Claim and Property Insurance - 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.

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New York Considers Making Property Insurers Cover Taxi Claims Losses

Insurance Journal

DECEMBER 12, 2024

New York is considering asking property and casualty insurers to cover the claims of insolvent taxi insurer American Transit Insurance Co., according to people familiar with the plans. That measure is one of several options under discussion as the state’s …

Property Insurance

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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.

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New Florida Legislative Leaders Talk Tough on Property Insurance, But No Specific Plans

Insurance Journal

NOVEMBER 20, 2024

Florida’s newest legislative leaders on Tuesday rattled some sabers about property insurance rates and claims but offered no agenda for the upcoming session that begins in March, according to state news reports. Incoming Senate President Ben Albritton, R-Wauchula, warned insurers …

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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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The Regulatory Blind Spot: How Insurance Departments Fail to Detect Systemic Bad Faith Claims Practices

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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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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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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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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Is the Address Correct on the Property Insurance Policy?

Property Insurance Coverage Law

SEPTEMBER 25, 2024

In my basic course about property insurance coverage to public adjusters, and as a standard issue regarding case intake at Merlin Law Group, I first emphasize to always make certain the named insureds and clients have a right to bring the claims. appeared first on Property Insurance Coverage Law Blog.

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AM Best: Wildfires Intensifying California’s Property Insurance Troubles

Insurance Journal

FEBRUARY 6, 2025

Wildfires are intensifying the problems in California’s property insurance market, according to a new commentary from AM Best. Those problems include a major insurer pullback from California in the past year, followed by the L.A. wildfires, which could result in …

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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 (..)

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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 …

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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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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.

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Stay Informed: The Zelle Lonestar Lowdown – A Must-Read Newsletter for Property Insurance Professionals

Property Insurance Coverage Law

DECEMBER 3, 2024

For those battling insurance coverage issues in Texas, The Zelle Lonestar Lowdown offers invaluable monthly insights into Texas first-party property insurance law and claims.

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Are Insurers Using “New Construction” Xactimate Settings Wrongfully Underpaying Claims?

Property Insurance Coverage Law

SEPTEMBER 11, 2024

Lawsuits are starting to be filed on a more regular basis regarding State Farm’s alleged wrongful use of Xactimate to underpay claims based on “new construction” settings. appeared first on Property Insurance Coverage Law Blog. 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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Florida’s Heritage Stock Price Drops After ’60 Minutes’ Report on Adjusters

Insurance Journal

SEPTEMBER 30, 2024

Just as Florida property insurers face another round of storm claims, CBS News has raised questions about alleged insurer fraud stemming from claims incurred in the last major storm – Hurricane Ian, which hit much of southwest Florida two years …

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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.

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Amica Finishes Number One in Claims Customer Satisfaction—Lessons For Adjusters About the Role of Empathy In an AI Claims Handling World

Property Insurance Coverage Law

DECEMBER 27, 2024

Allen Laman wrote an article for Carrier Management, which was re-published in part in the Claims Journal, Claims Satisfaction Leaders Reveal Secrets to Success.One point of the article came as no surprise, with AMICA claiming top scores in a survey of claims customer satisfaction: Amica Mutual Insurance ranked highest in overall auto claims customer (..)

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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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Are Catastrophe Claims Adjusters Being Overworked, Provided Too Many Losses to Properly Handle, Provided Wrong Directions to Adjust Losses, or Simply Being Asked to Adjust Claims In a Manner Not Reflecting Good Faith Claims Handling?

Property Insurance Coverage Law

JANUARY 22, 2025

I am snowed in after taking the deposition of a 1099 temporary claims adjuster in South Carolina. Much of his testimony has me thinking about the plight of the modern independent claims adjuster doing catastrophe work. During his deposition, the independent catastrophe adjuster said he had asked to have his claims load reduced.

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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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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.

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LMI Claims are hiring

Prof. Allan Manning

OCTOBER 7, 2024

LMI continues to grow in claims work and as a result both LMI Group and Aequum Adjusters are looking to hire loss adjusters and or claims preparers in virtually every state and territory in Australia and New Zealand. The positions range from trainee, to highly experienced.

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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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Leakage and McKinsey Claims Process Handling Still at Issue

Property Insurance Coverage Law

SEPTEMBER 12, 2024

The post “Are Insurers Using “New Construction” Xactimate Settings Wrongfully Underpaying Claims?” noted that “lawsuits are starting to be filed on a more regular basis regarding State Farm’s alleged wrongful use of Xactimate to underpay claims based on ‘new construction’ settings.”

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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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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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Claims from Hurricane Milton Continue to Rise in Florida

Insurance Journal

OCTOBER 21, 2024

Almost two weeks after Hurricane Milton made landfall near Sarasota, Florida, as a Category 3 storm, claims and loss totals continue to rise. 21, the Florida Office of Insurance Regulation said carriers had reported more than 221,582 …

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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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When Can Public Adjusters Start Soliciting California Wildfire Claims?

Property Insurance Coverage Law

JANUARY 12, 2025

appeared first on Property Insurance Coverage Law Blog.

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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.

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

Property Insurance Coverage Law

OCTOBER 10, 2024

Every now and then, I get stumped on a property insurance question. 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?

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Can a Streaming Service Agreement Require Arbitration in a Food Allergy Death?

Insurance Journal

AUGUST 14, 2024

Florida property insurers considering the expanded use of binding arbitration to settle claims disputes may want to ponder a recent arbitration move by Walt Disney Parks and Resorts: An answer to a lawsuit against Disney, which has made headlines on …

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Insurance Company Claims File Transparency Supports Honest and Good Faith Claims Conduct

Property Insurance Coverage Law

JANUARY 21, 2025

The Florida House Insurance and Banking Subcommittee was obviously upset with rising insurance rates and poor claims handling, as noted inParticipate In Your DemocracyEven If You Are Called a Bazooka. I was always told that an honest person has nothing to hide.

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Insurance Company’s Two-Year Claims Handling Waives Proof of Loss Requirement

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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Church Mutual’s Claims Practices Under Scrutiny: Lessons from the First Baptist Church of Iowa Case

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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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 (..)

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Are Catastrophe Claims Adjusters Being Overworked, Provided Too Many Losses to Properly Handle, Provided Wrong Directions to Adjust Losses, or Simply Being Asked to Adjust Claims In a Manner Not Reflecting Good Faith Claims Handling?

Property Insurance Coverage Law

JANUARY 22, 2025

I am snowed in after taking the deposition of a 1099 temporary claims adjuster in South Carolina. Much of his testimony has me thinking about the plight of the modern independent claims adjuster doing catastrophe work. During his deposition, the independent catastrophe adjuster said he had asked to have his claims load reduced.

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Florida Policyholders Are Upset with Stupid Denials of Claims

Property Insurance Coverage Law

FEBRUARY 17, 2025

The insurance representative tried to explain that many of the denials were because most policies do not cover flood. Our firm was asked to represent a … The post Florida Policyholders Are Upset with Stupid Denials of Claims appeared first on Property Insurance Coverage Law Blog.

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

Property Insurance Coverage Law

SEPTEMBER 16, 2024

1 The lesson from the … The post Interior Damage Claims and the Exterior Damage Requirement—Where’s the Proof? appeared first on Property Insurance Coverage Law Blog.

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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.

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Examinations Under Oath in New York Property Insurance Claims

New York Considers Making Property Insurers Cover Taxi Claims Losses

Trending Sources

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

New Florida Legislative Leaders Talk Tough on Property Insurance, But No Specific Plans

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

The Regulatory Blind Spot: How Insurance Departments Fail to Detect Systemic Bad Faith Claims Practices

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

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

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

Is the Address Correct on the Property Insurance Policy?

AM Best: Wildfires Intensifying California’s Property Insurance Troubles

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

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

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

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

Stay Informed: The Zelle Lonestar Lowdown – A Must-Read Newsletter for Property Insurance Professionals

Are Insurers Using “New Construction” Xactimate Settings Wrongfully Underpaying Claims?

What to Do After Filing the Insurance Claim

Florida’s Heritage Stock Price Drops After ’60 Minutes’ Report on Adjusters

Hurricane Helene National Flood Insurance Claims—What to Expect

Amica Finishes Number One in Claims Customer Satisfaction—Lessons For Adjusters About the Role of Empathy In an AI Claims Handling World

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

Are Catastrophe Claims Adjusters Being Overworked, Provided Too Many Losses to Properly Handle, Provided Wrong Directions to Adjust Losses, or Simply Being Asked to Adjust Claims In a Manner Not Reflecting Good Faith Claims Handling?

When Artificial Intelligence Becomes Wrongful Intelligence in Claims Handling

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

LMI Claims are hiring

Navigating Flood Insurance Claims from Hurricane Helene

Leakage and McKinsey Claims Process Handling Still at Issue

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

When Artificial Intelligence Becomes Wrongful Intelligence in Claims Handling

Claims from Hurricane Milton Continue to Rise in Florida

LMI Claims Conference

When Can Public Adjusters Start Soliciting California Wildfire Claims?

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

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

Can a Streaming Service Agreement Require Arbitration in a Food Allergy Death?

Insurance Company Claims File Transparency Supports Honest and Good Faith Claims Conduct

Insurance Company’s Two-Year Claims Handling Waives Proof of Loss Requirement

Church Mutual’s Claims Practices Under Scrutiny: Lessons from the First Baptist Church of Iowa Case

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

Are Catastrophe Claims Adjusters Being Overworked, Provided Too Many Losses to Properly Handle, Provided Wrong Directions to Adjust Losses, or Simply Being Asked to Adjust Claims In a Manner Not Reflecting Good Faith Claims Handling?

Florida Policyholders Are Upset with Stupid Denials of Claims

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

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

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