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Three Charged With Auto Insurance Fraud in Miami After False Injury Claims

Insurance Journal

Florida authorities have charged a Miami-area nurse practitioner and two others with creating false medical reports and attempting to defraud an auto insurance carrier out of more than $47,000. Local news reports said that investigators with the state Department of …

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With Unrevealed Previous Injury, Later Claim Cannot be Denied, Georgia Court Says

Insurance Journal

Defending workers’ compensation claims from employees who have not disclosed previous injuries may have just become a little more complicated for employers and insurance carriers in Georgia. The Georgia Court of Appeals last week found that a long-standing defense against …

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Mistake: Accepting Every Workers’ Compensation Claim

AMAXX

This opens the door to exaggerated injuries, unrelated medical issues being attributed to work, and even outright fraudulent claims. Heres how: Establish a Clear Injury Investigation Process Not all injuries that occur at work are work-related, and not all reported injuries are legitimate.

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When No One’s Home: Understanding Roleof Vacancy Insurance

Triple-I: Homeowners Insurance

If a home will be vacant for an extended period, whether due to a sale, relocation, inheritance, or renovation, its essential to inform your insurance carrier and review your coverage options. Injuries on vacant property can lead to significant financial losses.

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Workers’ Comp Is a Team Sport: Understanding the Puzzle of Stakeholders

AMAXX

When a workplace injury occurs, most people think of two parties: the injured worker and the employer. Insurance Carrier The carrier underwrites the policy and carries the financial risk for claims (in guaranteed cost programs). Workers compensation isnt a solo actits a team sport.

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Why We’re Still Talking About the J&J Class Action ERISA Lawsuit

R&R Insurance

The court found the plaintiffs first claim, that she paid more in premiums due to the defendants purported breach of fiduciary duty during the plans negotiation process, did not sufficiently show evidence of an injury and was at best, speculative and hypothetical.

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Avoid 2 Common Pitfalls That Delay Care in Workers’ Compensation Claims

AMAXX

This delay typically occurs when there is uncertainty about whether the injury is work-related, resulting in neither workers’ compensation nor general health insurance covering the initial treatment. Example: Consider John, who reports a shoulder injury first thing on a Monday morning.