter is you can settle the case without a lawyer. You will probably do better if you have a lawyer. That being said, there are some people who are absolutely opposed to hiring attorneys. And so, you will basically resolve your case for whatever the insurance company wants to resolve their case for. When you have an attorney, t…
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Got a question the other day about someone who has settled their case. And they're wondering, "Well, how long does it take to get a copy of the release in the settlement document?" And the short answer is, that just depends. Typically, if you're receiving income benefits, they find a way to get that tea pretty quickly because they wanna end those w…
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All right, this is gonna be a question that we received recently. "Can I continue to get workers compensation payments if my employer has brought me back to part time work?" and the short answer is, Yes. It does sound like you can. But you're gonna have to put pencil to paper if you will. Depending upon what your income benefit rate is or your comp…
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We received a question today. "Will I be forced to quit my job if I follow workers' compensation claim?" And the short answer is, not if you file it to know not if you file a workers compensation claim. If you settle a workers' compensation claim, a lot of times the insurance company will request that a resignation be signed if you're going to sett…
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Well,l if you've been injured by a co-worker who's on the clock in the course and scope of their employment, you have a workers compensation claim but you don't necessarily have a personal injury claim. And so, the exclusive remedy says, "If the employer injures you or a co-worker, you have to go through Georgia workers compensation." That is the e…
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Got a question the other day. "Someone cut me off in traffic causing me to swerve and hit the car next to me. We were both injured. Should I file this on my insurance or what? Do I file mine on my insurance and his on mine? What about the person who cut us off? How does that all work together?" Well, if someone actually hit and drove off and you ha…
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We got a question the other day. "I was injured on my job by a customer. The insurance company said they would not pay because I should have had an insurance policy. What is that? And why should I be required to have it?" Alright well… I have more questions and answers on this one. If you are an employee then the workers compensation insurance cove…
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We got a question the other day. If I was injured by a customer while working at my company or a company, do I need a police report or something? I don't know what to do to pay for my hospital bills. Okay, so this could be a gray area. I would recommend that you file a report with your employer. If they refuse to pay or to set up this claim which w…
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Welcome to the The Art of Adjusting® podcast, where your hosts Bill Auten and Chantal Roberts take you on a journey through the fascinating world of insurance claims. In this episode, we're diving headfirst into the autumn season and how it can have a significant impact on insurance claims. Learn more about our services at Auten Claims and gain ins…
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So, we received a call the other day about someone who was hit by an uninsured driver. And they had to file the claim through their uninsured motorist coverage. And their question was, "Why is my insurance company treating me like I'm the problem?" And had to explain to them, "Look, the insurance company or the insurance businesses in general are a…
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So, what is subregation from a standpoint of workers compensation? Well, subregation is the right for the insurance company in a workers compensation claim to be paid back. Well, where do they get this right? Well, this right is written in the laws. However, what it usually means is it's a scenario where you have a personal injury and a workers com…
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So we received a call the other day from someone wondering how negligence interacts with the workers' compensation claim. And so, in Georgia the workers' compensation claim or the system is what is called the no fault system. What that means is you do not have to prove that the injury was the fault of the employer. Now, there are other things that …
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If you've been injured on the job, you need to know that the mileage rate is recently gone up. And so, now after July 1st of 2023 the mileage rate has gone from $0.40 cents to $0.45 cents. So, what does that mean? That means for every visit where you drive from your home to the doctor from your home to the physical therapist from your home to the p…
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The key to getting your medical care approved quicker faster and not an unreasonable delay. Which is kind of the name of the game when you're injured on the job, is when you see a doctor, if they order physical therapy, MRI EMG, nerve conduction study anything. Xray. Anything they tell you. Anything outside the office. "We're gonna order you this."…
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Getting orders. We've talked about this in another video. So, if you've been injured on the job, and your doctor says, "You know what?" "This injury… "I think we need to get an MRI again." You wanna ask for the script. And what I mean by that is they will write a script out or the doctor will give you something in writing. And that's the key. Somet…
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If you've been injured on the job, you likely will need medical care. And if the medical care stops at an urgent care clinic, okay. Well, that's great. Your injury has been sufficiently taken care of as long as you believe it has been. However, if it's more serious a lot of times, if you're at an urgent care clinic, they refer you to a specialist. …
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A defense medical examination. This is where the employer insure have paid a doctor to see you for a one time visit. They're seeking an opinion. They may be seeking a second opinion on your doctor saying if you need surgery. There's all kinds of reasons they can do that. But, can a schedule one that is five hours away? We had that happen recently. …
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