Showing posts with label claims. Show all posts
Showing posts with label claims. Show all posts

Sunday, June 30, 2013

Wilson to Advise Lockton Clients on Property Claims

February 13, 2013Email ThisPrintNewslettersTweetArticleComments

Lockton Companies has named Sheri Wilson as national property claim director to advise Lockton clients on complex property insurance claims. She is based in the insurance broker’s Dallas, Texas, office and serves as an expert resource for all of Lockton’s claims operations.

Wilson has more than 20 years of experience in property insurance claims. Before joining Lockton Companies, she was an executive general adjuster for Engle Martin & Associates in Dallas. Earlier in her career, she worked as a senior property insurance claim adjuster at FM Global, senior vice president of Property Claims at Marsh, a senior manager at Ernst & Young, and managing director at Crawford Technical Services.

A noted expert in property insurance claims, Wilson is a frequent speaker at Risk & Insurance Management Society (RIMS) events. She also is the author of several technical reports about property claims.

Source: Lockton

 

Email ThisPrintNewslettersTweetCategories: Texas / South Central NewsTopics: dallas, Lockton Companies, national property claim director, People, Sheri WilsonHave a hot lead? Email us at newsdesk

View the Original article

Sunday, May 19, 2013

Report: Massachusetts to See Drop in Medical Claims Costs

March 28, 2013Email ThisPrintNewslettersTweetArticleComments

Medical claims costs are expected to soar in many states under President Barack Obama’s health care overhaul.

Massachusetts is an exception.

A new study by the nation’s leading group of financial risk analysts, the Society of Actuaries, has found that medical claims costs — the biggest driver of health insurance premiums — will jump an average 32 percent for Americans’ individual policies.

The report concluded the overwhelming majority will see double-digit increases in their individual health insurance markets where people purchase coverage directly from insurers.

Some states, including Massachusetts and New York, will see double-digit declines in costs for claims in the individual market.

The report did not make similar estimates for employer plans, the mainstay for workers and their families.

The administration has questioned the design of the study.

 

Copyright 2013 Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.Email ThisPrintNewslettersTweetCategories: East NewsTopics: health insurnace, healthcare, medical claims costs, Society of ActuariesHave a hot lead? Email us at newsdesk

View the Original article

Claims Against BP Contractors Dismissed at Trial

March 22, 2013Email ThisPrintNewslettersTweetArticleComments

A federal judge conducting a trial to assign fault for the nation’s worst offshore oil spill dismissed claims against a BP contractor and the company that made a key safety device on the drilling rig that exploded in the Gulf of Mexico, triggering the disaster.

After plaintiffs’ attorneys rested their case, U.S. District Judge Carl Barbier ruled there was no evidence that BP’s drilling fluids contractor M-I LLC made any decision that led to the blowout of BP’s Macondo well. Barbier dismissed all claims against M-I on the 15th day of the trial.

The judge also agreed to rule out punitive damages against Cameron International, the manufacturer of the blowout preventer on the ill-fated Deepwater Horizon rig, which was rocked by an explosion and fire in 2010 that killed 11 workers and touched off the enormous spill.



View the Original article

Thursday, March 28, 2013

FEMA: $2.7B Paid Out in New Jersey Flood Insurance Claims Post-Sandy

March 15, 2013Email ThisPrintNewslettersTweetArticleComments

The Federal Emergency Management Agency says it has made $2.7 billion in flood insurance payments to New Jersey claimants since Superstorm Sandy hit the state last October.

View the Original article

Idea to Limit Auto Claims in Michigan Criticized

February 22, 2013Email ThisPrintNewslettersTweetArticle4 Comments

The top elected official in Michigan’s Oakland County is criticizing proposals from fellow Republicans to change Michigan’s no-fault auto insurance program to limit the amount of medical claims.

The Detroit News and the Detroit Free Press report that Oakland County Executive L. Brooks Patterson this week offered his opinions on the proposals. Patterson says an August crash in Auburn Hills in which he was a passenger influenced his perspective.

Patterson was seriously injured in the crash in Auburn Hills. He wasn’t wearing a seatbelt and was fined. His driver, James Cram, is a quadriplegic after the crash.

The state Legislature has been considering a lifetime cap on medical benefits and limiting payments insurers have to make for treating auto accident victims.

No legislation has been introduced yet this year.

 

Copyright 2013 Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.Email ThisPrintNewslettersTweetCategories: Midwest NewsTopics: limit medical claims, Michigan, no-fault auto insurance program, Oakland County, Oakland County Executive L. Brooks PattersonHave a hot lead? Email us at newsdesk

View the Original article

Sunday, February 24, 2013

Xchanging Launches ‘X-presso’ – Mobile App for Claims Files

February 13, 2013Email ThisPrintNewslettersTweetArticleComments

London-based Xchanging, the business process, procurement and technology services provider and integrator, announced the launch of its mobile application for the insurance market. Called X-presso, the new app

View the Original article

Marsh Launches Risk Transfer Product for Wage, Hour Claims

January 8, 2013Email ThisPrintNewslettersTweetArticleComments

With the number of wage and hour claims against employers on the rise, Marsh has launched a new insurance product that reimburses companies for defense costs, settlements, and judgments for actual or alleged violations of the Fair Labor Standards Act (FLSA) or similar state and local laws.

The Marsh Wage and Hour Preferred Solution is offered exclusively through Marsh and its international specialty placement broker Bowring Marsh. The policy provides up to $100 million of insurance coverage for wage and hour claims, which generally are excluded under traditional employment practices liability insurance policies. Examples of such claims include allegations that an employer failed to pay employees for overtime hours worked, failed to provide or pay for meal breaks and rest periods, or misclassified employees as exempt rather than non-exempt from legal overtime provisions.

The number of these claims filed in federal court under the FLSA

View the Original article

Thursday, February 14, 2013

Insurers Not Seeing Large Number of Claims From Snowstorm So Far

February 13, 2013Email ThisPrintNewslettersTweetArticleComments

A fierce winter storm brought deep snow and high gusting winds to the Northeast last weekend, but a number of insurers are saying that so far, they are not seeing a large number of claims.

State Farm said Tuesday the company has yet not seen a large number of claims to-date from the weekend storm. “Our claims department is reporting less than 100 and they are being handled through our regular claims processing procedures,” State Farm spokesperson Arlene Lester told Insurance Journal.

Meanwhile, Arbella Insurance Group, a Quincy, Mass.-based carrier providing personal and business insurance in the New England region, said the company does not expect last weekend’s snowstorm to reach the same level of impact as the other extreme weather events that occurred in New England in 2011 and 2012.



View the Original article

Deadline Extended for Isaac Flood Insurance Claims

January 25, 2013Email ThisPrintNewslettersTweetArticleComments

Louisiana property owners with flood insurance policies whose homes or other structures were damaged during Hurricane Isaac have another 30 days to file claims for their flood losses.

Policy owners now have until Feb. 21 to complete their proof of loss.

The National Flood Insurance Program usually requires claims to be reported within 60 days of the date of loss but extensions have been granted because access to homes was limited by damage and high water.

Failure to submit the proof of loss could cause policyholders to miss out on benefits from their flood insurance policy.

Since Isaac made landfall, the insurance program has paid out more than $416 million on 13,159 claims in Louisiana.

 

Copyright 2013 Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.Email ThisPrintNewslettersTweetCategories: Texas / South Central NewsTopics: claims filing deadline, flood insurance policies, hurricane isaac, Louisiana property owners, National Flood Insurance ProgramHave a hot lead? Email us at newsdesk

View the Original article

Tuesday, January 8, 2013

Alterra Appoints Chief Claims Officer in New York

October 19, 2012Email ThisPrintNewslettersTweetArticleComments

Alterra Capital Holdings Limited recently appointed Nicholas Conca to the newly created position of chief claims officer, insurance. Conca, based in New York City, will start his new position in November.

Conca has more than 20 years of insurance industry experience, including many years of direct or managerial involvement with insurance claims operations. He was most recently executive vice president of U.S. operations for Integro Insurance Brokers, and was previously with Crystal & Co., Liberty International and Reliance National.

Conca began his career at the law firm of Wilson Elser Edelman Moskowitz & Dicker, where he served as claims counsel to major insurance companies.

Alterra Capital Holdings Limited, headquartered in Bermuda, provides diversified specialty insurance and reinsurance products to corporations, public entities, and property/casualty insurers in North America, Europe, and internationally. The company had $158 million net profit for the first half of 2012.

 

Email ThisPrintNewslettersTweetCategories: East NewsTopics: Alterra Capital Holdings Limited, PeopleHave a hot lead? Email us at newsdesk

View the Original article

Friday, January 4, 2013

Brees California Lawsuit Claims His Charity Was Cheated

December 14, 2012Email ThisPrintNewslettersTweetArticleComments

Saints quarterback Drew Brees and his foundation are suing one of the former organizers of his celebrity golf tournament in southern California, saying the organizer cheated benefactors of the foundation out of thousands of dollars he kept for his own marketing firm.

The lawsuit, filed Wednesday against David Miller and Integrated Sports Marketing in San Diego Superior Court, says Miller negotiated a favorable hotel rate for celebrity guests at the La Costa Resort earlier this year, then collected higher room rates, keeping the difference.

Now Brees wants his representatives to audit ISM’s books from the past three tournaments to which he lent his name.

Miller said he has not seen Brees’ lawsuit and cannot comment other than to point out that Brees failed to uphold his end of their marketing deal and that counter-claims are forthcoming.



View the Original article

Saturday, December 22, 2012

Lawsuit Focuses on Flood Insurance Claims, Classification of Basement

December 21, 2012Email ThisPrintNewslettersTweetArticleComments

A recently filed class action lawsuit in New Jersey is alleging “improper handling” of certain flood insurance claims arising out of Hurricane Irene in 2011 and Superstorm Sandy in 2012.

The lawsuit focuses on the classification of the lowest floor of the buildings and whether classifying such floors as

View the Original article

IMA Adds 2 to Wichita Office Claims Team

October 4, 2012Email ThisPrintNewslettersTweetArticleComments

Insurance broker IMA Inc. has hired Geoff Baker, claims manager, and Maranda Pike, claims advocate, in the company’s Wichita, Kansas claims office.

As IMA’s claims manager, Baker will lead the claims department and will strive to improve clients’ long-term profitability through claims management processes and strategies. Prior to joining IMA, Baker worked in risk management for a large national corporation for 12 years. He is a member of the Risk and Insurance Management Society.

Pike will handle claims for clients in various industries including manufacturing and financial services. Prior to joining IMA, Pike spent 12 years as a casualty claims manager for a large national insurance provider. She holds the Senior Claims Law Associate designation.

Source: IMA Inc.

 

Email ThisPrintNewslettersTweetCategories: Midwest NewsTopics: baker, Claims, IMA, Kansas, People, pikeHave a hot lead? Email us at newsdesk

View the Original article

Saturday, December 15, 2012

EPIC Names Dunn VP of Workers’ Comp Claims in Central California

October 19, 2012Email ThisPrintNewslettersTweetArticle1 Comments

Edgewood Partners Insurance Center named Joe Dunn vice president of workers’ compensation claims in its Fresno, Calif. office.

Dunn will be responsible for workers’ comp claims advocacy, and he will work with EPIC’s Central Valley clients to manage and reduce claims expense, including providing education and training, investigating and overseeing claims and establishing best practices for claims cost control. He will also coordinate and oversee insurance carrier services, ensuring case reserves are not excessive, and he will be charged with ensuring that claims are effectively.

Dunn has 11 years of experience in workers’ compensation, settlement negotiation, and Medicare.

Before EPIC, Dunn worked as a senior workers’ comp claims adjuster for the State Compensation Insurance Fund.

EPIC has a staff of 300 employees working from eight offices across California: Los Angeles, Irvine, Fresno, Folsom, San Francisco, San Mateo, Petaluma and San Ramon.

Email ThisPrintNewslettersTweetCategories: West NewsTopics: Edgewood Partners Insurance Center, Joe Dunn, people photo availableHave a hot lead? Email us at newsdesk

View the Original article

United Heartland Names Hobbs VP of Claims and Managed Care

October 4, 2012Email ThisPrintNewslettersTweetArticleComments

United Heartland, based in New Berlin, Wis., has appointed Rick Hobbs as vice president of Claims and Managed Care.

Hobbs joined United Heartland’s executive team and is responsible for creating, implementing, and monitoring the strategic direction and executing operational plans for continual improvement to the United Heartland Claims department. His main focus will be on field claims and supporting United Heartland policyholders and agents.

Hobbs has 25 years of commercial casualty insurance experience in claims, underwriting and loss control with Wausau Insurance and Liberty Mutual Insurance Cos., serving 20 of those years in claims leadership roles.

Hobbs has earned the Charter Property Casualty Underwriter (CPCU); Associate in Claims (AIC) and Associate in Management (AIM) designations.

Source: United Heartland

 

Email ThisPrintNewslettersTweetCategories: Midwest NewsTopics: Claims, hobbs, managed care, People, united heartlandHave a hot lead? Email us at newsdesk

View the Original article

Wednesday, November 28, 2012

N.Y.-Based Claims Management Company Invision Names Randazzo President

September 28, 2012Email ThisPrintNewslettersTweetArticleComments

Invision, a national claims management company providing third party administration, claims auditing and other services, recently appointed Richard G. Randazzo as its new president.

Randazzo brings three decades of experience in claims management to his new role as well as a 37-year history working in claims investigations. As president, he will oversee all claims matters, including third-party administration, risk management, loss control, claims auditing services, investigation services – including surveillance, skip tracing and background checks, as well as record retrieval and trial preparation.

Throughout his career in management, Randazzo has worked in property/casualty insurance, including commercial general liability, homeowner, commercial property, employment practices, inland marine and private passenger and commercial auto. Randazzo is also personally licensed in more than 12 states and is an active member in many claims and insurance associations.

Additionally, Invision also welcomed Carol Meriam as its new claims manager. In her new role, Meriam will be responsible for claims with high exposures, complex issues and extended litigation on behalf of Invision. Since joining the company
in 1997, Meriam has managed major run-off programs, claims analysis and served as an independent expert witness in a multi-million dollar lawsuit.

Invision is a national claims management company, providing services in third party administration, claims auditing, record retrieval, trial preparation, investigation and all related services, risk management and loss control. The Bay Shore, N.Y.-based company has provided claims services across the United States for more than a decade.

 

Email ThisPrintNewslettersTweetCategories: East NewsTopics: Invision, PeopleHave a hot lead? Email us at newsdesk

View the Original article

Friday, November 9, 2012

27 People Displaced As Fire Claims Small North Dakota Town

October 19, 2012Email ThisPrintNewslettersTweetArticleComments

A tiny southwestern North Dakota town has been all but destroyed by a wind-fueled wildfire that displaced its 27 residents, prompting an outpouring of assistance from surrounding communities, officials said Thursday.

No one was injured in the fire that swept through Bucyrus late Wednesday, but the rural town is

View the Original article

Tuesday, August 28, 2012

The Next New Thing: Coverage Issues from Fracking Claims

May 25, 2012Email ThisPrintNewslettersTweetArticleComments

Every few years it seems that there are predictions a new type of claim that threatens to engulf carriers. In the 1980s and 1990s it was environmental clean up claims and SuperFund, followed shortly by asbestos, the fear of Y2K claims, MTBE and any number of other potential mass torts.

In most cases, these highly touted risks fail to become the massive tidal wave projected by commentators. Unfortunately, some of these problems, such as hazardous waste and asbestos claims, did grow into large numbers of claims that continue to fill the courts with liability and coverage litigation.

Over the last six months, we have heard increasing rumblings about the expected flood of litigation created by the energy industry’s increasing use of “fracking” in the production and recovery of oil and gas. While very few suits have been filed at this point, and litigation is being much more talked about than actually filed, this risk is one that should be carefully considered by the insurance industry.

What Is Fracking?

Fracking is a technology developed by the energy industry that allows energy producers to extract oil from places where in the past it was either too expensive or too difficult to otherwise retrieve.

In the fracking process water, chemicals and drilling materials are forced into underground shale formations to break-up and release hydrocarbons such as oil or gas. The process usually entails drilling a vertical well to the top of a shale formation and then the well bore is angled through the target formation and the drilling continues horizontally. Using sophisticated technology, millions of gallons of “frack fluid” are pumped under high pressure to fracture the target reservoir and release the encased oil and gas.

The purpose of fracking is to vastly increase the flow and volume of oil and gas available from a geological formation. It both enhances the production from current oil and gas wells, as well as allows for the use of fewer wells.

Interestingly, while this process has been used in one form or another for many years, it has only become a subject of public discussion in recent years as environmentalists and property owners have raised concerns that the energy companies’ use of this technology allegedly contaminates groundwater and causes other environmental problems. This has encouraged the plaintiffs’ bar to gear up for a potential litigation onslaught.

Types of Claims Seen and Expected

While many drillers and insurance industry executives suggest that the environmental claims are overblown and that there is presently little evidence of substantial well water pollution from fracking, lawsuits are being filed by plaintiffs in numerous jurisdictions alleging pollution damage (such as groundwater contamination) requiring remediation and attempting to prevent future fracking activities because of potential health and environmental concerns.

There has not been any major settlement or judgment to date, however, this first wave of lawsuits is prompting carriers to consider the type and scope of insurance claims that will be made. For instance, the main concern in the current suits involves groundwater contamination. This litigation focuses on who is liable for the cleanup and remediation costs of polluted groundwater resources. Where the EPA or private citizens have brought these suits alleging property damage or bodily injuries related to hydraulic fracking activities, the primary task for the plaintiff is to obtain a finding of liability establishing a causal connection between the hydraulic fracking and the alleged injury.

In such cases, the defendant’s commercial policies may be implicated, such as those issued to the energy companies employing the fracturing process. As with most liability cases, the policies at issue usually present two different sets of issues. First, though it may never be established that the fracturing process led to the contamination, the issue of the duty to defend under those liability policies is one of significant impact to insurance carriers. As we know from the widespread environmental cleanup cases of the last several decades, defense costs in connection with these type of lawsuits can easily run into the millions of dollars, and are often greater than the actual indemnity risk. Consequently, the initial issue, regardless of the risk of liability, will be the duty to defend those suits. In most states, the issue will be what the plaintiff has pled, instead of the actual facts on the ground. In many cases, the carrier may be forced to defend claims for which its insured will never held liable.

Many energy industry companies who were involved in past environmental claims have purchased environmental impairment coverage to specifically address these types of concerns. Many of these policies have large retentions or manuscripted language that will raise coverage concerns. Other companies, however, will have general liability policies which include various forms of the pollution exclusion that may or may not apply depending upon the specific allegations in the litigation. Depending upon the jurisdiction and sophistication of the plaintiffs bringing these claims, the coverage issues may be very complex and involve considerable expense to litigate.

Likewise, in many cases where a defense obligation may be implicated under either environmental impairment or general liability policies, the development of the litigation will likely raise novel coverage concerns as facts and specific policy provisions are identified as areas of controversy. As we learned from the hazardous waste cleanup case law, each state and jurisdiction will have its own take on the same language, thus creating substantive differences in jurisdictions as to whether defense and indemnity obligations are covered or uncovered, even under the same facts. Therefore, both policyholders and carriers need to carefully evaluate the specific language in their policies as well as to prudently consider the type and scope of policies to purchase where fracking processes are employed.

Another potentially significant area is property insurance claims by homeowners affected by fracking activities. In addition to potential groundwater contamination leading to bodily injury claims, some homeowners may suffer various forms of subsidence or well water contamination.

Most homeowner insurance policies provide coverage for the policyholder’s home and property structures for direct physical loss or damage to the property during the policy period. However, many of these policies exclude events such as contamination of land or water serving residents, as well as settling, cracking, shrinking or other types of harm that may be alleged by homeowners near fracking sites.

While it may turn out that fracking does not lead to this type of problem, it is a subject of current review by environmental and consumer groups that may spur litigation bringing those policies into play. This may become an area of significant coverage litigation.

Mountain or Molehill?

Again, the current number of lawsuits are relatively few

View the Original article

New Mexico Widow Sues Utah Crematory, Claims Ashes Mix-Up

April 27, 2012Email ThisPrintNewslettersTweetArticleComments

A New Mexico widow whose husband was killed in a 2009 plane crash is suing a Utah crematory and funeral home after she says they gave her the wrong person’s ashes.

Marilynn Flynn of Alamogordo has filed a federal lawsuit against McDougal Funeral Home and the Independent Professional Services crematory, claiming the businesses were negligent, violated a contract and intentionally inflicted emotional distress while dealing with the remains of her 59-year-old husband, Michael Wayne Flynn.



View the Original article

Thursday, June 7, 2012

Bear Stearns $275 Million Claims Settlement Reached

June 7, 2012Email ThisPrintNewslettersTweetArticleCommentsA $275 million settlement has been reached in a nationwide shareholder lawsuit stemming from the near-collapse of the former Wall Street investment bank Bear Stearns Cos, court papers show.

The settlement resolves claims that Bear, and several officials including former Chief Executive James Cayne, misled investors about the company’s deteriorating financial health before it was acquired by JPMorgan Chase & Co.

The lead plaintiff, the State of Michigan Retirement Systems, filed settlement papers on Wednesday night with the U.S. District Court in Manhattan, and is seeking preliminary court approval of the accord.

 

Copyright 2012 Reuters. Click for restrictions.Email ThisPrintNewslettersTweetCategories: National NewsTopics: Bear Stearns, Bear Stearns settlement, directors and officers liability, State of Michigan Retirement SystemsHave a hot lead? Email us at newsdesk

View the Original article