Property Insurance Coverage Law

OCTOBER 23, 2024

While Jimmy Patronis and Governor DeSantis trumpet their latest emergency rule as consumer protection following the CBS 60 Minutes Expose noted in CBS 60 Minutes Exposes Alleged Insurance Company Fraud: Adjusters Reveal Altered Hurricane Damage Estimates by Claims Management, the reality reveals a different story.

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Policyholder Insurance Companies Insurance Industry Protection 214

Insurance Journal

JULY 11, 2024

North Carolina authorities have charged one woman and are on the lookout for another in connection with a scheme to defraud a State Farm insurance company of more than $195,000. India Ayesha Wilkerson, 25, of Greensboro, was charged with insurance …

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Claim Insurance Companies Insurance Insured 277

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. 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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Insurance Claim Claim Property Insurance Insurance 197

Property Insurance Coverage Law

NOVEMBER 5, 2024

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 insurance company’s conduct can waive strict policy requirements, even when attempting to preserve those rights through reservation letters.

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Claim Policyholder Insurance Companies Property Insurance 202

Property Insurance Coverage Law

OCTOBER 19, 2024

A federal appellate decision has provided valuable insights into the claims handling practices of Church Mutual Insurance Company and the duties of insurers in Louisiana. Church Mutual Insurance Company, 1 offers important lessons for property adjusters and claims managers across the industry.

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Claim Insurance Companies Property Insurance Insurance 187

Property Insurance Coverage Law

SEPTEMBER 21, 2024

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.

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Claim Policyholder Property Insurance Insurance Companies 176

Insurance Journal

DECEMBER 13, 2024

A Lakeland, Florida, woman was charged this week with threatening mass violence after she reportedly told her health insurance company: “Delay, deny, depose. You people are next” echoing words allegedly used by the shooter of the UnitedHealthcare CEO. Briana …

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Claim Insurance Companies Insurance Insured 246

Property Insurance Coverage Law

NOVEMBER 18, 2024

United Insurance Company 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.

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Insurance Claim Claim Policyholder Property Insurance 199

Property Insurance Coverage Law

JANUARY 30, 2025

A recent federal court decision favoring Liberty Mutual Insurance Company in a pipe burst claim1 left me thinking about two lessons. 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.

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Claim Policyholder Property Insurance Insurance Policy 163

Property Insurance Coverage Law

SEPTEMBER 19, 2024

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.

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Claim Policyholder Property Insurance Insurance Companies 205

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.

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Damage Claim Policyholder Property Insurance 151

Insurance Journal

AUGUST 15, 2024

A Maui judge’s ruling resolves a critical roadblock to finalizing a $4 billion wildfire settlement: Insurance companies 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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Insurance Companies Insurance Claim Insured 276

Insurance Journal

NOVEMBER 26, 2024

An Ohio man was sentenced to five years in prison and ordered to pay restitution for filing 24 fraudulent claims with multiple insurance companies, totaling more than $229,000, the Ohio Department of Insurance announced. Justin Mack, a native of Buffalo, …

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Insurance Journal

DECEMBER 9, 2024

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 insurance companies. Robert Grayson Dail, 35, of Gibsonville, principal …

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Insurance Insured Insurer Insurance Companies 263

Insurance Journal

JANUARY 9, 2025

Pennsylvania Lumbermens Mutual Insurance Company (PLM), headquartered in Philadelphia, named Steve Firko as executive vice president and chief operating officer overseeing all front-line customer-focused operating departments, including underwriting, field operations, claims, loss control, marketing, customer service, and operations.

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Underwriter Underwriting Insurance Companies Claim 246

Insurance Journal

JANUARY 28, 2025

First it was the fake bear insurance fraud that made headlines around the country. Now, it’s a fake deer that has landed a South Carolina woman in jail after authorities said she provided false information to a Progressive Insurance company.

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Claim Insurance Companies Insurance Insured 165

Insurance Journal

OCTOBER 29, 2024

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 …

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Claim Insurance Insured Insurer 263

The Property Insurance Law Observer

SEPTEMBER 16, 2024

Liberty Mutual Insurance Company , the U.S. Court of Appeals reviewed a summary judgment ruling in favor of co-defendant West American Insurance Company (“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.

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Insurance Companies Damage Insurance Insured 130

Property Insurance Coverage Law

AUGUST 15, 2024

Insurance companies claim that when claims numbers are simply made up, that act constitutes fraud. If that is so, then insurance company 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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Insurance Companies Insurance Property Insurance Insured 201

Property Insurance Coverage Law

JANUARY 30, 2025

A recent federal court decision favoring Liberty Mutual Insurance Company in a pipe burst claim1 left me thinking about two lessons. 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.

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Claim Policyholder Property Insurance Insurance Policy 139

Insurance Journal

OCTOBER 9, 2024

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 …

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Policyholder Claim Damage Insurance 290

Insurance Journal

FEBRUARY 13, 2025

Insurance companies have so far paid out more than $6.9 billion for losses from the biggest two of the Los Angeles-area wildfires that swept through the region and destroyed tens of thousands of homes last month. That’s according to the …

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Insurance Companies Insurance Insured Insurer 275

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.

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Damage Claim Policyholder Property Insurance 100

Property Insurance Coverage Law

NOVEMBER 10, 2024

As someone who has spent decades battling insurance companies over wrongful claims practices, it might seem strange that I’m writing about the importance of insurance company profits. Trust me, I had to take a deep breath before typing that sentence.

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Insurance Companies Property Insurance Insurance Insured 100

Property Insurance Coverage Law

OCTOBER 28, 2024

This is Florida law regarding when an insurance company must start investigating an insurance claim: 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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Policyholder Property Insurance Insurance Claim Claim 183

Property Insurance Coverage Law

SEPTEMBER 5, 2024

Insurance companies that wrongly deny or underpay property insurance claims 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.

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Policyholder Property Insurance Insurance Claim Claim 180

Property Insurance Coverage Law

JANUARY 7, 2025

Insurance companies denying hail damage claims are repeat players in the litigation arena. The lawyers and experts they choose to defend these denials are as well.

Damage 202

Damage Policyholder Property Insurance Insurance Companies 202

Property Insurance Coverage Law

NOVEMBER 21, 2024

In the world of insurance claims, a simple yet often overlooked step can make or break a policyholder’s chance of recovery: The proof of loss. This was driven home in the 1891 case of German Insurance Company v.

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Property Insurance Insurance Claim Insurance Companies Claim 197

Property Insurance Coverage Law

FEBRUARY 10, 2025

Thats the reality policyholders face when insurance companies delay or wrongfully deny claims, only to make a late payment after an appraisal and walk away without any real accountability. Imagine a world where breaking the rules carries no real consequences. Last weeks decision in Mirelez v.

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Policyholder Property Insurance Insurance Companies Insurance 166

Property Insurance Coverage Law

FEBRUARY 10, 2025

Thats the reality policyholders face when insurance companies delay or wrongfully deny claims, only to make a late payment after an appraisal and walk away without any real accountability. Imagine a world where breaking the rules carries no real consequences. Last weeks decision in Mirelez v.

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Policyholder Property Insurance Insurance Companies Insurance 153

Property Insurance Coverage Law

OCTOBER 5, 2024

When navigating the aftermath of a property damage claim, many homeowners seek professionals to help them secure the best possible settlement from their insurance company. However, policyholders … The post Public Adjusters Prohibited in Arkansas appeared first on Property Insurance Coverage Law Blog.

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Property Damage Policyholder Property Insurance Damage 150

Insurance Journal

DECEMBER 18, 2024

Washington Insurance Commissioner Mike Kreidler issued fines totaling $576,500 against insurance companies, 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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Broker-Agent Broker Insurance Companies Agents 242

Insurance Journal

DECEMBER 15, 2024

Courts across the country have overwhelmingly ruled in favor of insurance carriers in claims disputes following the government-ordered closures of businesses during the COVID-19 pandemic. The North Carolina Supreme Court last week bucked that trend, becoming just the second state …

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Insurance Carrier Claim Business Interruption Insurance 246

Property Insurance Coverage Law

FEBRUARY 2, 2025

In a recent case from the Wisconsin Court of Appeals, Cincinnati Insurance Company v. Ropicky, 1 the court held that insurers may not deny legitimate claims based on policy exclusions that the insurer has broadly applied.

Property Insurance 139

Property Insurance Insurance Companies Policy Claim 139

Top Insurance Blogs

OCTOBER 27, 2024

in-depth look at each of these trusted car insurance companies in Florida, including what they offer, their history, benefits, locations, and the reasons behind their popularity: 1. Progressive Learn how to claim insurance in Florida 4. Liberty Mutual Read about: Root Insurance in Florida 7. State Farm 2.

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Insurance Companies Insurance Insured Insurer 52

Property Insurance Coverage Law

DECEMBER 5, 2024

A recent Illinois Circuit Court decision provides an excellent analysis of why insurance companies cannot deny fire claims under vacancy exclusions by claiming that arson is a form of vandalism. The case, Amjad Abudayya v.

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Insurance Companies Property Insurance Claim Insurance 100

Property Insurance Coverage Law

OCTOBER 1, 2024

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.

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Property Insurance Damage Insurance Industry Insurance Companies 197