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 Insured 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.

Claim

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 Insured Insurance

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

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.

Claim

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

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

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

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

Wall Street Brokers Start Trading Insurer Claims From LA Fires

Insurance Journal

MARCH 20, 2025

Wall Street brokers have started selling insurers’ claims tied to Los Angeles’ deadly wildfires, which may trigger a payout from the utilities blamed for the destruction, according to people familiar with the matter. Investors are buying so-called subrogation claims, obtaining …

Broker

Broker Claim Insurance Claim Insurance

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.

Claim

Claim Insurance Claim Insured Insurance

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 Insured Insurance Insurer

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

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

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

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

JD Power: Customers Not Happy With Carrier Property Claims Service

Insurance Journal

MARCH 19, 2025

Property Claims Satisfaction Study align with today’s climate of increasingly longer claim cycle times and higher costs for … Higher premiums and longer wait times make property owners less satisfied with their insurers. These not-very-surprising results from J.D. Power’s 2025 U.S.

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Claim Premium Insurance Insurer

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 Insured Insurer

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

Most Ransomware Claims Begin With Compromised Perimeter Security: Coalition

Insurance Journal

MARCH 12, 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 Insurance Insurer

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 …

Claim

Claim Property Insurance Insurance Claim Insured

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

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

No Time Limit on Adding Dependent to Open Workers Comp Claim: NH High Court

Insurance Journal

MARCH 3, 2025

Adding a dependent to an open workers’ compensation death benefits claim does not constitute a separate claim, the New Hampshire Supreme Court ruled last week. Furthermore, the court concluded, there is no statutory time limit for the dependent of a …

Workers Comp

Workers Comp Claim Compensation Workers Compensation

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 Insurance

California Smoke Soot and Ash Claims—A Cause for Concern

Property Insurance Coverage Law

JANUARY 24, 2025

Journalist Jack Healy of the New York Times wrote an article,Their Homes Are Intact, but the Fire Damage Inside Is Unbearable. Healy accompanied wildfire victims back to their homes after the event.

Claim

Claim Property Insurance Damage Insurance

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 Insured

CBS 60 Minutes Exposes Alleged Insurance Company Fraud: Adjusters Reveal Altered Hurricane Damage Estimates by Claims Management

Property Insurance Coverage Law

SEPTEMBER 30, 2024

The investigative report featured testimony from whistleblowers who claim that insurance companies deliberately altered hurricane damage reports to underpay homeowners, leaving many Floridians struggling to rebuild their lives in the wake … The post CBS 60 Minutes Exposes Alleged Insurance Company Fraud: Adjusters Reveal Altered Hurricane Damage (..)

Insurance Companies

Insurance Companies Damage Claim Property Insurance

Smoke Damage Claims

Property Insurance Coverage Law

MARCH 16, 2025

I noted: The key takeaway from the case is that the mere … The post Smoke Damage Claims appeared first on Property Insurance Coverage Law Blog. Public adjusters, policyholders, and attorneys keep asking me about the recent California smoke damage case where the court held that the smoke damage was not covered under the policy.I

Damage

Damage Claim Policyholder Property Insurance

Agents Report Limited Damage But More Claims Expected As Floridians Return Home

Insurance Journal

OCTOBER 11, 2024

Insurance agents and carriers in the path of Hurricane Milton reported only minor damage to their own offices and homes but a rapidly growing number of claims from residential and commercial policyholders for roof, flood and auto damage. The Florida …

Damage

Damage Agents Claim Policyholder

Generative AI: A Double Agent Serving Good and Evil in the World of Claims

Insurance Journal

DECEMBER 29, 2024

Claims professionals need to adapt to the AI evolution at a fast pace as the same technologies used to fight claims fraud are also being used to perpetuate it, according to experts. “It’s truly become an arms race,” said Shane …

Claim

Claim Agents

Five Collision Claim Trends to Watch in 2025

Insurance Journal

DECEMBER 25, 2024

Despite fewer claims in early 2024, carriers still face headwinds when it comes to vehicle complexity and its effect on severity and cycle time. The auto insurance industry has weathered its share of storms in recent years. Following are the …

Claim

Claim Auto Insurance Insurance Industry Insurance

Carolina Woman Charged with Using Mom’s Name to Get Policy, Filing Bogus Claim

Insurance Journal

DECEMBER 2, 2024

A North Carolina woman is set for a court appearance later this month after she was charged with filing a claim on her deceased mom’s house – for damage that occurred before the insurance policy was purchased. Cindy Ramzi Hanna, …

Policy

Policy Claim Damage Insurance Policy

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?

When Artificial Intelligence Becomes Wrongful Intelligence in Claims Handling

Trending Sources

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?

Examinations Under Oath in New York Property Insurance Claims

Take the Hassle Out of Claims Management

When Artificial Intelligence Becomes Wrongful Intelligence in Claims Handling

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

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

Report: Cybersecurity Claims for Data Loss Vary Broadly

Wall Street Brokers Start Trading Insurer Claims From LA Fires

Claims Satisfaction Leaders Reveal Secrets to Success

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

Avoid Claim Denials: Key Policyholder Duties After a Loss

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

Insurers Face Business Interruption Claims After Global Tech Outage

JD Power: Customers Not Happy With Carrier Property Claims Service

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

RYZE Acquires Missouri’s Acorn Claims

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

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

Claims from Hurricane Milton Continue to Rise in Florida

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

No Time Limit on Adding Dependent to Open Workers Comp Claim: NH High Court

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

California Smoke Soot and Ash Claims—A Cause for Concern

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

CBS 60 Minutes Exposes Alleged Insurance Company Fraud: Adjusters Reveal Altered Hurricane Damage Estimates by Claims Management

Smoke Damage Claims

Agents Report Limited Damage But More Claims Expected As Floridians Return Home

Generative AI: A Double Agent Serving Good and Evil in the World of Claims

Five Collision Claim Trends to Watch in 2025

Carolina Woman Charged with Using Mom’s Name to Get Policy, Filing Bogus Claim

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