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In a shocking exposé aired last night on CBS’s 60 Minutes, allegations of widespread insurance fraud by insurancecompanies following Hurricane Ian were exposed.
In a case involving alleged hail damage to a commercial building, the court granted summary judgment in favor of the insurer, Charter Oak Fire InsuranceCompany, after excluding the policyholder’s expert witness.
A Lakeland, Florida, woman was charged this week with threatening mass violence after she reportedly told her health insurancecompany: “Delay, deny, depose. You people are next” echoing words allegedly used by the shooter of the UnitedHealthcare CEO. Briana …
North Carolina authorities have charged one woman and are on the lookout for another in connection with a scheme to defraud a State Farm insurancecompany of more than $195,000. India Ayesha Wilkerson, 25, of Greensboro, was charged with insurance …
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A recent Indiana Court of Appeals decision where Merlin Law Group’s Ed Eshoo was counsel for the policyholder provides a textbook example of how an insurancecompany’s conduct can waive strict policy requirements, even when attempting to preserve those rights through reservation letters.
A federal appellate decision has provided valuable insights into the claims handling practices of Church Mutual InsuranceCompany and the duties of insurers in Louisiana. Church Mutual InsuranceCompany, 1 offers important lessons for property adjusters and claims managers across the industry.
A North Carolina elementary school principal and a Cape Hatteras man were arrested last week and charged with insurance fraud after authorities said they attempted to make false claims to their insurancecompanies. Robert Grayson Dail, 35, of Gibsonville, principal …
Claims deadlines and submittals are no longer easy for Florida policyholders. It’s hard to keep up with all the changes to … The post The Deadline to Properly Submit a Hurricane Ian Claim Is September 28 – Double Check Claim Submissions appeared first on Property Insurance Coverage Law Blog.
A Maui judge’s ruling resolves a critical roadblock to finalizing a $4 billion wildfire settlement: Insurancecompanies who have paid out more than $2 billion in claims can seek reimbursement only from the settlement amount defendants, who victims blame for …
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United InsuranceCompany 1 offers timeless guidance on the distinction between preliminary “proof of loss” requirements and “proof” evidence required at trial. This distinction remains critically important for today’s insurance practitioners and policyholders alike. The 1802 New York Supreme Court case of Lenox v.
Six months after a North Carolina captive insurance firm for nursing homes around the country accused its managers of poaching proprietary software and forming a competing management company, a federal judge has dismissed the lawsuit. “Plaintiffs have pleaded no factual …
Restoration Contractors and Roofers Need to Be Careful and Not Overstep into Adjusting Claims, Subjecting Them to Criminal Prosecution appeared first on Property Insurance Coverage Law Blog.
Liberty Mutual InsuranceCompany , the U.S. Court of Appeals reviewed a summary judgment ruling in favor of co-defendant West American InsuranceCompany (“West American”), issued by the U.S. A lawsuit ensued, wherein the Insured alleged that West American breached the contract by failing to pay full value for the claim.
Almost two years after a group of independent claims adjusters alleged that insurers had deceptively altered their damage estimates and low-balled policyholders, Florida’s chief financial officer has issued an emergency rule barring similar actions in Hurricane Milton claims. “Any move …
Insurancecompaniesclaim that when claims numbers are simply made up, that act constitutes fraud. If that is so, then insurancecompany fraud statistics are a fraud. The often wrongfully cited estimate of $308.6 billion is an admittedly “make believe” estimate. A recent article by Kenneth S.
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Washington Insurance Commissioner Mike Kreidler issued fines totaling $576,500 against insurancecompanies, agents, brokers and unlicensed entities in October and November of 2024 for violations of state insurance laws and regulations. The fines included $100,000 levied against PacificSource Health Plans …
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This is Florida law regarding when an insurancecompany must start investigating an insuranceclaim: 3)(a) Unless otherwise provided by the policy of insurance or by law, within 7 days after an insurer receives proof-of-loss statements, the insurer shall begin such investigation as is reasonably necessary unless the failure to begin such investigation (..)
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Insurancecompanies that wrongly deny or underpay property insuranceclaims are finding a golden financial opportunity that provides an incentive for them to wrongfully underpay and deny claims—they escape the payment of the replacement cost valuation they promised to their policyholders.
INSURANCE-RELATEDCOURTCASES Digested from case reports published online COURT DECISIONS Wrestling claim denied Jodi Greenlaw, individually and as personal representative of the estate of her late husband Philip J.
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in-depth look at each of these trusted car insurancecompanies in Florida, including what they offer, their history, benefits, locations, and the reasons behind their popularity: 1. Progressive Learn how to claiminsurance in Florida 4. Liberty Mutual Read about: Root Insurance in Florida 7. State Farm 2.
A recent Illinois Circuit Court decision provides an excellent analysis of why insurancecompanies cannot deny fire claims under vacancy exclusions by claiming that arson is a form of vandalism. The case, Amjad Abudayya v.
Insurancecompanies denying hail damage claims are repeat players in the litigation arena. The lawyers and experts they choose to defend these denials are as well.
Even if the storm doesn't directly impact your home or city, overall state damage may cause the carrier you use to pay out a large number of claims that year, which may result in all of their policy premiums increasing at renewal. The more damage, the more likely premiums will rise at renewal.
In our series on Insurance Vendor Management, we have covered the 9 Critical Steps for Insurance Vendor Management , Specialization of the InsuranceCompany and the Agent , How to Evaluate an Insurance Policy, and Claims and Administration of the Policy.
The Fifth Circuit Court of Appeals recently ruled in favor of Church Mutual InsuranceCompany in a Hurricane Laura claim brought by First United Pentecostal Church.1
This Bogle Agency Insurance blog post will guide you through the necessary steps to take after a disaster strikes and how to navigate the home insuranceclaims process smoothly. Home InsuranceClaim Step I: Assess the Safety of Your Home After a disaster, the safety of you and your family should be the top priority.
Shield Insurance Blog | Small InsuranceClaims | Contact Our Sales Team! Small InsuranceClaims Can Raise Premiums Small insuranceclaims, such as those for minor property damage, may seem like a hassle to deal with. However, filing small insuranceclaims can have long-term financial consequences.
According to reporting last year by KFF (the independent source for health policy research, polling, and journalism formerly known as the Kaiser Family Foundation) data from insurers for Affordable Care Act Marketplace plans show nearly 17% of in-network claims were denied in 2021.
Heritage Insurance (HRTG) lost 20% of its publicly traded value yesterday following the recent CBS 60 Minutes investigation into alleged insurance fraud in Florida, which has sent shockwaves through the insurance industry.
If you are ever unable to reach our office to report a claim during sever weather, we welcome you to contact your insurancecompany and report your claim directly. Below are the phone numbers and websites for the companies we represent.
Since life insurancecompanies pay out multiple claims per year, you may wonder how life insurancecompanies make money if claims sometimes eclipse the amount earned in premiums. The answer is that life insurancecompany profitability is based on more than just the amount it earns in premiums.
In my recent articles, The Façade of Consumer Protection: How Florida’s Political Leadership Continues to Favor InsuranceCompanies Over Policyholders — Are Florida’s Politicians in Bed with the Insurance Industry and Florida’s Emergency Ethical Rule Conflicts with Xactimate’s License Agreement – Another Example of Insurance Industry Control in Florida, (..)
Every part of the insurance lifecycle is changing in the digital age, including the handling of claims. Agents and brokers play important roles in the digital claims management process, from educating policyholders on loss mitigation to helping insureds file claims and work with their insurers.
GeoVera Specialty InsuranceCompany (2024 WL 3952571), the court affirmed that unambiguous policy limits remain enforceable even when an appraisal award exceeds those limits. This decision provides valuable guidance for insurers handling post-catastrophe claims. District Court for the Middle District of Florida, Wood v.
In this series on Insurance Vendor Management for Lenders, we discussed how to evaluate an insurance policy, the specialization of the insurancecompany and the agent, and the 9 Critical Steps for Insurance Vendor Management. In this article, we tackle claims and administration of the policy.
At this time of year, typically due to Florida storms causing damage to our homes, there are a larger number of insuranceclaims than normal. Many adjusters investigate your claim by visiting your property; in person, viewing and documenting losses and damages personally. Read the full article at www.wreninsuranceagency.com
A federal court recently held that an insurer could not deny coverage under a homeowner’s policy based upon the failure of the named insured’s son, an “insured person,” to submit to an examination under oath (“EUO”). Allstate Vehicle and Property InsuranceCompany , Civil Action No. In Michelle Adeola v.
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