Claim and Insurance Claim - Insurance Industry Brief

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

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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.

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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.

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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

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How Iran Oil Link Could Complicate Insurance Claims After Tankers Collide Off Singapore

Insurance Journal

AUGUST 5, 2024

A collision between two tankers off Singapore in July raises questions over insurance claims, as one of the vessels previously shipped Iranian oil, potentially complicating payments due to Western sanctions, ship-trackers and industry sources say. What Happened? The Singapore-flagged Hafnia …

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Navigating Flood Insurance Claims from Hurricane Helene

Property Insurance Coverage Law

SEPTEMBER 28, 2024

Many insureds and even insured representatives have never dealt with a flood insurance claim and the intricacies of the National Flood Insurance Program. Resources are available at … The post Navigating Flood Insurance Claims from Hurricane Helene appeared first on Property Insurance Coverage Law Blog.

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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.

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Hurricane Helene National Flood Insurance Claims—What to Expect

Property Insurance Coverage Law

OCTOBER 4, 2024

National Flood Insurance claims are notoriously complex and exacting. Most policyholders are unaware that National Flood claims are among the most difficult property insurance claims to handle correctly, and that the National Flood Insurance adjuster has limited authority.

Insurance Claim

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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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Hurricane Helene and Milton Survivors Navigating Insurance Claims and Recovery: United Policyholders’ Roadmap to Recovery Program Offers Crucial Support

Property Insurance Coverage Law

OCTOBER 11, 2024

In the wake of the devastating Hurricanes Helene and Milton that recently struck Florida and neighboring states, policyholders are facing the daunting task of rebuilding their lives and navigating complex insurance claims.

Policyholder

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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 …

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Introducing CognilinkClaims: Sutherland’s Latest AI Breakthrough in Insurance Claims Management

Insurance Journal

AUGUST 8, 2024

August 8, 2024 — Sutherland is excited to introduce CognilinkClaims™, an innovative AI-powered solution that integrates Classic AI and Generative AI capabilities to redefine and streamline the entire claims process. This advanced AI solution represents a significant advancement …

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Delay, Deny, Defend Professor Offers Suggestions for Meaningful Insurance Claims Reform

Property Insurance Coverage Law

JANUARY 9, 2025

1 … The post Delay, Deny, Defend Professor Offers Suggestions for Meaningful Insurance Claims Reform appeared first on Property Insurance Coverage Law Blog.

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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 …

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Michigan Takes a Stand: New Bulletin Prohibits Depreciation of Labor Costs in Property Insurance Claims

Property Insurance Coverage Law

SEPTEMBER 24, 2024

In a significant move to protect policyholders, the Michigan Department of Insurance and Financial Services (DIFS) issued a groundbreaking bulletin that explicitly prohibits insurers from depreciating labor costs when calculating actual cash value (ACV) in homeowner insurance claims.

Property Insurance

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Trust or Family Trust Owns Your Home? Beware of Insurance Complications to Avoid Insurance Claim Denials

Property Insurance Coverage Law

FEBRUARY 5, 2025

A recent viral social media post following the California wildfires has brought to light a critical issue: homeowners are finding their insurance claims denied because their properties are held in trusts, yet the trusts are not listed on their insurance policies.

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Ruling on Field Stands: Philadelphia Eagles Denied Covid-19 Insurance Claim

Insurance Journal

DECEMBER 16, 2024

The Philadelphia Eagles football team has lost its bid for federal court reconsideration of the dismissal of the team’s claim for insurance coverage for COVID-19 losses. The Eagles tossed a red flag in November after the federal district for Eastern …

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Policyholders Beware of Whom You Hire Regarding Your National Flood Insurance Claim

Property Insurance Coverage Law

OCTOBER 16, 2024

I was thinking about this while calling FAPIA Managing Director Nancy Dominguez to take down a wrong proof of loss form that some ignorant attorney had sent to a group as the proper NFIP proof of loss to be filed … The post Policyholders Beware of Whom You Hire Regarding Your National Flood Insurance Claim appeared first on Property Insurance (..)

Policyholder

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

Insurance Journal

AUGUST 1, 2024

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

Policyholder

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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 …

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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 billion in estimated insured losses. That’s already more than the claims and losses reported for Helene, which made landfall in Florida two weeks earlier, …

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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 …

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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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Insurer’s Fraud and Valuation Arguments Fall Flat: Court Sends Key Issues to the Jury

Property Insurance Coverage Law

MARCH 10, 2025

Fraud allegations in insurance disputes are serious business. When an insurer claims a policyholder intentionally misrepresented facts, its essentially saying, “You lied, and we dont have to pay.”

Policyholder

Policyholder Property Insurance Insurance Claim Claim

Claims From 4 Summer Weather Events in Canada Exceed Prior Year Total: IBC

Insurance Journal

SEPTEMBER 5, 2024

Four natural catastrophes over four weeks during Canada’s summer season have resulted in about five times the amount of claims than the 20-year average, reported the Insurance Bureau of Canada. About 228,000 home, auto and business insurance claims have been …

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Proof of Loss Requirements: A 222-Year-Old Case Still Relevant for Modern Insurance Claims

Property Insurance Coverage Law

NOVEMBER 18, 2024

This distinction remains critically important for today’s insurance practitioners and policyholders alike. This post is a follow-up to Where Did the Proof of Loss … The post Proof of Loss Requirements: A 222-Year-Old Case Still Relevant for Modern Insurance Claims appeared first on Property Insurance Coverage Law Blog.

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Construction Financing and Factoring of Insurance Receivables—MMA Related Case Sheds Light on Factors in the Property Insurance Claim Industry

Property Insurance Coverage Law

AUGUST 18, 2024

Property damage insurance claims funding by factoring companies is a relatively recent phenomenon in the property insurance claims industry.

Property Insurance

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Red Lobster Landlord Sues Insurer to ‘Clawback’ $1.2M Fire Claim Payment

Insurance Journal

SEPTEMBER 9, 2024

The landlord for a fire-damaged building leased to a Red Lobster restaurant is blaming the restaurant’s insurer for causing it to lose out on $1.2 million in fire insurance claims payments to repair the property. RL New Brunswick Owner LLC, …

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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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Should Citizens Do More to Assist With Coming Flood Claims in Florida? Can it?

Insurance Journal

SEPTEMBER 25, 2024

Citizens Property Insurance Corp., Florida’s largest insurer, has suspended policy binding ahead of predicted Hurricane Helene, and a board member asked if the carrier could do more to help policyholders manage flood insurance claims from the looming storm. “My question …

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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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Florida Insurance Regulators Demand Fair Treatment for Policyholders

Property Insurance Coverage Law

FEBRUARY 22, 2025

How do insurance claims work when your home has already been damaged once? A recent Florida Office of Insurance Regulation (OIR) Bulletin clarifies how insurers must handle claims for multiple hurricanes. As Florida residents, we know that hurricane season can be relentless.

Policyholder

Policyholder Property Insurance Damage Insurance Claim

Man Charged With Filing $50K in Fraudulent iPhone Insurance Claims

Insurance Journal

FEBRUARY 3, 2025

A Connecticut man has been arrested and charged with insurance fraud for allegedly running a scam involving filing fraudulent insurance claims for iPhones. Connecticut State Police said its investigation linked Esmaylin Delacruz of Milford to at least $50,000 in value …

Insurance Claim

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AI Chatbots, Gen AI Set to Revolutionize Insurance Claims Processing: Survey

Insurance Journal

JULY 14, 2024

Howard A majority of global insurers are actively endorsing the application of AI chatbots and generative AI in claims resolution processes, underwriting and customer fulfilment, according to a survey conducted by Gallagher Bassett, the claims-services provider and subsidiary …

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How to Develop a Good Relationship With Your Insurance Claims Adjuster

Central Insurance

JUNE 19, 2024

Central's Vice President of our Central Regional Office, RJ Coleman, outlines some essential tips to help you develop a good relationship with your claims adjuster. The post How to Develop a Good Relationship With Your Insurance Claims Adjuster appeared first on Central Insurance Blog.

Insurance Claim

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Morgan & Morgan Vows to Fight Proposed Class Action on ‘Botched’ Injury Claims

Insurance Journal

JULY 23, 2024

But perhaps the Orlando-founded firm has grown too big, too quickly, suggests a proposed class-action lawsuit that claims the firm has botched hundreds of … Morgan & Morgan calls itself the nation’s largest injury law firm, with offices in most states.

Injury

Injury Claim Workers Compensation Insurance Claim

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

Insurance Journal

NOVEMBER 21, 2024

Officials with Florida’s Citizens Property Insurance Corp. 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. “That’s just not accurate,” Citizens …

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National Flood Lessons: Strict Enforcement of Deadlines Dooms Policyholder’s Flood Claim—A Reopened Claim Does Not Stop the Ticking Time Bomb

Property Insurance Coverage Law

OCTOBER 22, 2024

Policyholders and public adjusters need to be aware that National Flood Insurance claims are very technical with demanding deadlines that must be met.

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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

Thoughts From a Policyholder Attorney of 40 Years About the 2025 Windstorm Conference

Property Insurance Coverage Law

JANUARY 29, 2025

It seems like yesterday, but the world of property insurance claims has changed significantly since 1985. The 2025 Windstorm conference had more of a Texas flare … The post Thoughts From a Policyholder Attorney of 40 Years About the 2025 Windstorm Conference appeared first on Property Insurance Coverage Law Blog.

Policyholder

Policyholder Property Insurance Insurance Claim Claim

California Fire Insurance Claim Information—United Policyholders to the Rescue!

Property Insurance Coverage Law

JANUARY 12, 2025

Merlin Law Group California attorney Dan Veroff, who was a former staff attorney for United Policyholders (UP), advised policyholders suffering from a California wildfire to attend events by United Policyholders in Theres a Wildfire Burning What Do I … The post California Fire Insurance Claim InformationUnited Policyholders to the Rescue!

Policyholder

Policyholder Insurance Claim Claim Property Insurance

Colorado Man Who Aided Former Adjuster in $268K Auto Insurance Fraud Scheme Sentenced

Insurance Journal

AUGUST 1, 2024

A Colorado man who aided a former insurance claims adjuster in an auto insurance claims scheme was sentenced this week. In 2020, Brassfield, 55, of Aurora, reportedly aided former Travelers Insurance employee Colette Palin, 63, of Aurora in committing fraud.

Auto Insurance

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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

Thoughts From a Policyholder Attorney of 40 Years About the 2025 Windstorm Conference

Property Insurance Coverage Law

JANUARY 29, 2025

It seems like yesterday, but the world of property insurance claims has changed significantly since 1985. The 2025 Windstorm conference had more of a Texas flare … The post Thoughts From a Policyholder Attorney of 40 Years About the 2025 Windstorm Conference appeared first on Property Insurance Coverage Law Blog.

Policyholder

Policyholder Property Insurance Insurance Claim Claim

Examinations Under Oath in New York Property Insurance Claims

When Artificial Intelligence Becomes Wrongful Intelligence in Claims Handling

Trending Sources

When Artificial Intelligence Becomes Wrongful Intelligence in Claims Handling

Wall Street Brokers Start Trading Insurer Claims From LA Fires

How Iran Oil Link Could Complicate Insurance Claims After Tankers Collide Off Singapore

Navigating Flood Insurance Claims from Hurricane Helene

What to Do After Filing the Insurance Claim

Hurricane Helene National Flood Insurance Claims—What to Expect

Claims Satisfaction Leaders Reveal Secrets to Success

Hurricane Helene and Milton Survivors Navigating Insurance Claims and Recovery: United Policyholders’ Roadmap to Recovery Program Offers Crucial Support

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

Introducing CognilinkClaims: Sutherland’s Latest AI Breakthrough in Insurance Claims Management

Delay, Deny, Defend Professor Offers Suggestions for Meaningful Insurance Claims Reform

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

Michigan Takes a Stand: New Bulletin Prohibits Depreciation of Labor Costs in Property Insurance Claims

Trust or Family Trust Owns Your Home? Beware of Insurance Complications to Avoid Insurance Claim Denials

Ruling on Field Stands: Philadelphia Eagles Denied Covid-19 Insurance Claim

Policyholders Beware of Whom You Hire Regarding Your National Flood Insurance Claim

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

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

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

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

Philadelphia Eagles and 76ers Lose Delayed Covid Claim Cases

Insurer’s Fraud and Valuation Arguments Fall Flat: Court Sends Key Issues to the Jury

Claims From 4 Summer Weather Events in Canada Exceed Prior Year Total: IBC

Proof of Loss Requirements: A 222-Year-Old Case Still Relevant for Modern Insurance Claims

Construction Financing and Factoring of Insurance Receivables—MMA Related Case Sheds Light on Factors in the Property Insurance Claim Industry

Red Lobster Landlord Sues Insurer to ‘Clawback’ $1.2M Fire Claim Payment

Specialist Risk Group Acquires UK Claims Specialist One Claim Ltd.

Should Citizens Do More to Assist With Coming Flood Claims in Florida? Can it?

LMI Claims Conference

Florida Insurance Regulators Demand Fair Treatment for Policyholders

Man Charged With Filing $50K in Fraudulent iPhone Insurance Claims

AI Chatbots, Gen AI Set to Revolutionize Insurance Claims Processing: Survey

How to Develop a Good Relationship With Your Insurance Claims Adjuster

Morgan & Morgan Vows to Fight Proposed Class Action on ‘Botched’ Injury Claims

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

National Flood Lessons: Strict Enforcement of Deadlines Dooms Policyholder’s Flood Claim—A Reopened Claim Does Not Stop the Ticking Time Bomb

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

Thoughts From a Policyholder Attorney of 40 Years About the 2025 Windstorm Conference

California Fire Insurance Claim Information—United Policyholders to the Rescue!

Colorado Man Who Aided Former Adjuster in $268K Auto Insurance Fraud Scheme Sentenced

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

Thoughts From a Policyholder Attorney of 40 Years About the 2025 Windstorm Conference

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