Insurance Journal

APRIL 28, 2025

After receiving multiple inquiries about the use of aerial images in property insurance nonrenewals, West Virginia’s insurance commissioner has posted guidelines for insurers’ use of the technology. In a bulletin this month, Commissioner Allan McVey reminded insurance companies that aerial …

Property Insurance 235

Property Insurance Insurer Insured Insurance 235

Property Insurance Coverage Law

FEBRUARY 27, 2025

Meanwhile, State Farm has been busy suppressing the methods it uses to adjust water loss claims in Tong v. State Farm General Insurance Company. This case continues to shed light on State Farms handling … The post State Farms Water Protocol appeared first on Property Insurance Coverage Law Blog.

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Property Insurance Claim Insurance Companies Insurer 203

Property Insurance Coverage Law

APRIL 27, 2025

Few things send shivers down a policyholders spine faster than discovering that an otherwise valid claim has been sunk by a missed filing deadline. Travelers Casualty Insurance Company of America. Travelers Casualty Insurance Company of America.

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Property Insurance Casualty Insurance Policyholder Insurer 100

Property Insurance Coverage Law

APRIL 9, 2025

According to this sparkling gem of judicial thought, it turns out that its not enough to tell your insurance company, “Hey, my house … The post The New “Notice” Trap: Better Ring a Bell for Every Coverage You Might Claim appeared first on Property Insurance Coverage Law Blog.

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Claim Property Insurance Insurance Policy Insurance Companies 131

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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Claim Property Insurance Damage Insurance Industry 279

Property Insurance Coverage Law

APRIL 27, 2025

Few things send shivers down a policyholders spine faster than discovering that an otherwise valid claim has been sunk by a missed filing deadline. Travelers Casualty Insurance Company of America. Travelers Casualty Insurance Company of America.

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Property Insurance Casualty Insurance Policyholder Insurer 100

Property Insurance Coverage Law

MARCH 11, 2025

All insurance policies include a section placing specific responsibilities and obligations on policyholders to act in a certain way before entitling them to policy benefits for what should be a covered loss.

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Policyholder Claim Property Insurance Insurance Policy 127

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 Insurer 199

Property Insurance Coverage Law

MAY 6, 2025

Wright National Flood Insurance Company 1 highlights a harsh reality for policyholders seeking to recover under the National Flood Insurance Program (NFIP).Strict Wright National Flood Insurance Company 1 highlights a harsh reality for policyholders seeking to recover under the National Flood Insurance Program (NFIP).Strict

Policyholder 150

Policyholder Property Insurance Damage Insurance Companies 150

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.

Policyholder 185

Policyholder Property Insurance Insurance Companies Insurer 185

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.

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Property Insurance Policy Insurance Companies Claim 180

Property Insurance Coverage Law

APRIL 18, 2025

Safeco Insurance Company of America 1 serves as a timely reminder for claims professionals to revisit how to interpret actual cash value (ACV), replacement cost value (RCV), and general contractor overhead and profit (GCOP) under property insurance policies which define the terms.

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Policyholder Claim Property Insurance Insurance Policy 100

Property Insurance Coverage Law

SEPTEMBER 26, 2024

A recent federal court ruling in Missouri highlights the critical importance of admissible expert testimony in property insurance disputes.

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Policyholder Insurance Companies Damage Claim 203

Property Insurance Coverage Law

FEBRUARY 28, 2025

When a hurricane damages your home, you expect your insurance company to play fair. But what happens when insurers undervalue claims, drag out disputes, and then hide behind new laws to avoid accountability? Scottsdale Insurance Companya case that delivered a crucial victory for policyholders in Florida.

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Policyholder Property Insurance Damage Insurance Companies 163

Property Insurance Coverage Law

MARCH 2, 2025

State Farm policyholders should be aware of its companys water damage claims processes, as noted in State Farms Water Protocol. After reading the facts and allegations of a recent water claim denial, I would suggest they also should be concerned with alleged experts providing opinions about the cause of water losses.

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Insurance Companies Damage Policyholder Property Insurance 100

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

FEBRUARY 28, 2025

When a hurricane damages your home, you expect your insurance company to play fair. But what happens when insurers undervalue claims, drag out disputes, and then hide behind new laws to avoid accountability? Scottsdale Insurance Companya case that delivered a crucial victory for policyholders in Florida.

Policyholder 149

Policyholder Property Insurance Damage Insurance Companies 149

Property Insurance Coverage Law

MARCH 11, 2025

All insurance policies include a section placing specific responsibilities and obligations on policyholders to act in a certain way before entitling them to policy benefits for what should be a covered loss.

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Policyholder Claim Property Insurance Insurance Policy 100

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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Insurance Claim Claim Property Insurance Insurer 203

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

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 189

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 203

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 Insurer 189

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 203

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.

Claim 214

Claim Policyholder Property Insurance Insurance Companies 214

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 Insurer Insured Insurance 203

Tosten Marketing

FEBRUARY 27, 2025

Commercial property insurance water damage coverage is a complex topic with many nuances. What Water Damage Does Commercial Property Insurance Cover? Commercial property insurance covers several types of water damage, but understanding the specifics is vital. What Water Damage Isn’t Covered?

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Commercial Property Property Insurance Damage Commercial 52

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 189

The Property Insurance Law Observer

FEBRUARY 25, 2025

Spinnaker Insurance Company , the United States District Court for the Western District of Pennsylvania considered a homeowners insurance coverage dispute, ultimately finding that questions of residency and alleged fraudulent misrepresentations precluded summary judgment. In Jackson v. Conclusion Jackson v.

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Claim Policy Insurance Companies Damage 130

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 185

Property Insurance Coverage Law

JANUARY 7, 2025

Insurance companies denying hail damage claims are repeat players in the litigation arena. Hire The Right Experts and Establish a Theory of Loss Before Filing a Lawsuit appeared first on Property Insurance Coverage Law Blog. The lawyers and experts they choose to defend these denials are as well.

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Damage Policyholder Property Insurance Insurance Companies 203

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.

Property Insurance 203

Property Insurance Insurance Claim Insurance Companies Claim 203

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 (..)

Policyholder 189

Policyholder Property Insurance Insurance Claim Claim 189

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 Insurer Insured 100

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 …

Policyholder 290

Policyholder Claim Damage Insurer 290

Property Insurance Coverage Law

OCTOBER 1, 2024

You can read about the story from my post, CBS 60 Minutes Exposes Alleged Insurance Company Fraud: Adjusters Reveal Altered Hurricane Damage Estimates … The post Heritage Insurance Under Scrutiny: Analyzing the CBS 60 Minutes Exposé and Questions of Internal Controls appeared first on Property Insurance Coverage Law Blog.

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Property Insurance Damage Insurance Industry Insurance Companies 203

Property Insurance Coverage Law

OCTOBER 25, 2024

In my recent articles, The Façade of Consumer Protection: How Florida’s Political Leadership Continues to Favor Insurance Companies 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, (..)

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