Jim Sorrells | Risk & Insurance Delaying adoption creates real competitive risk, widening gaps in severity management, settlement outcomes, expense control, workforce productivity, and market credibility. AI maturity is increasingly separating leaders from followers. There is a persistent misconception in claims that artificial intelligence (AI) represents the future of the industry. That belief exists largely… Continue reading AI Isn’t the Future of Claims. It’s the Present
Tag: Claims Handling
New Proposed Legislation in Florida Regarding AI Use in Claims Handling
Jennifer Gibbs | Zelle AI isn’t replacing insurance company decision makers yet, as new legislation filed in Florida is aimed at requiring mandatory human reviews of claim denials. Florida’s HB 527 (and companion bill SB 202) would apply to information provided to insurers by algorithms, artificial intelligence systems, or machine learning systems, none of which may serve as… Continue reading New Proposed Legislation in Florida Regarding AI Use in Claims Handling
Homeowner Survives Motion to Dismiss Depreciation Claims
Tred R. Eyerly | Insurance Law Hawaii The insurer’s motion to dismiss claims for improper claims handling when considering implementation of depreciation was denied. Morrison v. Indian Harbor Ins. Co, et al., 2024 U.S. Dist. LEXIS 115664 (S. D. W. Va. July 1, 2024). Plaintiff’s home suffered flood damage. The house was… Continue reading Homeowner Survives Motion to Dismiss Depreciation Claims
Claims Handling: Questions Are the Answer
Michael Melendez and Chad Pasternack | Cozen O’Connor The key issue in insurance bad faith litigation is whether the claims professional reasonably handled the claim. Throughout the claims-handling process, the claims professional should constantly ask him-or-herself whether the investigation is sufficient to support a coverage determination and how someone might challenge that determination. By asking… Continue reading Claims Handling: Questions Are the Answer
Claim Handling Requirements by State – Washington
Julitza Perez | Property Insurance Coverage Law Blog | April 18, 2018 Washington State is not only known as the “Evergreen State” and the only state named after a United States President, but it is also the home of many innovative Internet companies and where the biggest coffee chain in the world was founded: Starbucks.… Continue reading Claim Handling Requirements by State – Washington