When the Saints Go Marching In -- Finally!!

September 1970 was a time of big personal change for me. We were living outside Washington, D.C. and my father had just received orders to the National Data Buoy Project at NASA’s Mississippi Test Facility, now known as the Stennis Space Center. My mother, who grew up in Philadelphia, Pennsylvania, was in tears wondering how her children were ever going to get an education in Hancock County, Mississippi. Three years later, she was crying as we left for Southern California. Rather than follow my father right away, we stayed an extra year, using an excuse that my father would be gone for nine months on a Coast Guard icebreaker. The best education and lessons I have ever had were from brothers of the Sacred Heart at Saint Stanislaus during seventh and eighth grades. Drew Brees had it right when he spoke of how much the New Orleans Saints football team means to New Orleans and the Mississippi Gulf Coast Region.

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Alternative Resolution Roundtable: Appraisal is the Hot Topic

I have been asked to participate in a roundtable discussion regarding alternative dispute resolution processes by Sean Shaw, the Florida Consumer Advocate.

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Cutting Edge Thoughts About Insurance Claim Settlement and Trial from Don Bauermeister

When somebody starts talking with you over dinner about which part of the brain makes you worry that something bad may happen to you and talks with sentences that seem to have "cognition" interspersed frequently with "cortex," you know to skip cocktails. The person speaking with me was Alaska attorney, Don Bauermeister. He is a person of study and reflective brilliance. We discussed how the techniques of insurance claim settlement and trial presentation can be studied and implemented for the purpose of helping our policyholder clients.

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Influence and Passion Revisted: The Art of Conflict Resolution Even if Insurers are Hard Nosed and In Your View Not Playing Fairly

Following yesterday’s post, What is a Bad Faith Claim? Or, When Does an Insurance Claim Wrongfully Handled Become a Bad Faith Claim?, there were a couple of posts suggesting that class action lawsuits were the answer to wrongful claims practices. Frankly, most policyholders are more successful financially with individual cases than through class action cases in insurance matters. Many class settlements are nothing other than the insurer buying its way out of a bigger mess and paying off attorneys looking for a big payday. Our firm is very selective about class matters because of the “good for the attorney’s pocket versus bad for the client’s pocket” conflict.

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Texas Coastal Areas are Still Reeling From Hurricanes Ike and Gustav: Insurance Claim Denials and Delays are Prevalent

I just finished a two day settlement conference of a commercial insurance claim dispute held on the 51st floor of Fulbright & Jaworski in Houston. The view from the conference room was beautiful and in juxtaposition to the manner my client felt the insurance claim was handled. As is becoming customary for many of my cases, the terms of the settlement are confidential. The resolution ended very amicably, although the process was somewhat frustrating. The significant aspect to others is this was a matter whose facts are similar to, and seem repeated in, thousands of other Texas losses, no matter if the loss is small or a complex middle eight figure claim. Insurance claim denials and delays seem commonplace in Texas.

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Damage Claims Rise From Spring Storms & Tornadoes in Mississippi, Louisiana and Alabama--When Should You Sign a Release?

(Note: This Guest Blog is by Deborah Trotter, an attorney with Merlin Law Group in the Gulfport, Mississippi office).

As homeowners, business owners, adjusters, and government and relief agencies begin to sort through the devastation left in the wake of the dangerous storms and tornadoes that tore through the southeast last week, the stark and solemn reality of the loss of life and property is overwhelming. So many families and communities are grieving tremendous losses.

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Confidential Settlements

*(Note:  This Guest Blog is by Craig Kubiak, an attorney in the Tampa office of Merlin Law Group)

I recently settled an insurance claim for a client here in Florida. Throughout the pendency of the claim, the insurance company’s experts emphatically denied what I believed to be the cause of the damage to my client’s house. I conducted depositions throughout the state of Florida and elsewhere. Lo and behold, after leaving no stone unturned, I found out some very interesting things about the experts used by the opposing party and how the carrier treated my client and handled the claim in this particular matter. Prior settlement negotiations that were left for dead were suddenly resurrected like a phoenix rising up from the ashes. Soon thereafter, the claim resolved confidentially. Suffice it to say, that under the terms and conditions of the agreement, I am only permitted to state that the parties have resolved their differences amicably and that the litigation has now ended.

Who do you imagine requested that this claim be settled confidentially?

Making an offer to the other party in a lawsuit to settle a case confidentially is equally available to both parties. Once agreed to, strict adherence is an absolute requirement. Upon reflection, I cannot think of a single instance in mine, or anybody else’s career, when the party who filed the lawsuit ever requested confidentiality. The offended party in a lawsuit wants the world to know how they have been treated by the offending party. They often think to themselves, “If this happened to me, it can happen to you too.” The offended party is often mad, confused, and even a little scared all at the same time. There have been times at the conclusion of one of my client’s claims, after all the paperwork has been signed and the checks disbursed, when they have said to me, “I still don’t understand why they treated me the way that they did.”

So when do you agree to keeping something confidential? Not every case filed by Merlin Law Group, or any other law firm for that matter, settles confidentially. In fact, most don’t. The facts and circumstances of each claim dictate when and if your claim may be a candidate for such a resolution. Most claims don’t start out with confidential settlements on anybody’s mind. But being extremely thorough and diligent during the discovery phase of a claim can sometimes uncover dirty little secrets that the insurance company doesn’t want the rest of the world to know. Recognizing that the other party does not want certain information to get out to the general public has value. How much value is determined by just how dirty their little secret is.

So, have you figured out yet which party involved in the lawsuit I filed asked for a confidential settlement?

-Craig Kubiak

Insurance Settlement Preparation

The best way to prepare for an insurance settlement is to prepare the case for trial. Trying to predict what would probably happen at trial is a great way to gauge the value of an insurance dispute.

I am writing this while flying to New Orleans for a mediation tomorrow morning. This blog post may be removed if the matter settles--so read quickly.

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Experience and Passion Count When Selecting Insurance Lawyers

Nowdoucit from Slabbed wrote a comment to my post, Surplus Lines Insurers, Sinkholes, and the Law of Mars, concerning the selection of lawyers:

"The more cases I read, the more convinced I become of the importance of retaining an attorney experienced in insurance claims litigation - better yet, experienced and successful.

The case you cited, Chip, is a different but compelling example of the difference that can make."

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Bad Faith Litigation Meeting And New Orleans Party

There is nothing like combining business with pleasure. I suppose if your business is fun, you are always having a party at work. Today, I am meeting with my bad faith insurance attorney colleagues. Tonight, I will celebrate the Port of New Orleans litigation with my client, co-counsel and legal staff.

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Settlements And Litigation

After posting two Blogs (Effective Endgame Communications; Influence and Persuasion) regarding the topic of settlements, I was amused by SLABBED referring to settlements as "kissing one's sister." While that was on my mind, I was provided our Leeds Appellate Answer Brief to a trial that I won with Jean Niven in 2007. While I can understand that civil lawsuits play a very important role by uncovering socially significant information, the bottom line, as examplified in the Leeds case, is that most civil insurance lawsuits involve disputes between private parties where money is the heart of the issue.

In the late 1980's, Tony Cunningham, a very prominant trial attorney, gave me some good advice that applies today. He told me that we are always salesmen for our clients, and our zealous advocacy in the courtroom comes only after we have failed to sell our client's cause to our opponent before trial. I teach this to our attorneys because a relatively large and quicker monetary recovery is usually what is most important to our clients. Since we typically work on on a contingency fee basis, it is important to us as well.

The press reported the Leeds trial win. The Leeds' neighbors were ecstatic because our theory of loss was that the Leeds' home was on the ridge of an ancient relic sinkhole which caused the entire community to have homes damaged by earth movement covered under their policies. As a result of that trial, the neighbors also have hope for a recovery. We have more clients as a result of the publicity. But instead of acknowledging the loss and paying the Leeds' claim, Citizens Property Insurance has fought us every step of the way, seeking to overturn the jury verdict. It has now been 18 months since the trial, and we have put no money in the Leeds' hands. While we have publicly won so far and have not "kissed our sister" through a settlement, I am certain that our clients wished we could have obtained their recovery, which will be very large compared to the initial claim, through a much quicker private resolution rather than the public loss we are putting Citizens through.

Influence And Persuasion, Part 2

As indicated in my previous blog, everybody can benefit from understanding some basics of intellectual influence. While my speech was given to trial attorneys who typically represent people against insurance companies, anybody can use them, and should, if they want better results with dealing with people who have different views. Some may question why I would publish the "secret" to getting great resolutions from insurance companies. Frankly, if everybody practiced these principles, the world would be a lot more progressive.

The four principles of influence and persuasion are:

1. Compassion
2. Authenticity
3. Genuine Caring
4. Passion

Compassion is the ability to understand and relate an issue from the viewpoint of the person you are trying to persuade. The best negotiators learn everything they can about the decision-makers, so they can relate the issues in a manner that is understandable, respectful, and acceptable to the decision-makers’ view of the world. Some great trial lawyers still teach that you have to determine the foreperson and leaders of the jury and try a case to those people. In a mediation or settlement discussion, understanding and respecting the belief system of those you are trying to persuade is paramount.

In most settlement meetings of insurance coverage and bad faith claims disputes, the insurance company will have at least two of the following people participating:

1. Field Adjuster--possibly an independent adjuster versus an in-house adjuster.
2. Supervising Adjuster
3. Opposing Attorney
4. High Claims Level Executive
5. In-House Counsel
6. The Person on the Phone--the decision-maker.

I often tell the other attorneys in our firm that an insurance company will pay big money to a prepared, skilled and tough professional, but most insurance executives will never voluntarily pay a jerk the full value of a case. Indeed, most attorneys from a generation ago are aghast at how unprofessional and demeaning many trial attorneys publicly behave today. It is generally worse in the major metropolitan areas, and I suspect that much of the behavior is bravado by some less skilled in trial practice to "bully" a result and avoid a trial.

The problem many attorneys and public insurance adjusters have is that they simply do not understand how an insurance company claims department operates. When you can only see the world through your own eyes, it is impossible to truly have compassion. For example, to get a better understanding of State Farm in our first round of Hurricane Katrina mediations in Mississippi, I hired a person who previously worked in State Farm's Bloomington home office. This person gave us a better understanding of the decision-makers who were not in front of us in Jackson, Mississippi. I often seek retired home office people as consultants or retain private investigators to help learn about the people I am negotiating with. If I could, I would simply have a pre-mediation dinner with them, but most insurance company claims executives do not like dining with a person they view as the enemy.

Authenticity is the ability to be "real" with another human. You have to be honest with the facts and how the law applies to those facts. You have to point to facts and law favorable to the opponent. Most people lack the courage to be authentic or do it in such a manner as to shut down the person they are trying to influence. If you cannot be authentic, it is difficult for the people on the other side of a discussion accept the honest facts and law. If you cannot demonstrate the ability to recognize that truth is sometimes gray, it is hard to have authenticity as well.

In a mediation of any bad faith case, I often use the jury instructions and "the rules of the road" techniques to show the insurance company exactly what the jury will be told to determine if and how society will hold the insurer accountable for its behavior during the claims process. If the policyholder's case has merit, putting the facts of the adjustment and the admissions gained through discovery next to the jury instructions, generally gives an intelligent insurance executive an understanding of why a case may be worth so much more than previously evaluated.

Genuine Caring is the ability to seek a fair resolution. Many may question why I would want a fair resolution rather than a killing for our clients. The answer is simple--I virtually never buy or settle anything at an unfair price to me. Thus, why would another individual do the same? However, I may pay dearly for something with a lot of value. And most of our cases, if they truly have merit, are litigated so that they are very valuable. The insurance company may have a hard time accepting that fact of value as any buyer of a valuable article. But, if it is fair and based on an authentic evaluation of the facts and law, what some on the outside of a case may see as a huge amount of money paid for a case is actually a fair amount to the participants.

Passion is loving what you do. Passion is loving your client. Passion is loving your case. To be the best at anything, you have to be passionate about it. If you want to influence another human and evoke a human response, most people need to see a passion for what you are doing and saying.

Our firm is filled with zealots. More than any other reason, the passion for fighting for policyholders and against the injustice of bad claims practices is the reason why we are financially successful at what we do. The passion is not for the money, it is for the cause. David Pettinato took on a bunch of very small insurance claims for very modest individuals because they were wrongly denied their claims’ full values. I told David that we had to do this, even though we were very busy with much larger matters, because it simply was not right that an insurance company would take advantage of its poorer clients.

In any human endeavor where there is a battle of views on important issues, the resolution will often depend upon the passion one puts into the work and the advocacy necessary to overcome another view. I cannot expect anybody to be influenced to an outcome which they may initially doubt is proper unless they truly understand that I know it is fair and that they can see my belief in it. When the Port of New Orleans case settled, I honestly felt a loss. I loved the issues and the work I was doing on the case. I enjoyed every minute of it. I am certain that passion had an impact on the resolution that few thought could be achieved this year.
 

Effective Endgame Communications

Most cases resolve before a trial. While thorough preparation for trial is paramount, most of our policyholder clients want a resolution as quickly as possible and for a much as possible. Settling a case for less than its value is an easy way to get a quick resolution. Settling a case for more than its value in a short period of time is a lot more difficult, and, that is what some of our clients expect us to magically accomplish.

Twenty-five years of practice, study and experience has taught me a lot about negotiation and resolution of insurance controversies. This past week, I spoke at the Florida Justice Association Winter Seminar in Beaver Creek, Colorado, on the topic of insurance claim resolutions. The presentation, "What Even Seasoned Attorneys Need to Know About Current Techniques of Persuasion When Discussing Issues of Insurer Misconduct," seemed well received by the audience. One attorney told me he was at the last three of my annual speeches at these ski seminars and that this was by far the best. I guess that is a nice way of saying the others were not so good.

While I cannot report the value of payment by Factory Mutual in the Port of New Orleans case because of settlement stipulations, the case settled at an amount approved by the Port's General Counsel and Board. This occurred about one month after the General Counsel noted that significant negotiations probably would not take place until the late spring of 2009. The actual settlement numbers were reached in September, 2008, less than 11 months after we were retained.

The truth is that except for me and my consultants, nobody thought we could accomplish a fair resolution quickly. The case was very complex, and the parties were stridently opposed before the mediation. I am sure that counter intuitive communicative techniques I spoke about in my speech prevented months of tedious and expensive trial preparation for a trial that would conclude almost a year after the settlement actually resolved the case. The consultants include my close friends, Jack Stein, Jerrod Mills and Ken Shively from Trial Exhibits and Legal Images. They have seen what has worked well and what has not at my settlement presentations over the past thirteen years. The Port of New Orleans case was important, and their hard work helped highlight the points I intended to convey. I also borrowed communicative points from a "coach" of mine, Mike Lindstrom who studied under a very famous communicator, Tony Robbins.

To influence and persuade another intelligent human to take action and do something that they would not otherwise do, I believe you have to convey the following:

1. Compassion
2. Authenticity
3. Genuine Caring
4. Passion

These communicative characteristics might seem foreign to a person like me who "battles" for a living. I believe that big dollar cases are resolved by intelligent executives who have huge egos. They dislike bullies and may even "bully" others. They are not afraid, and that is why they were chosen for top management in the first place.

These concepts do not make the negotiation some "let's be happy together" or "kumbaya" session. When eight and nine figure case settlements are ongoing, it is always pointed, tough, and exhausting. The key is to effectively communicate so that the insurance company acts in our client's interest.

I will explain each of the above concepts in a follow-up blog. However, these same concepts can be used in all life interactions where one is trying to influence others to take positive actions for mutual benefit. It is amazing that they are not taught in law school or in litigation and negotiation theory. Maybe quick resolution is not usually in most attorneys best interests?
 

Merlin Law Group Settles 103 State Farm Claims

The Merlin Law Group has settled the claims of 103 State Farm policyholders.  While the terms of the individual settlements and total amount paid by State Farm are confidential, attorney Chip Merlin noted that each settlement amount was negotiated on a case-by-case basis and according to each client's unique situation."This was not a 'cents on the dollar received by all' negotiation," said Merlin.   "An enormous amount of work went into this negotiation which proves that every policyholder can get what they deserve as long as each case is approached individually."  The members of the Mississippi Merlin Law Group team include Chip Merlin, William Weatherly, Randy Santa Cruz, Deborah Trotter, and Tina Nicholson.  They worked tirelesly conducting 119 depositions regarding State Farm and filing over 50 litigated lawsuits against the insurer so far on behalf of Mississippi policyholders. Despite this tremendous success Merlin cautions "those with unresolved claims to be mindful of Mississippi's Statute of Limitations which will run out at the next anniversary of Hurricane Katrina." Media coverage about the settlement may be found at:

Fla. Plaintiffs Settle with State Farm on Hurricane Damaged Screen Enclosures

A Broward County Court has approved a class action settlement on behalf of more than 12,000 State Farm Insurance policyholders in Florida who will receive 100 percent of the damages they requested in a $6.8 million settlement of claims filed last year in which they alleged the insurer refused to pay replacement costs of screen enclosures damaged by Hurricanes Katrina and Wilma, attorneys for the plaintiffs announced. Read more....