Claim - Insurance Industry Brief

Report: Over 250,000 US Properties Have Repeated NFIP Claims

Insurance Journal

SEPTEMBER 19, 2024

properties have repeated claims for federal flood insurance, costing the National Flood Insurance Program billions of dollars in claims, according to new federal data compiled by the National Resources Defense Council. More than a quarter million U.S. Four states account …

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Claims Satisfaction Leaders Reveal Secrets to Success

Insurance Journal

DECEMBER 25, 2024

What is the secret to an insurance claims experience that satisfies customers? Power has conducted surveys and curated lists recognizing insurers that succeed at providing satisfactory claims experiences. Carrier Management recently asked claims leaders at two of … For years, J.D.

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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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Insurers Face Business Interruption Claims After Global Tech Outage

Insurance Journal

JULY 21, 2024

Insurers could face a raft of business interruption claims after a worldwide tech outage crippled industries from travel to finance on Friday, insurance industry experts said. A software update by global cybersecurity firm CrowdStrike appeared to have triggered systems problems …

Business Interruption

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Streamline Insurance Claims Management By Analyzing Legal Trends

Advertiser: Trellis

Insurance professionals use Trellis to streamline claims management by analyzing legal trends, predicting outcomes, and strategizing effectively to serve clients better. Adjusters can evaluate claim validity, estimate settlement amounts, and identify potential litigation risks.

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Report: Cybersecurity Claims for Data Loss Vary Broadly

Insurance Journal

SEPTEMBER 26, 2024

Cybersecurity claims reported in recent years vary sharply, with larger claims reaching $500 million of data loss and smaller claims as low $1,000. NetDilligence released its annual report, which analyzes 10,464 claims from incidents between 2019 and 2023. The report …

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Debby’s Florida Claims Already Near 12,000 as Yaworsky Says Market is Strengthening

Insurance Journal

AUGUST 11, 2024

The number of Florida claims from Hurricane Debby, filed within five days of the storm, already is almost half of the the number of claims filed in Hurricane Idalia in a three-month period. Debby claims by Friday had reached more …

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Will California’s FAIR Plan Have Enough Cash for Its Wildfire Claims?

Insurance Journal

JANUARY 16, 2025

There has been some question about whether California’s insurer of last resort the FAIR Plan has enough cash on hand to pay for its share of wildfire claims. While cash is limited and reinsurance has a deductible that …

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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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Travelers: Costliest Claims Driven by Most Common Workplace Accidents

Insurance Journal

AUGUST 5, 2024

million workers compensation claims reveals the costliest claims are driven by the most common workplace accidents, according to Travelers 2024 Injury Impact Report. Analysis of 1.2 The data also shows first-year employees are still among those most vulnerable to injury.

Workers Compensation

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Tallahassee, Atlanta Dodge a Bullet, But Thousands of Claims Are Expected

Insurance Journal

SEPTEMBER 27, 2024

Hundreds of claims adjusters were set to move out across Florida, Georgia and western parts of the Carolinas Friday morning as Hurricane Helene brought high storm surge and 140 mph winds to a region that has faced three hurricanes in …

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Claims Analysis: Roofs Define Luxury Homes’ Insurability

Insurance Journal

NOVEMBER 17, 2024

The insurance industry is facing a significant rise in roof-related claims. The combination of increasingly severe weather events, inflation-driven repair costs and the growing issue of roofing scams has created a perfect storm — one that is straining insurer portfolios …

Home Insurance

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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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CrowdStrike Rejects Delta Air Lines Claims Over Flight Woes

Insurance Journal

AUGUST 5, 2024

CrowdStrike on Sunday rejected a claim by Delta Air Lines that it should be blamed for flight disruptions following a July 19 global outage sparked by a faulty update, and suggested it had minimal potential liability. Delta CEO Ed Bastian …

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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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With Back-to-Back Storms, Florida Now Facing Delays in Claims Adjusting

Insurance Journal

OCTOBER 9, 2024

With Hurricane Milton now expected to produce several hundred thousand wind-damage claims and with the storm coming so soon on the heels of Hurricane Helene, industry leaders are bracing for significant delays in claims adjusting. “We’re competing with Helene,” said …

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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 That’s already more than the claims and losses reported for Helene, which made landfall in Florida two weeks earlier, … billion in estimated insured losses.

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Morgan & Morgan Vows to Fight Proposed Class Action on ‘Botched’ Injury Claims

Insurance Journal

JULY 23, 2024

But perhaps the Orlando-founded firm has grown too big, too quickly, suggests a proposed class-action lawsuit that claims the firm has botched hundreds of … Morgan & Morgan calls itself the nation’s largest injury law firm, with offices in most states.

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

Insurance Journal

NOVEMBER 21, 2024

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. Officials with Florida’s Citizens Property Insurance Corp. “That’s just not accurate,” Citizens …

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Georgia Woman Charged with Insurance Fraud After Claimed Injuries

Insurance Journal

AUGUST 5, 2024

A woman in north Georgia has been charged with insurance fraud after she claimed that a “personal care device” caused injuries that cost as much as $350,000 to treat. Kamala Anderson, 45, of Snellville, was arrested last month after the …

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Specialist Risk Group Acquires UK Claims Specialist One Claim Ltd.

Insurance Journal

NOVEMBER 12, 2024

Specialist Risk Group (SRG), the London-based specialist insurance intermediary, announced the acquisition of One Claim Ltd. Based in Essex, England, One Claim provides broker partners and their clients with claims management support from initial notification through to settlement. The One …

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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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High Claims From Medium-Sized Disasters Keep Driving Hard Reinsurance Market

Insurance Journal

AUGUST 15, 2024

Hard reinsurance pricing conditions are likely to last longer than in previous market cycles mainly as a result of persistently high claims activity from the accumulation of medium-sized disaster losses and secondary perils, according to an AM Best report. As …

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North Carolina Man Charged With Threatening Insurance Agents Over Claim

Insurance Journal

JULY 18, 2024

First, a North Carolina man filed a claim with Farm Bureau Insurance. Then he threatened three insurance agents with violence when he wasn’t paid as much as he expected, according to state authorities and one of the insurance agents. Brody …

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Cannabis Firm Fights Insurer’s Denial of Business Income Loss Claim Following Fire

Insurance Journal

JULY 28, 2024

million in claimed business income losses to a cannabis growing company after a building fire shuttered one of its “flowering” rooms for 68 days. A Berkshire Hathaway insurer is insisting it does not owe $1.3 National Fire and Marine Insurance …

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Trojan Condoms Contain ‘Forever Chemicals,’ Lawsuit Claims

Insurance Journal

SEPTEMBER 10, 2024

A new lawsuit on Monday claims that Trojan condoms are not safe because they contain toxic “forever chemicals,” which have been linked to cancer. In a proposed class action filed in Manhattan federal court, the plaintiff Matthew Goodman said Church …

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Generative AI: A Double Agent Serving Good and Evil in the World of Claims

Insurance Journal

DECEMBER 29, 2024

Claims professionals need to adapt to the AI evolution at a fast pace as the same technologies used to fight claims fraud are also being used to perpetuate it, according to experts. “It’s truly become an arms race,” said Shane …

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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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Red Lobster Landlord Sues Insurer to ‘Clawback’ $1.2M Fire Claim Payment

Insurance Journal

SEPTEMBER 9, 2024

million in fire insurance claims payments to repair the property. The landlord for a fire-damaged building leased to a Red Lobster restaurant is blaming the restaurant’s insurer for causing it to lose out on $1.2 RL New Brunswick Owner LLC, …

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GSK Wins Latest Trial Over Zantac Cancer Claims

Insurance Journal

AUGUST 6, 2024

GSK won the latest trial over claims that discontinued heartburn drug Zantac caused cancer, as a jury on Monday found that the drug was not responsible for an Illinois woman’s illness, a company spokesperson said. Carrie Joiner had alleged in …

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Long COVID Claims Still Impact California’s Workers Comp System, Report Shows

Insurance Journal

OCTOBER 6, 2024

The impact and surge of long-term COVID on the California workers’ compensation system since 2020 has been prevalent, including long-term impacts on disability and long-term patterns of medical cost and treatment on long COVID claims. That’s from a report by …

Workers Comp

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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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Fla. DFS Offers to Check Contracts With Roofers, Adjusters; Tenn. Eyes Claims Denials

Insurance Journal

OCTOBER 30, 2024

Officials in two Southeastern states have taken steps to hold insurers or recipients of insurance funds accountable after Hurricanes Helene and Milton spurred thousands of insurance claims. The Tennessee Department of Commerce and Insurance reminded insurance carriers that they must …

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Viewpoint: Elevating Claims Management by Taking Collaborative Approach With Clients

Insurance Journal

OCTOBER 1, 2024

Over the last 20 years, the role of the claims handler has evolved significantly, from a largely back-office function to one centred around partnership and mutual benefit. In today’s market, claims is now at the forefront of client-insurer relationships, playing …

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Arbitration Claims Against LNG Exporter Venture Global Reach Close to $6 Billion

Insurance Journal

NOVEMBER 22, 2024

Pending arbitration claims against liquefied natural gas exporter Venture Global LNG Inc. Claims in cases by eight separate companies, including some … from several of its customers have grown to nearly $6 billion, according to a bond document seen by Bloomberg.

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Dellwood Insurance Says AIG’s ‘Ginned-Up Claims’ Must Be Dismissed

Insurance Journal

OCTOBER 2, 2024

The legal squabble between American International Group (AIG) and a startup-up formed by some former employees continued this week with another filing from Dellwood Insurance Group in support of its motion to dismiss AIG’s claims. Dellwood, in a U.S. District …

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Penn State to Pay $1.25M to Resolve Claims of Cybersecurity Non-Compliance

Insurance Journal

OCTOBER 23, 2024

The Pennsylvania State University has agreed to pay $1,250,000 to settle claims that it violated the False Claims Act by failing to comply with cybersecurity requirements in 15 contracts involving the Department of Defense (DoD) or National Aeronautics and Space …

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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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Florida’s Heritage Insurance Reports 5,400 Claims, $57M in Cat Losses From Milton

Insurance Journal

OCTOBER 23, 2024

More loss and claims estimates are trickling in from carriers after Hurricane Milton caused widespread wind and flood damage in Florida this month. Tampa-based Heritage Insurance Holdings said in a preliminary statement that about two weeks after Milton made landfall …

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Old Damage, New Claim: Davies Risk Head Notes Rise in ‘Soft Fraud’ in Southeast

Insurance Journal

DECEMBER 2, 2024

With multiple hurricanes rocking Florida and other parts of the Southeast this year, claims professionals have said they are seeing a trend toward “soft fraud,” with more policyholders attempting to include older or unrelated damage in recent storm claims, and …

Damage

Damage Claim Policyholder Risk

Viewpoint: Early Action Key to Mitigating Risk in Professional Liability Claims

Insurance Journal

SEPTEMBER 10, 2024

Professional liability claims impact a multitude of professions, including those in the legal, medical, financial and insurance industries. Claims for malpractice, breach of contract, breach of fiduciary duty and related issues can result in widespread premium increases and professional discipline.

Liability

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How Social Media Complicates Defamation Claims and How to Handle Them

Insurance Journal

SEPTEMBER 11, 2024

Five professional models who sued long after a state’s three year statute of limitations expired may pursue their defamation claims against an adult entertainment nightclub for posting their images to the giant social media site Facebook without their permission. However, …

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Judge Dismisses Most Claims in Lawsuit Alleging Hair Discrimination at Houston High School

Insurance Journal

AUGUST 8, 2024

HOUSTON (AP) — A federal judge on Tuesday dismissed most of the claims in a lawsuit filed by a Black high school student who alleged that school officials committed racial and gender discrimination when they punished him for refusing to …

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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 …

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Report: Over 250,000 US Properties Have Repeated NFIP Claims

Claims Satisfaction Leaders Reveal Secrets to Success

Trending Sources

LMI Claims are hiring

Insurers Face Business Interruption Claims After Global Tech Outage

Streamline Insurance Claims Management By Analyzing Legal Trends

Report: Cybersecurity Claims for Data Loss Vary Broadly

Debby’s Florida Claims Already Near 12,000 as Yaworsky Says Market is Strengthening

Will California’s FAIR Plan Have Enough Cash for Its Wildfire Claims?

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

Travelers: Costliest Claims Driven by Most Common Workplace Accidents

Tallahassee, Atlanta Dodge a Bullet, But Thousands of Claims Are Expected

Claims Analysis: Roofs Define Luxury Homes’ Insurability

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

CrowdStrike Rejects Delta Air Lines Claims Over Flight Woes

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

With Back-to-Back Storms, Florida Now Facing Delays in Claims Adjusting

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

Morgan & Morgan Vows to Fight Proposed Class Action on ‘Botched’ Injury Claims

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

Georgia Woman Charged with Insurance Fraud After Claimed Injuries

Specialist Risk Group Acquires UK Claims Specialist One Claim Ltd.

Claims from Hurricane Milton Continue to Rise in Florida

High Claims From Medium-Sized Disasters Keep Driving Hard Reinsurance Market

North Carolina Man Charged With Threatening Insurance Agents Over Claim

Cannabis Firm Fights Insurer’s Denial of Business Income Loss Claim Following Fire

Trojan Condoms Contain ‘Forever Chemicals,’ Lawsuit Claims

Generative AI: A Double Agent Serving Good and Evil in the World of Claims

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

Red Lobster Landlord Sues Insurer to ‘Clawback’ $1.2M Fire Claim Payment

GSK Wins Latest Trial Over Zantac Cancer Claims

Long COVID Claims Still Impact California’s Workers Comp System, Report Shows

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

Fla. DFS Offers to Check Contracts With Roofers, Adjusters; Tenn. Eyes Claims Denials

Viewpoint: Elevating Claims Management by Taking Collaborative Approach With Clients

Arbitration Claims Against LNG Exporter Venture Global Reach Close to $6 Billion

Dellwood Insurance Says AIG’s ‘Ginned-Up Claims’ Must Be Dismissed

Penn State to Pay $1.25M to Resolve Claims of Cybersecurity Non-Compliance

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

Florida’s Heritage Insurance Reports 5,400 Claims, $57M in Cat Losses From Milton

Old Damage, New Claim: Davies Risk Head Notes Rise in ‘Soft Fraud’ in Southeast

Viewpoint: Early Action Key to Mitigating Risk in Professional Liability Claims

How Social Media Complicates Defamation Claims and How to Handle Them

Judge Dismisses Most Claims in Lawsuit Alleging Hair Discrimination at Houston High School

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

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