Claim - Insurance Industry Brief

Report: Long COVID Accounted for Three Quarters of California Comp Virus Claim Payments

Insurance Journal

JUNE 3, 2025

of the treatment payments on COVID claims and 73.7% of all COVID-19 claim payments in California’s workers’ compensation system, according to a study. Long COVID cases accounted for 82.1% The study from the California Workers’ Compensation Institute shows one-in-21 California …

Claim

Claim Compensation Workers Compensation

Verisk: Q1 Claims Volume Hits 5-Year Low but Severity Up on Wildfire Losses

Insurance Journal

JUNE 19, 2025

The first three months of 2025 brought devastating wildfires to California, significant wind and hail events to Texas, and substantial increases in tornado activity to “Tornado Alley,” but claim volume decreased to a five-year low, according to a quarterly property …

Claim

Claim Property Insurance Insurance Insurer

California Commissioner Investigating State Farm’s Handling of LA Wildfire Claims

Insurance Journal

JUNE 12, 2025

California Insurance Commissioner Ricardo Lara on Thursday said he has launched a formal investigation into State Farm’s handling of thousands of insurance claims from wildfire survivors affected by the Palisades and Eaton wildfires in January. The California Department of Insurance …

Claim

Claim Insurance Claim Insurance Insured

Understanding Leadership from Inside the Insurance Claims Machine: Reflections on Mike Fiato’s Vision

Property Insurance Coverage Law

MAY 13, 2025

The Senate Subcommittee on Disaster Management will hold a hearing this afternoon titled Examining the Insurance Industrys Claims Practices Following Recent Natural Disasters. Among those testifying is Mike Fiato, Executive Vice President and Chief Claims Officer at Allstate.

Insurance Claim

Insurance Claim Claim Property Insurance Insurance Industry

Take the Hassle Out of Claims Management

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.

Claim

Claim Counts Down, Losses up for California Workers’ Comp Private Self-Insureds

Insurance Journal

JULY 2, 2025

fewer workers’ compensation claims in 2024 than in 2023, pushing private self-insured claim frequency to a four-year low, a new report shows. California’s private self-insured employers reported 7.4% However, for the second straight year, the average paid and incurred losses …

Workers Comp

Workers Comp Claim Compensation 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?

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.

Claim

Claim Property Insurance Insurance Insured

Understanding Leadership from Inside the Insurance Claims Machine: Reflections on Mike Fiato’s Vision

Property Insurance Coverage Law

MAY 13, 2025

The Senate Subcommittee on Disaster Management will hold a hearing this afternoon titled Examining the Insurance Industrys Claims Practices Following Recent Natural Disasters. Among those testifying is Mike Fiato, Executive Vice President and Chief Claims Officer at Allstate.

Insurance Claim

Insurance Claim Claim Property Insurance Insurance Industry

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.

Claim

Claim Policyholder Property Insurance 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?

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.

Claim

Claim Property Insurance Insurance Insured

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.

Insurance Companies

Insurance Companies Claim Property Insurance Insurance

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.

Claim

Claim Policyholder Property Insurance Insurance Claim

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.

Property Insurance

Property Insurance Insurance Claim Claim Insurance

Top Mistakes That Can Destroy Your Flood Insurance Claim

Property Insurance Coverage Law

MAY 27, 2025

Westfield Insurance Company 1 shows how even well-intentioned policyholders can lose a flood insurance claim before their lawsuit ever begins. This case is not just about a technical legal loss.

Insurance Claim

Insurance Claim Claim Policyholder Damage

Florida Appeals Court Says Plaintiff Can’t Harp on Adjusting Delays in Claims Dispute

Insurance Journal

JUNE 10, 2025

Some Florida policyholders and their attorneys have long complained about real or perceived delays in the claims-handling process after a loss. A Florida appeals court ruled last week that telling a jury about those delays may be prejudicial and out …

Claim

Claim Policyholder Casualty Insurance Insurance Claim

Viewpoint: Rising False Advertising Claims Reveal Major Coverage Protection Gap

Insurance Journal

JULY 8, 2025

The steady rise in false advertising claims against consumer-facing companies has exposed a major insurance protection gap. The drivers of these legal actions are many and varied and include consumers’ growing – and regularly-shifting – health preoccupations; sustainability concerns; patriotic …

Protection

Protection Claim Insurance Insured

Top Mistakes That Can Destroy Your Flood Insurance Claim

Property Insurance Coverage Law

MAY 27, 2025

Westfield Insurance Company 1 shows how even well-intentioned policyholders can lose a flood insurance claim before their lawsuit ever begins. This case is not just about a technical legal loss.

Insurance Claim

Insurance Claim Claim Policyholder Damage

Florida’s Evolving Bad-Faith Landscape: What Claims and Insurance Pros Need to Know

Insurance Journal

JUNE 19, 2025

With the enactment in 2023 of House Bill 837—a sweeping tort-reform measure—there are important changes to how insurers and their claims professionals must approach … Bad faith litigation has long posed both legal and reputational risks for insurers operating in Florida.

Claim

Claim Insurance Insured Insurer

Florida Citizens Moves to Have Commercial Claims Disputes Decided by DOAH

Insurance Journal

JUNE 25, 2025

made the unprecedented move to resolve many of its residential claims disputes through a state agency instead of through litigation, officials are now planning to send some commercial claims down that same path. Three years after Citizens Property Insurance Corp.

Commercial

Commercial Claim Property Insurance Insurance

Partial Denials Start Statute of Limitations Time Clock in National Flood Claims

Property Insurance Coverage Law

APRIL 14, 2025

When handling National Flood Insurance Program (NFIP) claims, public adjusters and policyholders must be alert to critical warning signs. One of the most important phrases to recognize is: “We denied a portion of your claim.” ” Those few words, even if buried in a lengthy letter, should ring loud alarm bells.

Claim

Claim Policyholder Property Insurance Insurance

Should Congress Enact a Federal Unfair Claims Practice Law? A Question That Needs Serious Consideration Following Congressional Investigation

Property Insurance Coverage Law

MAY 16, 2025

This weeks Senate hearing on the insurance industrys claims practices following natural disasters wasnt just a made-for-TV moment. It was a five-alarm warning siren for policyholders and insurers across the country.

Claim

Claim Policyholder Property Insurance Insurance Industry

Florida Policyholders Are Upset with Stupid Denials of Claims

Property Insurance Coverage Law

FEBRUARY 17, 2025

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. The insurance representative tried to explain that many of the denials were because most policies do not cover flood.

Policyholder

Policyholder Claim Property Insurance Policy

10 Summer Home Maintenance Tips to Help Prevent Insurance Claims

Central Insurance

JUNE 18, 2025

Summer is peak season for home insurance claims—from storm damage to fire risks. The post 10 Summer Home Maintenance Tips to Help Prevent Insurance Claims appeared first on Central Insurance Blog. Use these 10 expert tips to protect your home and prevent surprises.

Insurance Claim

Insurance Claim Claim Home Insurance Damage

Partial Denials Start Statute of Limitations Time Clock in National Flood Claims

Property Insurance Coverage Law

APRIL 14, 2025

When handling National Flood Insurance Program (NFIP) claims, public adjusters and policyholders must be alert to critical warning signs. One of the most important phrases to recognize is: “We denied a portion of your claim.” ” Those few words, even if buried in a lengthy letter, should ring loud alarm bells.

Claim

Claim Policyholder Property Insurance Insurance

Air India Crash Seen Triggering $475 Million in Insurance Claims

Insurance Journal

JUNE 16, 2025

India’s deadliest plane crash in more than decade is set to send shock waves through the aviation insurance industry and trigger one of the country’s costliest claims, estimated at around $475 million. “This aviation insurance claim could be one of …

Insurance Claim

Insurance Claim Claim Insurance Industry Insurance

Courts Expect Texas Hail Claims to Be Denied

Property Insurance Coverage Law

JULY 1, 2025

In a recent decision, 1 a federal judge noted the following in a Texas hail damage claim dispute: People in North Texas have at least a few common experiences between them: being disappointed in the Dallas Cowboys, losing Luka Dončić to the Lakers, and being in a hailstorm.

Claim

Claim Damage Property Insurance Insurance

What If Every Insurance Company Engineer Report Suggests a Denied Claim? We’re About to Find Out

Property Insurance Coverage Law

APRIL 21, 2025

Our firm is now taking the first step to find out whether the claims of systemic bias hold water. The statement … The post What If Every Insurance Company Engineer Report Suggests a Denied Claim? It all started when a public adjuster responded to a thread involving attorney Steven Badger.

Insurance Companies

Insurance Companies Claim Property Insurance Insurance

Triple-I Says Payments on Lightning Claims Dropped 16.5% in 2024

Insurance Journal

JUNE 27, 2025

paid out about $1 billion in claims for lightning-related damage in 2024, down 16.5% Insurers in the U.S. from the amount paid in 2023, according to the Insurance Information Institute (Triple-I). The tally was $1.04 billion in 2024 compared to …

Claim

Claim Damage Insurance Insured

Brotherhood Mutual Hit With $35 Million Punitive Award on Roof Damage Claim

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.

Damage

Damage Claim Policyholder Property Insurance

People Moves: WTW Hires Kharkavets as North America Head of ICT Claims

Insurance Journal

JULY 8, 2025

headquarters in Arlington, Virginia, appointed Alena Kharkavets as North American head of claims in its insurance consulting and technology (ICT) business. WTW, with U.S. Kharkavets comes to WTW from Intact Financial Corporation, where she held progressively senior roles and spent …

Claim

Claim Insurance Insured Insurer

Can Claims Managers in Florida Ethically Tell Adjusters Not to Share Estimates with Policyholders?

Property Insurance Coverage Law

JUNE 10, 2025

If you were found to give your estimate to anyone, … The post Can Claims Managers in Florida Ethically Tell Adjusters Not to Share Estimates with Policyholders? The message in bold, however, conveyed something quite different. TSI Adjusters warns their field adjusters: Warning: Do not share your estimate with anyone.

Policyholder

Policyholder Claim Property Insurance Insurance

Beware of a One-Year Deadline to File a Lawsuit—Always Hire a Public Adjuster If Your Insurer Makes You Adjust Your Own Claim

Property Insurance Coverage Law

JANUARY 30, 2025

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.

Claim

Claim Policyholder Property Insurance Insurance Policy

People Moves: Rockford Mutual Promotes Kriens to Claims VP as Kennedy Retires

Insurance Journal

JULY 3, 2025

Rockford Mutual Insurance Company (RMIC), headquartered in Rockford, Illinois, promoted Ann Kriens to the position of claims vice president. Kriens joined RMIC in 2014 with 20 years of claims experience at Economy/MetLife, serving as an adjuster, support supervisor, property subrogation …

Claim

Claim Insurance Companies Insurance Insured

Hancock Claims Acquires Knight’s Solutions, Expanding Service in SE, Midwest

Insurance Journal

JULY 1, 2025

Hancock Claims Consultants, a 22-year-old claims adjusting firm with offices in Georgia and Kentucky, has acquired Knight’s Solutions, an inspection firm that works claims in the Midwest and Southeast. Neither company is a public adjuster firm but work for property …

Claim

California FAIR Plan: Ignoring Laws and Gouging Californians on Smoke Damage Claims

Property Insurance Coverage Law

MARCH 20, 2025

This … The post California FAIR Plan: Ignoring Laws and Gouging Californians on Smoke Damage Claims appeared first on Property Insurance Coverage Law Blog.

Damage

Damage Claim Property Insurance Policy

Are Supplemental Flood Claims Subject to the Original One-Year Statute of Limitations?

Property Insurance Coverage Law

MAY 20, 2025

Occidental Fire and Casualty Company of North Carolina 1has reignited an important and often misunderstood question regarding supplemental claims. Are supplemental flood claims under the National Flood Insurance Program subject to the same one-year statute of limitations as the original claim?

Claim

Claim Property Insurance Insurance Insured

Dog Bite Claims Soar in Frequency and Cost: Report

Insurance Journal

APRIL 24, 2025

billion in dog-related injury claims in 2024, according to data compiled by the Insurance Information Institute (Triple-I) and State Farm. The number of dog bite and related injury claims last year totaled … Insurers in the U.S. paid out about $1.6

Claim

Claim Injury Insurance Insured

Connecticut Hopes to Curb Auto Claims Arbitration by Shifting Cost to Insurers

Insurance Journal

JUNE 15, 2025

Connecticut lawmakers have passed a measure to shift the cost of auto insurance arbitration hearings between claimants and insurers over damage claims to the insurance industry. Currently the department of insurance absorbs the average $3,075 cost to hold each of …

Claim

Claim Auto Insurance Damage Insurance Industry

Viewpoint: State Farm’s Wildfire Claims Response Is a Test of Trust and Operational Preparedness

Insurance Journal

JULY 7, 2025

State Farm has long positioned itself as the dependable “good neighbor” ready to help when disaster strikes. Through carefully crafted advertising, the company promotes a sense of comfort, security, and connection. Images of helpful agents arriving with a smile and …

Claim

Claim Agents Insurance Insurer

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.

Claim

Claim Insurance Claim Insurance Insured

Are Supplemental Flood Claims Subject to the Original One-Year Statute of Limitations?

Property Insurance Coverage Law

MAY 20, 2025

Occidental Fire and Casualty Company of North Carolina 1has reignited an important and often misunderstood question regarding supplemental claims. Are supplemental flood claims under the National Flood Insurance Program subject to the same one-year statute of limitations as the original claim?

Claim

Claim Property Insurance Insurance Insured

California Insurance Commissioner Appoints Members to New Smoke Claims and Remediation Task Force

Insurance Journal

JULY 2, 2025

California Insurance Commissioner Ricardo Lara has appointed members to his new Smoke Claims and Remediation Task Force, as part of his response to issues over smoke damage caused by wildfires across the state, including the handling of smoke damage claims …

Claim

Claim Damage Insurance Insured

California Commissioner Launches Smoke Claims & Remediation Task Force

Insurance Journal

JUNE 1, 2025

California Insurance Commissioner Ricardo Lara announced the formation of a Smoke Claims & Remediation Task Force within the California Department … A new task force has been formed to develop standards in California for insurance coverage and clean-up of smoke-damaged homes.

Claim

Claim Damage Insurance Insured

Conquering claims chaos after natural disasters

Insurance Journal

JULY 3, 2025

Crime thrives in chaos, making natural disasters the perfect backdrop for insurance claims fraud. This post is part of a series sponsored by Cotality. When the ashes have settled after a wildfire or when hail stops falling and flood waters …

Claim

Claim Crime Insurance Claim Insurance

Report: Long COVID Accounted for Three Quarters of California Comp Virus Claim Payments

Verisk: Q1 Claims Volume Hits 5-Year Low but Severity Up on Wildfire Losses

Trending Sources

California Commissioner Investigating State Farm’s Handling of LA Wildfire Claims

Understanding Leadership from Inside the Insurance Claims Machine: Reflections on Mike Fiato’s Vision

Take the Hassle Out of Claims Management

Claim Counts Down, Losses up for California Workers’ Comp Private Self-Insureds

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?

Understanding Leadership from Inside the Insurance Claims Machine: Reflections on Mike Fiato’s Vision

When Artificial Intelligence Becomes Wrongful Intelligence in Claims Handling

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?

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

When Artificial Intelligence Becomes Wrongful Intelligence in Claims Handling

Examinations Under Oath in New York Property Insurance Claims

Top Mistakes That Can Destroy Your Flood Insurance Claim

Florida Appeals Court Says Plaintiff Can’t Harp on Adjusting Delays in Claims Dispute

Viewpoint: Rising False Advertising Claims Reveal Major Coverage Protection Gap

Top Mistakes That Can Destroy Your Flood Insurance Claim

Florida’s Evolving Bad-Faith Landscape: What Claims and Insurance Pros Need to Know

Florida Citizens Moves to Have Commercial Claims Disputes Decided by DOAH

Partial Denials Start Statute of Limitations Time Clock in National Flood Claims

Should Congress Enact a Federal Unfair Claims Practice Law? A Question That Needs Serious Consideration Following Congressional Investigation

Florida Policyholders Are Upset with Stupid Denials of Claims

10 Summer Home Maintenance Tips to Help Prevent Insurance Claims

Partial Denials Start Statute of Limitations Time Clock in National Flood Claims

Air India Crash Seen Triggering $475 Million in Insurance Claims

Courts Expect Texas Hail Claims to Be Denied

What If Every Insurance Company Engineer Report Suggests a Denied Claim? We’re About to Find Out

Triple-I Says Payments on Lightning Claims Dropped 16.5% in 2024

Brotherhood Mutual Hit With $35 Million Punitive Award on Roof Damage Claim

People Moves: WTW Hires Kharkavets as North America Head of ICT Claims

Can Claims Managers in Florida Ethically Tell Adjusters Not to Share Estimates with Policyholders?

Beware of a One-Year Deadline to File a Lawsuit—Always Hire a Public Adjuster If Your Insurer Makes You Adjust Your Own Claim

People Moves: Rockford Mutual Promotes Kriens to Claims VP as Kennedy Retires

Hancock Claims Acquires Knight’s Solutions, Expanding Service in SE, Midwest

California FAIR Plan: Ignoring Laws and Gouging Californians on Smoke Damage Claims

Are Supplemental Flood Claims Subject to the Original One-Year Statute of Limitations?

Dog Bite Claims Soar in Frequency and Cost: Report

Connecticut Hopes to Curb Auto Claims Arbitration by Shifting Cost to Insurers

Viewpoint: State Farm’s Wildfire Claims Response Is a Test of Trust and Operational Preparedness

Claims Satisfaction Leaders Reveal Secrets to Success

Are Supplemental Flood Claims Subject to the Original One-Year Statute of Limitations?

California Insurance Commissioner Appoints Members to New Smoke Claims and Remediation Task Force

California Commissioner Launches Smoke Claims & Remediation Task Force

Conquering claims chaos after natural disasters

Stay Connected