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In a recent decision that should raise red flags for public adjusters and policyholders, a federal judge granted summary judgment in favor of Indian Harbor InsuranceCompany. 1 The ruling is a lesson that when it comes to insuranceclaims and litigation, it is not enough to argue about fairness or merely present repair invoices.
When a hurricane damages your home, you expect your insurancecompany to play fair. But what happens when insurers undervalue claims, drag out disputes, and then hide behind new laws to avoid accountability? Scottsdale Insurance Companya case that delivered a crucial victory for policyholders in Florida.
All insurance policies include a section placing specific responsibilities and obligations on policyholders to act in a certain way before entitling them to policy benefits for what should be a covered loss.
A recent federal court decision favoring Liberty Mutual InsuranceCompany in a pipe burst claim1 left me thinking about two lessons. 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.
When a hurricane damages your home, you expect your insurancecompany to play fair. But what happens when insurers undervalue claims, drag out disputes, and then hide behind new laws to avoid accountability? Scottsdale Insurance Companya case that delivered a crucial victory for policyholders in Florida.
All insurance policies include a section placing specific responsibilities and obligations on policyholders to act in a certain way before entitling them to policy benefits for what should be a covered loss.
A recent federal court decision favoring Liberty Mutual InsuranceCompany in a pipe burst claim1 left me thinking about two lessons. 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.
State Farm policyholders should be aware of its companys water damage claims processes, as noted in State Farms Water Protocol. After reading the facts and allegations of a recent water claim denial, I would suggest they also should be concerned with alleged experts providing opinions about the cause of water losses.
In a case involving alleged hail damage to a commercial building, the court granted summary judgment in favor of the insurer, Charter Oak Fire InsuranceCompany, after excluding the policyholder’s expert witness.
In a shocking exposé aired last night on CBS’s 60 Minutes, allegations of widespread insurance fraud by insurancecompanies following Hurricane Ian were exposed.
Safeco InsuranceCompany of America 1 serves as a timely reminder for claims professionals to revisit how to interpret actual cash value (ACV), replacement cost value (RCV), and general contractor overhead and profit (GCOP) under property insurance policies which define the terms.
While Jimmy Patronis and Governor DeSantis trumpet their latest emergency rule as consumer protection following the CBS 60 Minutes Expose noted in CBS 60 Minutes Exposes Alleged InsuranceCompany Fraud: Adjusters Reveal Altered Hurricane Damage Estimates by Claims Management, the reality reveals a different story.
Thats the reality policyholders face when insurancecompanies delay or wrongfully deny claims, only to make a late payment after an appraisal and walk away without any real accountability. Imagine a world where breaking the rules carries no real consequences. Last weeks decision in Mirelez v.
Thats the reality policyholders face when insurancecompanies delay or wrongfully deny claims, only to make a late payment after an appraisal and walk away without any real accountability. Imagine a world where breaking the rules carries no real consequences. Last weeks decision in Mirelez v.
Wright National Flood InsuranceCompany 1 highlights a harsh reality for policyholders seeking to recover under the National Flood Insurance Program (NFIP).Strict A recent appellate decision in Woodland Villas Condominiums v.
State Farm policyholders should be aware of its companys water damage claims processes, as noted in State Farms Water Protocol. After reading the facts and allegations of a recent water claim denial, I would suggest they also should be concerned with alleged experts providing opinions about the cause of water losses.
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.
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 insurancecompany’s conduct can waive strict policy requirements, even when attempting to preserve those rights through reservation letters.
This is Florida law regarding when an insurancecompany must start investigating an insuranceclaim: 3)(a) Unless otherwise provided by the policy of insurance or by law, within 7 days after an insurer receives proof-of-loss statements, the insurer shall begin such investigation as is reasonably necessary unless the failure to begin such investigation (..)
In my recent articles, The Façade of Consumer Protection: How Florida’s Political Leadership Continues to Favor InsuranceCompanies Over Policyholders — Are Florida’s Politicians in Bed with the Insurance Industry and Florida’s Emergency Ethical Rule Conflicts with Xactimate’s License Agreement – Another Example of Insurance Industry Control in Florida, (..)
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 …
United InsuranceCompany 1 offers timeless guidance on the distinction between preliminary “proof of loss” requirements and “proof” evidence required at trial. This distinction remains critically important for today’s insurance practitioners and policyholders alike. The 1802 New York Supreme Court case of Lenox v.
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.
Few things send shivers down a policyholders spine faster than discovering that an otherwise valid claim has been sunk by a missed filing deadline. Travelers Casualty InsuranceCompany of America. That is exactly what happened in a case decided last week,The Renaissance on Memorial, L.L.C.
Few things send shivers down a policyholders spine faster than discovering that an otherwise valid claim has been sunk by a missed filing deadline. Travelers Casualty InsuranceCompany of America. That is exactly what happened in a case decided last week,The Renaissance on Memorial, L.L.C.
1 … The post Delay, Deny, Defend Professor Offers Suggestions for Meaningful InsuranceClaims Reform appeared first on Property Insurance Coverage Law Blog. 1 … The post Delay, Deny, Defend Professor Offers Suggestions for Meaningful InsuranceClaims Reform appeared first on Property Insurance Coverage Law Blog.
Insurancecompanies denying hail damage claims are repeat players in the litigation arena. The lawyers and experts they choose to defend these denials are as well.
When navigating the aftermath of a property damage claim, many homeowners seek professionals to help them secure the best possible settlement from their insurancecompany. However, policyholders … The post Public Adjusters Prohibited in Arkansas appeared first on Property Insurance Coverage Law Blog.
Insurancecompanies that wrongly deny or underpay property insuranceclaims 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.
The California Department of Insurance worked closely with local, state, and federal leaders to ensure that the programs costs are not deducted from insurance benefits. My goal is to help people maximize their insurance payouts to assist survivors in rebuilding and recovering quickly.
As generative AI and other technological innovations help streamline the insurance value chain, such processes must continue to align with the human needs intrinsic to insurance, Kempton stressed. Insurance is a human business, Kempton said. In insurance, we talk about mitigating loss, Kempton said.
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.
A recent Illinois Circuit Court decision provides an excellent analysis of why insurancecompanies cannot deny fire claims under vacancy exclusions by claiming that arson is a form of vandalism. The case, Amjad Abudayya v.
Shield Insurance Blog | Small InsuranceClaims | Contact Our Sales Team! Small InsuranceClaims Can Raise Premiums Small insuranceclaims, such as those for minor property damage, may seem like a hassle to deal with. However, filing small insuranceclaims can have long-term financial consequences.
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.
The defendant, Stillwater InsuranceCompany (“Stillwater”) determined there was coverage under the Limited Water Back Up and Sump Discharge or Overflow Coverage endorsement and issued payment of the full $5,000 sublimit of that endorsement, together with a letter to the insureds explaining its coverage analysis.
Since life insurancecompanies pay out multiple claims per year, you may wonder how life insurancecompanies make money if claims sometimes eclipse the amount earned in premiums. The answer is that life insurancecompany profitability is based on more than just the amount it earns in premiums.
The United States District Court for the Western District of Washington decided an insurance coverage case involving Plaintiffs Benny and Guangying Cheung and Defendant Allstate Vehicle and Property InsuranceCompany. Allstate Vehicle & Prop. C22-1174 TSZ, 2023 WL 9000432 (W.D.
This trend describes the phenomenon of unexpected rising insuranceclaim costs because of societal trends and views toward litigation. Unforeseen litigation costs can drive up the costs of claims unexpectedly and policyholders may feel they were not advised of their coverage adequately.
Cyber operations can be conducted by state-sponsored groups, independent hackers, or criminal organizations that may claim to act on behalf of a sovereign power and its political objectives. The gray zone poses significant challenges for not only legal frameworks but also insurance policies.
It empowers individuals to make informed decisions about insurance coverage and understand their policy rights. Consumer education ensures that individuals are prepared and protected with the proper insurance coverage and are knowledgeable about the claims process. Leads to confusion and potential gaps in coverage.
The homeowners insurance market is complicated and dynamic, and many policyholders have experienced increased rates in recent years despite no changes to their coverage or claims filed. Finally, toward the end of 2023, reinsurance rates rose by as much as 40% as companies sought to recoup increased losses from recent years.
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