Claim - Insurance Industry Brief

Are Catastrophe Claims Adjusters Being Overworked, Provided Too Many Losses to Properly Handle, Provided Wrong Directions to Adjust Losses, or Simply Being Asked to Adjust Claims In a Manner Not Reflecting Good Faith Claims Handling?

Property Insurance Coverage Law

JANUARY 22, 2025

I am snowed in after taking the deposition of a 1099 temporary claims adjuster in South Carolina. Much of his testimony has me thinking about the plight of the modern independent claims adjuster doing catastrophe work. During his deposition, the independent catastrophe adjuster said he had asked to have his claims load reduced.

Claim

Claim Property Insurance Insurance Insured

Partial Denials Start Statute of Limitations Time Clock in National Flood Claims

Property Insurance Coverage Law

APRIL 14, 2025

When handling National Flood Insurance Program (NFIP) claims, public adjusters and policyholders must be alert to critical warning signs. One of the most important phrases to recognize is: “We denied a portion of your claim.” ” Those few words, even if buried in a lengthy letter, should ring loud alarm bells.

Claim

Claim Policyholder Property Insurance Insurance

When Artificial Intelligence Becomes Wrongful Intelligence in Claims Handling

Property Insurance Coverage Law

FEBRUARY 14, 2025

The latest revelations about Allstates use of artificial intelligence (AI) in drafting insurance claims emails should serve as a wake-up call for policyholders, insurance regulators, and insurance industry claims handlers.

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Claim Policyholder Property Insurance Insurance Claim

Are Catastrophe Claims Adjusters Being Overworked, Provided Too Many Losses to Properly Handle, Provided Wrong Directions to Adjust Losses, or Simply Being Asked to Adjust Claims In a Manner Not Reflecting Good Faith Claims Handling?

Property Insurance Coverage Law

JANUARY 22, 2025

I am snowed in after taking the deposition of a 1099 temporary claims adjuster in South Carolina. Much of his testimony has me thinking about the plight of the modern independent claims adjuster doing catastrophe work. During his deposition, the independent catastrophe adjuster said he had asked to have his claims load reduced.

Claim

Claim Property Insurance Insurance Insured

Take the Hassle Out of Claims Management

Advertiser: Trellis

Insurance professionals use Trellis to streamline claims management by analyzing legal trends, predicting outcomes, and strategizing effectively to serve clients better. Adjusters can evaluate claim validity, estimate settlement amounts, and identify potential litigation risks.

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When Artificial Intelligence Becomes Wrongful Intelligence in Claims Handling

Property Insurance Coverage Law

FEBRUARY 14, 2025

The latest revelations about Allstates use of artificial intelligence (AI) in drafting insurance claims emails should serve as a wake-up call for policyholders, insurance regulators, and insurance industry claims handlers.

Claim

Claim Policyholder Property Insurance Insurance Claim

Examinations Under Oath in New York Property Insurance Claims

Property Insurance Coverage Law

JANUARY 23, 2025

When navigating contested property insurance claims, insured parties may receive a request from their insurer for an Examination Under Oath (EUO). It is a formal proceeding, not unlike a deposition, where an insured is required to answer questions under oath about their insurance claim.

Property Insurance

Property Insurance Insurance Claim Claim Insurance

Partial Denials Start Statute of Limitations Time Clock in National Flood Claims

Property Insurance Coverage Law

APRIL 14, 2025

When handling National Flood Insurance Program (NFIP) claims, public adjusters and policyholders must be alert to critical warning signs. One of the most important phrases to recognize is: “We denied a portion of your claim.” ” Those few words, even if buried in a lengthy letter, should ring loud alarm bells.

Claim

Claim Policyholder Property Insurance Insurance

What If Every Insurance Company Engineer Report Suggests a Denied Claim? We’re About to Find Out

Property Insurance Coverage Law

APRIL 21, 2025

Our firm is now taking the first step to find out whether the claims of systemic bias hold water. The statement … The post What If Every Insurance Company Engineer Report Suggests a Denied Claim? It all started when a public adjuster responded to a thread involving attorney Steven Badger.

Insurance Companies

Insurance Companies Claim Property Insurance Insurance

Florida Policyholders Are Upset with Stupid Denials of Claims

Property Insurance Coverage Law

FEBRUARY 17, 2025

Our firm was asked to represent a … The post Florida Policyholders Are Upset with Stupid Denials of Claims appeared first on Property Insurance Coverage Law Blog. The insurance representative tried to explain that many of the denials were because most policies do not cover flood.

Policyholder

Policyholder Claim Property Insurance Policy

Brotherhood Mutual Hit With $35 Million Punitive Award on Roof Damage Claim

Property Insurance Coverage Law

FEBRUARY 3, 2025

We have battled insurance companies, co-counseled on cases, and discussed property insurance case law at a depth most … The post Brotherhood Mutual Hit With $35 Million Punitive Award on Roof Damage Claim appeared first on Property Insurance Coverage Law Blog.

Damage

Damage Claim Property Insurance Policyholder

Beware of a One-Year Deadline to File a Lawsuit—Always Hire a Public Adjuster If Your Insurer Makes You Adjust Your Own Claim

Property Insurance Coverage Law

JANUARY 30, 2025

First, this case strongly reminds policyholders to be aware of time limits in their insurance policies and take action as soon as they believe their claim is not being handled fairly.

Claim

Claim Policyholder Property Insurance Insurance Policy

Report: Cybersecurity Claims for Data Loss Vary Broadly

Insurance Journal

SEPTEMBER 26, 2024

Cybersecurity claims reported in recent years vary sharply, with larger claims reaching $500 million of data loss and smaller claims as low $1,000. NetDilligence released its annual report, which analyzes 10,464 claims from incidents between 2019 and 2023. The report …

Claim

Claim Cyber

California FAIR Plan: Ignoring Laws and Gouging Californians on Smoke Damage Claims

Property Insurance Coverage Law

MARCH 20, 2025

This … The post California FAIR Plan: Ignoring Laws and Gouging Californians on Smoke Damage Claims appeared first on Property Insurance Coverage Law Blog.

Damage

Damage Claim Property Insurance Policy

Claims Satisfaction Leaders Reveal Secrets to Success

Insurance Journal

DECEMBER 25, 2024

What is the secret to an insurance claims experience that satisfies customers? Power has conducted surveys and curated lists recognizing insurers that succeed at providing satisfactory claims experiences. Carrier Management recently asked claims leaders at two of … For years, J.D.

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Claim Insurance Claim Insurance Insurer

The New “Notice” Trap: Better Ring a Bell for Every Coverage You Might Claim

Property Insurance Coverage Law

APRIL 9, 2025

According to this sparkling gem of judicial thought, it turns out that its not enough to tell your insurance company, “Hey, my house … The post The New “Notice” Trap: Better Ring a Bell for Every Coverage You Might Claim appeared first on Property Insurance Coverage Law Blog.

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Claim Property Insurance Insurance Policy Insurance Companies

Report: Over 250,000 US Properties Have Repeated NFIP Claims

Insurance Journal

SEPTEMBER 19, 2024

properties have repeated claims for federal flood insurance, costing the National Flood Insurance Program billions of dollars in claims, according to new federal data compiled by the National Resources Defense Council. More than a quarter million U.S. Four states account …

Claim

Claim Insurance Insurer Insured

Beware of a One-Year Deadline to File a Lawsuit—Always Hire a Public Adjuster If Your Insurer Makes You Adjust Your Own Claim

Property Insurance Coverage Law

JANUARY 30, 2025

First, this case strongly reminds policyholders to be aware of time limits in their insurance policies and take action as soon as they believe their claim is not being handled fairly.

Claim

Claim Policyholder Property Insurance Insurance Policy

Canada’s Insurance Sector Faces Deluge of Climate-Related Catastrophe Claims

Insurance Journal

SEPTEMBER 3, 2024

Hotter summers in Canada that have sparked wildfires in tourist areas, intense hailstorms and thunderstorms with severe flooding in major cities, all likely linked to climate change, are leading to personnel shortages and potentially claims adjustment delays, according to insurance …

Claim

Claim Insurance Insurer Insured

The New “Notice” Trap: Better Ring a Bell for Every Coverage You Might Claim

Property Insurance Coverage Law

APRIL 9, 2025

According to this sparkling gem of judicial thought, it turns out that its not enough to tell your insurance company, “Hey, my house … The post The New “Notice” Trap: Better Ring a Bell for Every Coverage You Might Claim appeared first on Property Insurance Coverage Law Blog.

Claim

Claim Property Insurance Insurance Policy Insurance Companies

Travelers: Costliest Claims Driven by Most Common Workplace Accidents

Insurance Journal

AUGUST 5, 2024

million workers compensation claims reveals the costliest claims are driven by the most common workplace accidents, according to Travelers 2024 Injury Impact Report. Analysis of 1.2 The data also shows first-year employees are still among those most vulnerable to injury.

Workers Compensation

Workers Compensation Claim Injury Compensation

How Big Was the Cat? Investigator Warns About Claims of Clogged Toilets

Insurance Journal

SEPTEMBER 12, 2024

Did you hear the one about cat poop clogging a toilet, resulting in thousands of gallons of sewage water in the home and a big insurance claim? Lin Werkheiser, an insurance fraud investigator, has heard that one and many more …

Claim

Claim Insurance Claim Insurance Insurer

Debby’s Florida Claims Already Near 12,000 as Yaworsky Says Market is Strengthening

Insurance Journal

AUGUST 11, 2024

The number of Florida claims from Hurricane Debby, filed within five days of the storm, already is almost half of the the number of claims filed in Hurricane Idalia in a three-month period. Debby claims by Friday had reached more …

Claim

JD Power: Customers Not Happy With Carrier Property Claims Service

Insurance Journal

APRIL 6, 2025

Property Claims Satisfaction Studyalign with todayis climate of increasingly longer claim cycle times and higher costs … By Jahna Jacobson Higher premiums and longer wait times make property owners less satisfied with their insurers. These not-very-surprising results from J.D. Poweris2025 U.S.

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Claim Premium Insurer Insurance

Insurers Face Business Interruption Claims After Global Tech Outage

Insurance Journal

JULY 21, 2024

Insurers could face a raft of business interruption claims after a worldwide tech outage crippled industries from travel to finance on Friday, insurance industry experts said. A software update by global cybersecurity firm CrowdStrike appeared to have triggered systems problems …

Business Interruption

Business Interruption Claim Insurance Industry Insurance

Tallahassee, Atlanta Dodge a Bullet, But Thousands of Claims Are Expected

Insurance Journal

SEPTEMBER 27, 2024

Hundreds of claims adjusters were set to move out across Florida, Georgia and western parts of the Carolinas Friday morning as Hurricane Helene brought high storm surge and 140 mph winds to a region that has faced three hurricanes in …

Claim

Claim Insurance Insurer Insured

Avoid Claim Denials: Key Policyholder Duties After a Loss

Property Insurance Coverage Law

MARCH 11, 2025

If policyholders ignore such obligations, insurance companies can try to delay payment or, in more extreme circumstances, even deny payment altogether for what … The post Avoid Claim Denials: Key Policyholder Duties After a Loss appeared first on Property Insurance Coverage Law Blog.

Policyholder

Policyholder Claim Property Insurance Insurance Policy

Most Ransomware Claims Begin With Compromised Perimeter Security: Coalition

Insurance Journal

MARCH 23, 2025

More than half of ransomware claims in 2024 started with threat actors compromising perimeter security appliances, according to a new report from Coalition. In its Cyber Threat Index 2025, the insurance provider reported that 58% of claims began with such …

Claim

Claim Cyber Insurer Insurance

Claims Analysis: Roofs Define Luxury Homes’ Insurability

Insurance Journal

NOVEMBER 17, 2024

The insurance industry is facing a significant rise in roof-related claims. The combination of increasingly severe weather events, inflation-driven repair costs and the growing issue of roofing scams has created a perfect storm — one that is straining insurer portfolios …

Home Insurance

Home Insurance Claim Insurance Industry Insurance

Helene Claims in Florida Already More Than 65,700 – Far More than Idalia

Insurance Journal

OCTOBER 2, 2024

The number of property insurance claims in Florida from Hurricane Helene had topped 65,700 by Tuesday, far more than the 25,000 seen in Hurricane Idalia a year ago, the Florida Office of Insurance Regulation reported. The total estimated insured losses …

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Claim Property Insurance Insurance Claim Insurance

RYZE Acquires Missouri’s Acorn Claims

Insurance Journal

MARCH 31, 2025

RYZE Claim Solutions, a full-service claims management provider, announced its acquisition of Acorn Claims, a Springfield, Missouri-based firm specializing in daily and catastrophe claims services nationwide. RYZE said the transaction further supports its position in the industry, reinforcing its commitment …

Claim

The Regulatory Blind Spot: How Insurance Departments Fail to Detect Systemic Bad Faith Claims Practices

Property Insurance Coverage Law

OCTOBER 2, 2024

Recent investigative reporting by CBS’s 60 Minutes, noted in CBS 60 Minutes Exposes Alleged Insurance Company Fraud: Adjusters Reveal Altered Hurricane Damage Estimates by Claims Management, has exposed alleged widespread underpayments of claims and unethical claims practices in Florida’s property insurance industry.

Claim

Claim Property Insurance Damage Insurance Industry

Claims from Hurricane Milton Continue to Rise in Florida

Insurance Journal

OCTOBER 21, 2024

Almost two weeks after Hurricane Milton made landfall near Sarasota, Florida, as a Category 3 storm, claims and loss totals continue to rise. 21, the Florida Office of Insurance Regulation said carriers had reported more than 221,582 …

Claim

Claim Insurance Insurer Insured

Every Claims Professional Must Read Putnam Now: Emotional Recovery After Wildfire Loss

Property Insurance Coverage Law

APRIL 17, 2025

Following the devastating 2025 Los Angeles wildfires, claims professionals across the country are once again on the media and actual frontlines of a crisis that extends far beyond burned structures and blackened landscapes. The physical damage is immense, but the emotional toll on survivors runs deeper and lasts longer than most realize.

Claim

Claim Property Insurance Damage Insurer

Milton’s 123,000 Claims So Far to Mean New Pressure on Reinsurance, Rate Hikes

Insurance Journal

OCTOBER 15, 2024

Property Insurance claims from Hurricane Milton had topped more than 123,000 by Sunday, with some $1.5 That’s already more than the claims and losses reported for Helene, which made landfall in Florida two weeks earlier, … billion in estimated insured losses.

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Claim Property Insurance Insurance Claim Insurance

High Claims From Medium-Sized Disasters Keep Driving Hard Reinsurance Market

Insurance Journal

AUGUST 15, 2024

Hard reinsurance pricing conditions are likely to last longer than in previous market cycles mainly as a result of persistently high claims activity from the accumulation of medium-sized disaster losses and secondary perils, according to an AM Best report. As …

Claim

Long COVID Claims Still Impact California’s Workers Comp System, Report Shows

Insurance Journal

OCTOBER 6, 2024

The impact and surge of long-term COVID on the California workers’ compensation system since 2020 has been prevalent, including long-term impacts on disability and long-term patterns of medical cost and treatment on long COVID claims. That’s from a report by …

Workers Comp

Workers Comp Claim Compensation Workers Compensation Insurance

Every Claims Professional Must Read Putnam Now: Emotional Recovery After Wildfire Loss

Property Insurance Coverage Law

APRIL 17, 2025

Following the devastating 2025 Los Angeles wildfires, claims professionals across the country are once again on the media and actual frontlines of a crisis that extends far beyond burned structures and blackened landscapes. The physical damage is immense, but the emotional toll on survivors runs deeper and lasts longer than most realize.

Claim

Claim Property Insurance Damage Insurer

Florida Citizens’ Brass Tired of ‘Clickbait’ News on its Hurricane Claims Denials

Insurance Journal

NOVEMBER 21, 2024

took issue Thursday with a number of national and Florida news reports that have suggested that the insurer has the “worst rate” on paying claims after recent hurricanes. Officials with Florida’s Citizens Property Insurance Corp. “That’s just not accurate,” Citizens …

Claim

Claim Property Insurance Insurance Insurer

Arbitration Claims Against LNG Exporter Venture Global Reach Close to $6 Billion

Insurance Journal

NOVEMBER 22, 2024

Pending arbitration claims against liquefied natural gas exporter Venture Global LNG Inc. Claims in cases by eight separate companies, including some … from several of its customers have grown to nearly $6 billion, according to a bond document seen by Bloomberg.

Claim

Old Damage, New Claim: Davies Risk Head Notes Rise in ‘Soft Fraud’ in Southeast

Insurance Journal

DECEMBER 2, 2024

With multiple hurricanes rocking Florida and other parts of the Southeast this year, claims professionals have said they are seeing a trend toward “soft fraud,” with more policyholders attempting to include older or unrelated damage in recent storm claims, and …

Damage

Damage Claim Policyholder Risk

Philadelphia Eagles and 76ers Lose Delayed Covid Claim Cases

Insurance Journal

OCTOBER 17, 2024

Two Philadelphia professional sports team have lost their appeals over denied business interruption insurance claims tied to the COVID-19 pandemic. District Judge Michael Baylson this week dismissed lawsuits by the Philadelphia 76ers basketball team and the Philadelphia Eagles football …

Business Interruption

Business Interruption Claim Insurance Claim Insurer

FEMA to Borrow $2B to Pay Flood Claims After Hurricanes Helene and Milton

Insurance Journal

FEBRUARY 12, 2025

Treasury to cover claims from National Flood Insurance Program policyholders. The Federal Emergency Management Agency said it needs to borrow $2 billion from the U.S. FEMA, administrator of NFIP, said it expects to pay out more than $10 billion in …

Claim

Claim Policyholder Insurance Insurer

Fla. DFS Offers to Check Contracts With Roofers, Adjusters; Tenn. Eyes Claims Denials

Insurance Journal

OCTOBER 30, 2024

Officials in two Southeastern states have taken steps to hold insurers or recipients of insurance funds accountable after Hurricanes Helene and Milton spurred thousands of insurance claims. The Tennessee Department of Commerce and Insurance reminded insurance carriers that they must …

Claim

Claim Insurance Carrier Insurance Claim Insurance

Are Catastrophe Claims Adjusters Being Overworked, Provided Too Many Losses to Properly Handle, Provided Wrong Directions to Adjust Losses, or Simply Being Asked to Adjust Claims In a Manner Not Reflecting Good Faith Claims Handling?

Partial Denials Start Statute of Limitations Time Clock in National Flood Claims

Trending Sources

When Artificial Intelligence Becomes Wrongful Intelligence in Claims Handling

Are Catastrophe Claims Adjusters Being Overworked, Provided Too Many Losses to Properly Handle, Provided Wrong Directions to Adjust Losses, or Simply Being Asked to Adjust Claims In a Manner Not Reflecting Good Faith Claims Handling?

Take the Hassle Out of Claims Management

When Artificial Intelligence Becomes Wrongful Intelligence in Claims Handling

Examinations Under Oath in New York Property Insurance Claims

Partial Denials Start Statute of Limitations Time Clock in National Flood Claims

What If Every Insurance Company Engineer Report Suggests a Denied Claim? We’re About to Find Out

Florida Policyholders Are Upset with Stupid Denials of Claims

Brotherhood Mutual Hit With $35 Million Punitive Award on Roof Damage Claim

Beware of a One-Year Deadline to File a Lawsuit—Always Hire a Public Adjuster If Your Insurer Makes You Adjust Your Own Claim

Report: Cybersecurity Claims for Data Loss Vary Broadly

California FAIR Plan: Ignoring Laws and Gouging Californians on Smoke Damage Claims

Claims Satisfaction Leaders Reveal Secrets to Success

The New “Notice” Trap: Better Ring a Bell for Every Coverage You Might Claim

Report: Over 250,000 US Properties Have Repeated NFIP Claims

Beware of a One-Year Deadline to File a Lawsuit—Always Hire a Public Adjuster If Your Insurer Makes You Adjust Your Own Claim

Canada’s Insurance Sector Faces Deluge of Climate-Related Catastrophe Claims

The New “Notice” Trap: Better Ring a Bell for Every Coverage You Might Claim

Travelers: Costliest Claims Driven by Most Common Workplace Accidents

How Big Was the Cat? Investigator Warns About Claims of Clogged Toilets

Debby’s Florida Claims Already Near 12,000 as Yaworsky Says Market is Strengthening

JD Power: Customers Not Happy With Carrier Property Claims Service

Insurers Face Business Interruption Claims After Global Tech Outage

Tallahassee, Atlanta Dodge a Bullet, But Thousands of Claims Are Expected

Avoid Claim Denials: Key Policyholder Duties After a Loss

Most Ransomware Claims Begin With Compromised Perimeter Security: Coalition

Claims Analysis: Roofs Define Luxury Homes’ Insurability

Helene Claims in Florida Already More Than 65,700 – Far More than Idalia

RYZE Acquires Missouri’s Acorn Claims

The Regulatory Blind Spot: How Insurance Departments Fail to Detect Systemic Bad Faith Claims Practices

Claims from Hurricane Milton Continue to Rise in Florida

Every Claims Professional Must Read Putnam Now: Emotional Recovery After Wildfire Loss

Milton’s 123,000 Claims So Far to Mean New Pressure on Reinsurance, Rate Hikes

High Claims From Medium-Sized Disasters Keep Driving Hard Reinsurance Market

Long COVID Claims Still Impact California’s Workers Comp System, Report Shows

Every Claims Professional Must Read Putnam Now: Emotional Recovery After Wildfire Loss

Florida Citizens’ Brass Tired of ‘Clickbait’ News on its Hurricane Claims Denials

Arbitration Claims Against LNG Exporter Venture Global Reach Close to $6 Billion

Old Damage, New Claim: Davies Risk Head Notes Rise in ‘Soft Fraud’ in Southeast

Philadelphia Eagles and 76ers Lose Delayed Covid Claim Cases

FEMA to Borrow $2B to Pay Flood Claims After Hurricanes Helene and Milton

Fla. DFS Offers to Check Contracts With Roofers, Adjusters; Tenn. Eyes Claims Denials

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