Claim and Policyholder - Insurance Industry Brief

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

Policyholder Claim Insurance Claim Property Insurance

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

Policyholder Insurance Claim Claim Property Insurance

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

Policyholder Insurance Claim Claim Property Insurance

CBS 60 Minutes to Run Story Regarding Altered Insurance Estimates Resulting in Fraudulent Underpayments to Policyholders

Property Insurance Coverage Law

SEPTEMBER 27, 2024

The American Policyholders Association (APA) has reported that CBS 60 Minutes is running a story this Sunday evening about altered estimates by claims managers, which result in underpayments to policyholders.

Policyholder

Policyholder Property Insurance Insurance Insurer

Insurance Company Prevails in Hail Damage Claim Dispute—Policyholders Need to Hire Experts Right Away and Provide Access to Information

Property Insurance Coverage Law

SEPTEMBER 26, 2024

In a case involving alleged hail damage to a commercial building, the court granted summary judgment in favor of the insurer, Charter Oak Fire Insurance Company, after excluding the policyholder’s expert witness.

Policyholder

Policyholder Insurance Companies Damage Claim

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

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

Insurance Claim Claim Policyholder Property Insurance

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

Insurance Journal

SEPTEMBER 25, 2024

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. Citizens Property Insurance Corp., “My question …

Claim

Claim Policyholder Property Insurance Insurance Claim

The Deadline to Properly Submit a Hurricane Ian Claim Is September 28 – Double Check Claim Submissions

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.

Claim

Claim Policyholder Property Insurance Insurance Companies

Progressive to Pay $48M to New York Drivers Over Underpaid Total Loss Claims

Insurance Journal

AUGUST 4, 2024

Simpson Progressive Insurance has agreed to a $48 million settlement with a class of 93,000 New York policyholders who claim the insurer underpaid their total loss claims on their vehicles. By Andrew G. The $48 million represents approximately 54% of …

Claim

Claim Policyholder Insured Insurance

Navigating Hurricane Helene and Milton NFIP Claims: Documenting Repairs and Understanding Prior Damage Requirements

Property Insurance Coverage Law

OCTOBER 14, 2024

For National Flood Insurance Program (NFIP) policyholders, especially those who have experienced prior flood losses, understanding the documentation requirements for repairs is crucial.

Damage

Damage Claim Policyholder Property Insurance

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.

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

Property Insurance Insurance Claim Claim Policyholder

Florida CFO Bars Insurers From Altering Adjusters’ Reports Without Explanation

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

Policyholder Claim Damage Insurance

Interior Damage Claims and the Exterior Damage Requirement—Where’s the Proof?

Property Insurance Coverage Law

SEPTEMBER 16, 2024

A federal judge ruled last week that policyholders eventually have to “put up or shut up” when it comes to proving that certain interior damages caused by a storm must be the result of damage to the exterior of a building, allowing water to damage the interior of a building.

Damage

Damage Claim Policyholder Property Insurance

Hurricane Helene Flood Insurance Claims and Elevated Building Issues? Refer to the Visual Flood Adjusters Use

Property Insurance Coverage Law

OCTOBER 6, 2024

I have received numerous calls from furious Hurricane Helene policyholders after learning how little coverage is afforded for the non-elevated floor of a multi-story building under their flood insurance policies.

Building

Building Insurance Claim Claim Policyholder

Explaining Deductibles After Multiple Florida Hurricanes

Insurance Journal

OCTOBER 15, 2024

They make insureds less likely to file smaller claims because either damage falls within the deductible, or is so close to it that the policyholder would rather not … Deductibles serve several purposes. They provide some premium relief for the insured.

Deductible

Deductible Policyholder Premium Damage

Amendment to Louisiana Unfair Claims Settlement Practice Adds Weapon to the Policyholder’s Arsenal

Property Insurance Coverage Law

AUGUST 9, 2024

As we inch closer to the statistical height of the Hurricane Season, Louisiana policyholders need to be aware that very significant revisions affecting first-party claims … The post Amendment to Louisiana Unfair Claims Settlement Practice Adds Weapon to the Policyholder’s Arsenal appeared first on Property Insurance Coverage Law Blog.

Claim

Claim Policyholder Property Insurance Insured

Dr. Roof or Dr. Roof Adjuster? Restoration Contractors and Roofers Need to Be Careful and Not Overstep into Adjusting Claims, Subjecting Them to Criminal Prosecution

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

Claim Policyholder Property Insurance Insurance Companies

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

Is the Exact Date of Loss Required in Pleadings Rather Than a Claim and Proof That a Loss Occurred During the Policy Period?

Property Insurance Coverage Law

SEPTEMBER 22, 2024

A recent ruling by a federal trial court stated that the policyholder claimed that a severe hailstorm on May 28, 2021, caused extensive damage to his property, including damage to the roof, vents, flashings, windows, window screens, fascia, gutters, downspouts, and HVAC system. appeared first on Property Insurance Coverage Law Blog.

Claim

Claim Policy Policyholder Damage

CBS 60 Minutes Exposes Alleged Insurance Company Fraud: Adjusters Reveal Altered Hurricane Damage Estimates by Claims Management

Property Insurance Coverage Law

SEPTEMBER 30, 2024

The investigative report featured testimony from whistleblowers who claim that insurance companies deliberately altered hurricane damage reports to underpay homeowners, leaving many Floridians struggling to rebuild their lives in the wake … The post CBS 60 Minutes Exposes Alleged Insurance Company Fraud: Adjusters Reveal Altered Hurricane Damage (..)

Insurance Companies

Insurance Companies Damage Claim Property Insurance

Two Flood Claims? NFIP Provides Guidance on How to Handle Back-to-Back Flood Claims

Property Insurance Coverage Law

OCTOBER 10, 2024

I was asked during my flood presentation on Monday how the National Flood Insurance Program would respond to a flood claim from Hurricane Helene and one from Hurricane Milton. … The post Two Flood Claims? NFIP Provides Guidance on How to Handle Back-to-Back Flood Claims appeared first on Property Insurance Coverage Law Blog.

Claim

Claim Property Insurance Insured Insurance

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.

Insurance Claim

Insurance Claim Claim Property Insurance Insurance

Public Adjusters Prohibited in Arkansas

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.

Property Damage

Property Damage Policyholder Property Insurance Damage

Prepare for the Unexpected — How to Help Policyholders With Disaster Planning

American Agents Alliance

SEPTEMBER 30, 2024

Learn more about how to help policyholders prepare for the unexpected with helpful tips. How to Help Policyholders With Proactive Disaster Planning An important start to disaster planning is considering whether or not a potential loss would be covered by insurance. Provide expert educational services for policyholders.

Policyholder

Policyholder Broker-Agent Personal Property Agents

Overcoming the Challenges of Personal Items Estimation

Insurance Journal

OCTOBER 15, 2024

When disaster strikes and a policyholder submits a claim, adjusters must quickly produce a comprehensive estimate of the damage so that restoration and replacement procedures can be placed in motion. This post is part of a series sponsored by CoreLogic.

Policyholder

Policyholder Damage Claim

Best Practices for Digital Claims Management for Agents and Brokers

American Agents Alliance

JULY 17, 2024

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.

Broker-Agent

Broker-Agent Broker Agents Claim

Valuables Insurance Coverage: Art Insurance Fire Claim Headed to Trial

Property Insurance Coverage Law

AUGUST 14, 2024

One of the more complex damage issues that must be addressed in all fire, smoke, and heat claims is the amount of damage to personal property in areas of a structure far away from the main fire.

Claim

Claim Personal Property Damage Insurance

Louisiana Court Finds That an Insured Breached its Duty to Cooperate

The Property Insurance Law Observer

JULY 25, 2024

June 24, 2024) offers valuable lessons for policyholders regarding the importance of cooperation in the insurance claims process. Following the hurricane, plaintiff submitted an insurance claim with a detailed contents list for $663,682 in personal property losses. The recent decision of Marcantel v. State Farm Fire , No.

Damage

Damage Policyholder Personal Property Claim

What Does Replacement Cost Insurance Pay If There Has Not Been Repair or Replacement?

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.

Policyholder

Policyholder Property Insurance Insurance Claim Claim

Can an Appraisal Panel Determine the Period of Restoration for a Business Interruption Dispute? Does the Panel Have to State the Period of Restoration In the Appraisal Award?

Property Insurance Coverage Law

SEPTEMBER 9, 2024

Many property adjusters and policyholders often think of business income and interruption claims as being solely an accounting function. This is not true because there must be a determination of the “period of restoration.”

Business Interruption

Business Interruption Policyholder Property Insurance Claim

Mailing a Letter, in Context With Other Clues, Is Sufficient Cancellation – NC High Court

Insurance Journal

AUGUST 25, 2024

Simply mailing a cancellation notice to a policyholder, when viewed in the context of other indicators, was enough to comply with state law and void a homeowner’s insurance policy shortly just weeks before a fire destroyed a home, the North …

Policyholder

Policyholder Insurance Policy Policy Insured

Leveraging Technology to Track and Reduce E&O Claims

American Agents Alliance

OCTOBER 8, 2024

E&O claims continue to grow in complexity along with the changing insurance landscape. Technology offers innovative ways to track and reduce E&O claims with robust tools. These technologies have changed how agents and brokers manage risk and advise policyholders, introducing the potential for new E&O claims.

Claim

Claim Broker-Agent Agents Broker

Protect Your Finances: The Truth About Small Insurance Claims

Shield Insurance Agency

AUGUST 20, 2024

Shield Insurance Blog | Small Insurance Claims | Contact Our Sales Team! Small Insurance Claims Can Raise Premiums Small insurance claims, such as those for minor property damage, may seem like a hassle to deal with. However, filing small insurance claims can have long-term financial consequences.

Insurance Claim

Insurance Claim Claim Protection Out-Of-Pocket

Lightning-Related Claims Up Sharply in 2023

Triple-I: Homeowners Insurance

JUNE 19, 2024

By Max Dorfman, Research Writer, Triple-I The total value of lightning-caused homeowners insurance claims rose more than 30 percent in 2023, to $1.27 billion from $950 million in 2022, Triple-I estimates based on national claims data provided by State Farm. The number of claims rose 13.8 of Claims Avg.

Claim

Claim Damage Protection Policyholder

Common Mistakes to Avoid When Filing Commercial Insurance Claims

Paragon Independent Insurance Agencies

JUNE 14, 2024

Filing a commercial claim is a complex and daunting process, especially for business owners unfamiliar with the ins and outs of insurance policies. If the policyholder makes mistakes during the claims process, it can lead to delays, denials, or underpayment of claims, which can significantly impact a business’s financial stability.

Commercial Insurance

Commercial Insurance Commercial Insurance Claim Claim

Our Claims Partner, Aspray, Wins Loss Assessor of the Year 2024

Property Insurance Centre

JULY 21, 2024

Our Claims Partner, Aspray, Wins Loss Assessor of the Year 2024 We are delighted but not surprised to announce that our claims partner, Aspray, has won the prestigious “Loss Assessor of the Year 2024” award at the British Claims Awards. Key Factors Behind Aspray’s Success 1.

Claim

Claim Property Damage Property Insurance Building

Fifth Circuit Holds That Sales Tax is Not a Component of Actual Cash Value

The Property Insurance Law Observer

JULY 29, 2024

The insurer determined that the policyholder sustained a total loss to her hail-damaged vehicle. The insurer paid $22,750 to the policyholder in exchange for her vehicle’s title, but did not pay sales tax. The policyholder sued, alleging breach of contract and violation of Texas Insurance Code Chapter 542, Prompt Payment of Claims.

Policyholder

Policyholder Damage Deductible Liability

Mississippi Commissioner Warns of Francine’s Impact on State

Insurance Journal

SEPTEMBER 11, 2024

Mississippi’s insurance commissioner is reminding policyholders that once Hurricane Francine moves across Louisiana, it will likely bring strong winds and heavy rains to the western part of the Magnolia State. And residents should be prepared by reading their insurance policies, …

Policyholder

Policyholder Insurance Policy Policy Insured

5 Best Practices for Effective Claims Reviews

Risk Management Monitor

SEPTEMBER 21, 2021

With the cost of insurance for businesses rising across many types of coverage, staying on top of trends in the claims portfolio is more important than ever. For this reason, many insurers and TPAs promise to conduct claims reviews with their business customers on a regular basis, but the rigor can vary greatly.

Claim

Claim Injury Workers Compensation Risk

Understanding Consumer Education and Property Insurance

Property Insurance Centre

MARCH 19, 2024

Consumer education ensures that individuals are prepared and protected with the proper insurance coverage and are knowledgeable about the claims process. It empowers individuals to navigate the claims process effectively and avoid insurance scams. May experience difficulties and delays when making claims due to lack of understanding.

Property Insurance

Property Insurance Policyholder Insurance Insurer

Balancing Traditional and Digital for a Hybrid Insurance Experience

American Agents Alliance

OCTOBER 4, 2024

Today’s policyholders have higher expectations than ever before and they are familiar with using intuitive, advanced tech in their personal lives. Read on to learn more about how to create a hybrid insurance experience for your policyholders. Offer policyholders the option between a live consultation and a virtual one.

Broker-Agent

Broker-Agent Policyholder Agents Insurance

NFIP Escapes Payment with Form-Over-Substance Rules—The Need For Reform of the National Flood Insurance Program

Property Insurance Coverage Law

OCTOBER 8, 2024

While speaking at the Florida Association of Public Insurance Adjusters Fall Conference regarding National Flood Insurance claims, I promised to blog about a recent case that made its way through the federal courts. Homeowners Henry and Mary Siedzikowski learned some hard lessons about the strict requirements for flood insurance claims.

Insurance Claim

Insurance Claim Property Insurance Claim Insurance

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

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

Trending Sources

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

CBS 60 Minutes to Run Story Regarding Altered Insurance Estimates Resulting in Fraudulent Underpayments to Policyholders

Insurance Company Prevails in Hail Damage Claim Dispute—Policyholders Need to Hire Experts Right Away and Provide Access to Information

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

Hurricane Helene National Flood Insurance Claims—What to Expect

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

The Deadline to Properly Submit a Hurricane Ian Claim Is September 28 – Double Check Claim Submissions

Progressive to Pay $48M to New York Drivers Over Underpaid Total Loss Claims

Navigating Hurricane Helene and Milton NFIP Claims: Documenting Repairs and Understanding Prior Damage Requirements

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

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

Florida CFO Bars Insurers From Altering Adjusters’ Reports Without Explanation

Interior Damage Claims and the Exterior Damage Requirement—Where’s the Proof?

Hurricane Helene Flood Insurance Claims and Elevated Building Issues? Refer to the Visual Flood Adjusters Use

Explaining Deductibles After Multiple Florida Hurricanes

Amendment to Louisiana Unfair Claims Settlement Practice Adds Weapon to the Policyholder’s Arsenal

Dr. Roof or Dr. Roof Adjuster? Restoration Contractors and Roofers Need to Be Careful and Not Overstep into Adjusting Claims, Subjecting Them to Criminal Prosecution

What to Do After Filing the Insurance Claim

Is the Exact Date of Loss Required in Pleadings Rather Than a Claim and Proof That a Loss Occurred During the Policy Period?

CBS 60 Minutes Exposes Alleged Insurance Company Fraud: Adjusters Reveal Altered Hurricane Damage Estimates by Claims Management

Two Flood Claims? NFIP Provides Guidance on How to Handle Back-to-Back Flood Claims

Navigating Flood Insurance Claims from Hurricane Helene

Public Adjusters Prohibited in Arkansas

Prepare for the Unexpected — How to Help Policyholders With Disaster Planning

Overcoming the Challenges of Personal Items Estimation

Best Practices for Digital Claims Management for Agents and Brokers

Valuables Insurance Coverage: Art Insurance Fire Claim Headed to Trial

Louisiana Court Finds That an Insured Breached its Duty to Cooperate

What Does Replacement Cost Insurance Pay If There Has Not Been Repair or Replacement?

Can an Appraisal Panel Determine the Period of Restoration for a Business Interruption Dispute? Does the Panel Have to State the Period of Restoration In the Appraisal Award?

Mailing a Letter, in Context With Other Clues, Is Sufficient Cancellation – NC High Court

Leveraging Technology to Track and Reduce E&O Claims

Protect Your Finances: The Truth About Small Insurance Claims

Lightning-Related Claims Up Sharply in 2023

Common Mistakes to Avoid When Filing Commercial Insurance Claims

Our Claims Partner, Aspray, Wins Loss Assessor of the Year 2024

Fifth Circuit Holds That Sales Tax is Not a Component of Actual Cash Value

Mississippi Commissioner Warns of Francine’s Impact on State

5 Best Practices for Effective Claims Reviews

Understanding Consumer Education and Property Insurance

Balancing Traditional and Digital for a Hybrid Insurance Experience

NFIP Escapes Payment with Form-Over-Substance Rules—The Need For Reform of the National Flood Insurance Program

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