What happens when an employer and its workers’ compensation insurer deny a claim, then face a wrongful-death tort suit, then attempt to have the claim reinstated—going so far as to pay weekly wage amounts to the dead worker’s husband? In […]
Tag: Claim
Claim Counts Down, Losses up for California Workers’ Comp Private Self-Insureds
California’s private self-insured employers reported 7.4% fewer workers’ compensation claims in 2024 than in 2023, pushing private self-insured claim frequency to a four-year low, a new report shows. However, for the second straight year, the average paid and incurred losses […]
California’s FAIR Plan Handling of Smoke Damage Claim Ruled Unlawful
A California judge has ruled the state’s bare-bones home insurance program’s handling of smoke damage claims is unlawful, a decision that could have wide-ranging implications as insurers increasingly deal with the aftermath of wildfires. Home insurance broadly covers fire damage, […]
Toyota’s Japanese Insurer Files $361 Million South Africa Claim
A $361 million (6.5 billion rand) lawsuit has been lodged in a South African court by a Japanese insurance company for a claim arising from flood damages suffered in 2022 by Toyota Motors Corp.’s plant near Durban. The claim against […]
Why an Advance Payment Doesn’t Mean Your Claim Is Covered (Even in Wildfire Cases)
After a wildfire claim, many policyholders breathe a sigh of relief when they receive an advance or “undisputed” payment from their insurance company. But I often get calls from public adjusters or homeowners who are shocked when that same insurer […]
Homeowners Can Claim Replacement Costs Even if Repairs Aren’t Done
Florida’s Second District Court of Appeal issued an opinion yesterday in Brito v. Citizens Property Insurance Corporation that is a significant win for policyholders. 1 At the center of the case was a dispute over how damages should be measured and […]
Get Your Trip Cancellation Claim Paid in Full
Hi Steve, My husband and I booked a Celebrity cruise for about $8,000. How much is a good Trip Cancellation plan? This sounds like a simple request, right? It isn’t, but not for obvious reasons. In fact, because of the […]