All the headlines from our Claims Topic Page, ordered by recency.
Jul 16 2024 // Five Massachusetts residents and one New York resident have been charged in connection with a health insurance fraud scheme that allegedly involved submitting claims for more than $1 million worth of bogus medical...
Jul 15 2024 // A majority of global insurers are actively endorsing the application of AI chatbots and generative AI in claims resolution processes, underwriting and customer fulfilment, according to a survey conducted by Gallagher...
Jul 15 2024 // Farmers Insurance officials said in June that they have spoken with employees after receiving an anonymous letter, apparently from a group of in-house adjusters, accusing the insurer of understaffing and overworking claims...
Jul 15 2024 // My previous two columns (May and June 2024) addressed issues with hail and windstorm claims regarding the discovery and reporting of damage, actual cash value versus replacement cost valuation and 180-day reporting...
Jul 12 2024 // In a change in regulatory practice, Connecticut has decided that all commercial lines claims made insurance forms and rates are now subject to full regulatory review.Citing compliance issues, Insurance Commissioner Andrew...
Jul 10 2024 // At the same time it is settling a New York class action about underpaying totaled loss claims for $48 million, Progressive Insurance, in a separate case, has agreed to an $18.3 million settlement over allegations that its...
Jul 9 2024 // Private self-insured claim volume in the California workers’ compensation system fell 9.5% in 2023, the biggest year-to-year decline in private self-insured claim frequency in more than 15 years. However,...
Jul 9 2024 // Similac baby formula maker Abbott was expected to face a trial on Monday over claims that its formula for preterm infants used in neonatal intensive care units causes a potentially deadly bowel disease, the second trial...
Jul 8 2024 // Insurer GEICO has agreed to pay $6 million to settle claims by auto damage claims adjusters who allege the insurer failed to pay them for all hours they worked “off-the-clock.”The settlement affects 806...
Jul 5 2024 // Los Angeles will pay more than $21 million to settle claims by residents of a neighborhood where police bungled the detonation of a cache of illegal fireworks three years ago, injuring 17 people and displacing dozens of...
Jul 5 2024 // Progressive Insurance has agreed to a $48 million settlement with a class of 93,000 New York policyholders who claim the insurer underpaid their total loss claims on their vehicles.The $48 million represents approximately...
Jul 5 2024 // Arthur J. Gallagher & Co., the global insurance brokerage and consulting firm, said its claims and risk-management subsidiary, Gallagher Bassett, has acquired Georgia-based NetClaim from NAVEX.NetClaim, in Norcross,...
Jul 5 2024 // An appeals court on Tuesday rejected an appeal by a Tony Award-winning producer who claims that a union for actors and stage managers organized an illegal boycott that prevented him from producing live Broadway shows.The...
Jul 3 2024 // According to the Consumer Protection Safety Commission, about 9,700 people in 2023 were treated in emergency rooms for fireworks-related injuries. In its annual report, CPSC said there is a “statistically significant...
Jul 2 2024 // A federal class-action lawsuit alleges the Omaha Housing Authority continuously violated the legal rights of low-income tenants over the last seven years.Current and former tenants suing OHA claim the public housing...
Jul 2 2024 // The Florida Insurance Guaranty Association now has an auto insurance representative on its board.Florida Chief Financial Officer Jimmy Patronis announced last week that he has appointed D. Ryan West, the senior director of...
Jul 1 2024 // After holding relatively steady for nearly a decade, the number of business liability policy claims cases jumped 28% in 2023, according to a litigation report from Lex Machina.The report found that 3,596 business liability...
Jun 24 2024 // The US Justice Department is dropping one of two proposed claims against ByteDance Ltd.’s TikTok, planning to focus a consumer protection lawsuit later this year on children’s privacy instead of allegations the...
Jun 24 2024 // Harish Kapur, CEO of Across America Insurance Services, likes to tell the story of how his company’s chief defense lawyer became fed up with Kapur’s frequent requests for lower settlements on claims...
Jun 20 2024 // A Chicago health care company and its former owners will pay nearly $2 million to the United States and the States of Illinois and Indiana to resolve a civil lawsuit arising from the submission of false claims to Medicare...