Peter Crosa of Atlanta, Ga. received an assignment for lightning damage to an insured’s ceiling and roof. While lightning stikes on homes in Florida occur with relative regularity, what he found resembled a science fiction movie set. Two oblong holes, …
Consumer advocate and owner of Pinnacle Insurance, Steve Desino, had an insured call after returning from a week’s vacation to a ruined living room rug. When Desino inquired as to the cause of the loss, the insured said, when getting …
Based on the PLRB seminar presentation on Reservation of Rights Letters by Veronica M. Bates, Hermes Sargent Bates, LLP and Renee C. Callantine, Chapman Popik & White LLP. Different rules of law may apply in different jurisdictions. This outline only …
Mike Dwyer, president, Sinclair-Dwyer and Co. recounted an auto-medical payments claim filed by a woman due to injuries sustained by her left breast. The insured — apparently endowed enough — got caught in her car door upon exiting. Making matters …
The winner is, Joan E Quagenti, M.Ed., ITP training/communications manager, account service and sales operations, Blue Cross Blue Shield of Massachusetts. Claims Journal’s strange claims contest culminated Friday with Quagenti’s submission recounting a claim filed years ago when she worked …
In most states, insurance companies are required to offer uninsured motorist (UM) and underinsured motorist (UIM) coverage as part of an automobile liability policy. Typically, underwriting must offer UM/UIM coverage in writing. Failure to provide a written offer of UM/UIM …
In a typical property loss situation the insured’s personal dwelling sustains damage. The insurance company may offer the insured to “cash out” the repair claim. When this occurs, the insurance company will typically pay the insured the difference between a …
Today’s claims environment extensively differs from that of past years. And the decision makers in claims today differ from those of prior eras. We gather information, process it and analyze it in ways unimaginable in past years. How claims are …
No easy task lay before anyone attempting to make accurate claims projections. One hurricane over Miami and any reasonable forecasts blow away. Hugh Strawn, assistant vice president of the Property Loss Research Bureau, was understandably succinct then when he predicted …