Claim - Insurance Industry Brief

Specialist Risk Group Acquires UK Claims Specialist One Claim Ltd.

Insurance Journal

NOVEMBER 12, 2024

Specialist Risk Group (SRG), the London-based specialist insurance intermediary, announced the acquisition of One Claim Ltd. Based in Essex, England, One Claim provides broker partners and their clients with claims management support from initial notification through to settlement. The One …

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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

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LMI Claims are hiring

Prof. Allan Manning

OCTOBER 7, 2024

LMI continues to grow in claims work and as a result both LMI Group and Aequum Adjusters are looking to hire loss adjusters and or claims preparers in virtually every state and territory in Australia and New Zealand. The positions range from trainee, to highly experienced.

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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

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New Hampshire High Court Invalidates Geico Underinsured Claim Provision

Insurance Journal

NOVEMBER 14, 2024

A claim provision requiring insureds to seek underinsured benefits from their auto insurer within three years of an accident is unenforceable in New Hampshire because it restricts the insureds’ right to obtain the same benefits they would have received if …

Claim

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Viewpoint: Elevating Claims Management by Taking Collaborative Approach With Clients

Insurance Journal

OCTOBER 1, 2024

Over the last 20 years, the role of the claims handler has evolved significantly, from a largely back-office function to one centred around partnership and mutual benefit. In today’s market, claims is now at the forefront of client-insurer relationships, playing …

Claim

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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

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Penn State to Pay $1.25M to Resolve Claims of Cybersecurity Non-Compliance

Insurance Journal

OCTOBER 23, 2024

The Pennsylvania State University has agreed to pay $1,250,000 to settle claims that it violated the False Claims Act by failing to comply with cybersecurity requirements in 15 contracts involving the Department of Defense (DoD) or National Aeronautics and Space …

Claim

With Back-to-Back Storms, Florida Now Facing Delays in Claims Adjusting

Insurance Journal

OCTOBER 9, 2024

With Hurricane Milton now expected to produce several hundred thousand wind-damage claims and with the storm coming so soon on the heels of Hurricane Helene, industry leaders are bracing for significant delays in claims adjusting. “We’re competing with Helene,” said …

Claim

Claim Damage

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

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Hurricane Debby Claims Already Two-Thirds of Idalia Claims in Florida, as Insurance Market Strengthens, Regulator Says

Insurance Journal

SEPTEMBER 1, 2024

The number of Florida claims from Hurricane Debby, filed within 10 days of the storm, stood at almost two-thirds of the number of claims filed from Hurricane Idalia in a three-month period. Debby claims by Aug. 16 had reached almost …

Claim

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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

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California Phlebotomy Lab and Owners to Pay $135K to Over Alleged False Claims for Blood Testing

Insurance Journal

OCTOBER 27, 2024

A mobile phlebotomy lab and its owners have agreed to pay at least $135,000 to resolve False Claims Act allegations that they submitted false claims for services and associated travel mileage and paid kickbacks to a third-party marketer of the …

Claim

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

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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

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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

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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

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

Insurance Journal

OCTOBER 6, 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. By Ezra Amacher More than a quarter million U.S.

Claim

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Meta Platforms Defeats Shareholder Lawsuit Over Child Safety Claims

Insurance Journal

OCTOBER 22, 2024

Meta Platforms and Chief Executive Mark Zuckerberg won the dismissal of a lawsuit claiming they misled shareholders in Meta’s proxy statement about their ability to ensure the safety of children who use Facebook and Instagram. In a decision on Tuesday, …

Claim

Delaware’s Workers’ Compensation Claims Cost Grew 3% a Year: WCRI

Insurance Journal

OCTOBER 1, 2024

The average cost of workers’ compensation claims in Delaware, for cases with more than seven days of lost work, went up by 3% per year between 2019 and 2022, according to a new study from the Workers Compensation Research Institute …

Workers Compensation

Workers Compensation Compensation Claim

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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Trojan Condoms Contain ‘Forever Chemicals,’ Lawsuit Claims

Insurance Journal

SEPTEMBER 10, 2024

A new lawsuit on Monday claims that Trojan condoms are not safe because they contain toxic “forever chemicals,” which have been linked to cancer. In a proposed class action filed in Manhattan federal court, the plaintiff Matthew Goodman said Church …

Claim

Claim Liability

Georgia Woman Charged with Insurance Fraud After Claimed Injuries

Insurance Journal

AUGUST 5, 2024

A woman in north Georgia has been charged with insurance fraud after she claimed that a “personal care device” caused injuries that cost as much as $350,000 to treat. Kamala Anderson, 45, of Snellville, was arrested last month after the …

Injury

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Court Upholds Finding That Montana Clinic Submitted False Asbestos Claims

Insurance Journal

SEPTEMBER 27, 2024

A federal appeals court has upheld a lower court determination that a Montana health clinic submitted hundreds of false asbestos claims on behalf of patients. A jury decided last year that the clinic in a town where hundreds of people …

Claim

Claim Liability

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

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Plumbing Water Damage Claims Revisited

Insurance Journal

SEPTEMBER 15, 2024

Looking back at my Insurance Journal columns over the past 5 years, I found that I wrote at least one column a year about water damage claims. So, before this year runs out, I guess it’s time for another, especially …

Damage

Damage Claim Insurer Insurance

Hurricane Debby Florida Losses Top $121M; 60% of Claims Closed

Insurance Journal

SEPTEMBER 11, 2024

A month after Hurricane Debby made landfall in northern Florida, the number of property insurance claims has reached almost 20,000, and total estimated insured losses are more than $121.5 million, the Florida Office of Insurance Regulation reported this week. The …

Claim

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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

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New Gallagher Re-Bitsight Report Identifies Cyber Footprint as Claims Driver

Insurance Journal

OCTOBER 28, 2024

Using independent analysis of cybersecurity performance data provided by Bitsight in combination with claims data, the study uses … A new report from Gallagher Re has found that cyber insurers could reduce loss ratios up to 16% by removing most-at-risk entities.

Cyber

Cyber Claim Risk Insurer

Travelers: Costliest Claims Driven by Most Common Workplace Accidents

Insurance Journal

AUGUST 18, 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.

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Claim Injury Compensation

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.

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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

How Social Media Complicates Defamation Claims and How to Handle Them

Insurance Journal

SEPTEMBER 11, 2024

Five professional models who sued long after a state’s three year statute of limitations expired may pursue their defamation claims against an adult entertainment nightclub for posting their images to the giant social media site Facebook without their permission. However, …

Claim

Claim Liability

Viewpoint: Early Action Key to Mitigating Risk in Professional Liability Claims

Insurance Journal

SEPTEMBER 10, 2024

Professional liability claims impact a multitude of professions, including those in the legal, medical, financial and insurance industries. Claims for malpractice, breach of contract, breach of fiduciary duty and related issues can result in widespread premium increases and professional discipline.

Liability

Liability Claim Risk Premium

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

Using AI to Provide a More Human Claims Experience

Insurance Journal

OCTOBER 6, 2024

Advancements in generative artificial intelligence are enhancing claims processes in many ways, from improving First Notices of Loss (FNOLs) to analyzing videos and images to assessing damage quickly. The robots are coming — and in some cases, they’re here. With …

Claim

Claim Damage

Florida’s Heritage Insurance Reports 5,400 Claims, $57M in Cat Losses From Milton

Insurance Journal

OCTOBER 23, 2024

More loss and claims estimates are trickling in from carriers after Hurricane Milton caused widespread wind and flood damage in Florida this month. Tampa-based Heritage Insurance Holdings said in a preliminary statement that about two weeks after Milton made landfall …

Claim

Claim Damage Insured 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

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LMI Claims Conference

Prof. Allan Manning

JULY 29, 2024

Realising the importance of ongoing learning, LMI held their annual conference for the claims team in Sydney last week. During the conference it was appropriate to acknowledge and present 10 year service awards to Caroline Stevens from LMI Forensics and Georg Froeschl from LMI Claims.

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Dellwood Insurance Says AIG’s ‘Ginned-Up Claims’ Must Be Dismissed

Insurance Journal

OCTOBER 2, 2024

The legal squabble between American International Group (AIG) and a startup-up formed by some former employees continued this week with another filing from Dellwood Insurance Group in support of its motion to dismiss AIG’s claims. Dellwood, in a U.S. District …

Claim

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GSK Wins Latest Trial Over Zantac Cancer Claims

Insurance Journal

AUGUST 6, 2024

GSK won the latest trial over claims that discontinued heartburn drug Zantac caused cancer, as a jury on Monday found that the drug was not responsible for an Illinois woman’s illness, a company spokesperson said. Carrie Joiner had alleged in …

Claim

Claim Liability

Tennessee DCI Returns $9.5M to Policyholders in Mediated Claims Disputes

Insurance Journal

AUGUST 1, 2024

million for policyholders whose insurance claims had been denied, the department announced this week. The Tennessee Department of Commerce and Insurance so far this year has secured more than $9.5 The payments, mostly from property insurers, are the result of …

Policyholder

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Navigating Social Inflation in a World of Complex Claims

Insurance Journal

OCTOBER 20, 2024

Rising litigation costs, evolving societal expectations, and increasingly complex claims … As social inflation continues to exert pressure on the insurance industry, this is not only a financial issue, but one with far-reaching impacts on insurers, beneficiaries and society at large.

Claim

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What to Do After Filing the Insurance Claim

Property Insurance Coverage Law

OCTOBER 3, 2024

Filing a property insurance claim can feel unfamiliar to many. However, once you’ve submitted your claim, there are key steps you can take to ensure the best possible outcome. Here’s a guide on what to do next, from tracking your claim to ensuring your rights are protected.

Insurance Claim

Insurance Claim Claim Property Insurance Insurance

Specialist Risk Group Acquires UK Claims Specialist One Claim Ltd.

Claims Analysis: Roofs Define Luxury Homes’ Insurability

Trending Sources

LMI Claims are hiring

Report: Cybersecurity Claims for Data Loss Vary Broadly

New Hampshire High Court Invalidates Geico Underinsured Claim Provision

Viewpoint: Elevating Claims Management by Taking Collaborative Approach With Clients

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

Penn State to Pay $1.25M to Resolve Claims of Cybersecurity Non-Compliance

With Back-to-Back Storms, Florida Now Facing Delays in Claims Adjusting

Claims from Hurricane Milton Continue to Rise in Florida

Hurricane Debby Claims Already Two-Thirds of Idalia Claims in Florida, as Insurance Market Strengthens, Regulator Says

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

California Phlebotomy Lab and Owners to Pay $135K to Over Alleged False Claims for Blood Testing

Philadelphia Eagles and 76ers Lose Delayed Covid Claim Cases

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

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

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

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

Meta Platforms Defeats Shareholder Lawsuit Over Child Safety Claims

Delaware’s Workers’ Compensation Claims Cost Grew 3% a Year: WCRI

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

Trojan Condoms Contain ‘Forever Chemicals,’ Lawsuit Claims

Georgia Woman Charged with Insurance Fraud After Claimed Injuries

Court Upholds Finding That Montana Clinic Submitted False Asbestos Claims

Travelers: Costliest Claims Driven by Most Common Workplace Accidents

Plumbing Water Damage Claims Revisited

Hurricane Debby Florida Losses Top $121M; 60% of Claims Closed

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

New Gallagher Re-Bitsight Report Identifies Cyber Footprint as Claims Driver

Travelers: Costliest Claims Driven by Most Common Workplace Accidents

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

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

How Social Media Complicates Defamation Claims and How to Handle Them

Viewpoint: Early Action Key to Mitigating Risk in Professional Liability Claims

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

Using AI to Provide a More Human Claims Experience

Florida’s Heritage Insurance Reports 5,400 Claims, $57M in Cat Losses From Milton

Insurers Face Business Interruption Claims After Global Tech Outage

LMI Claims Conference

Dellwood Insurance Says AIG’s ‘Ginned-Up Claims’ Must Be Dismissed

GSK Wins Latest Trial Over Zantac Cancer Claims

Tennessee DCI Returns $9.5M to Policyholders in Mediated Claims Disputes

Navigating Social Inflation in a World of Complex Claims

What to Do After Filing the Insurance Claim

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