Archives: Insurance Claim

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In Arizona, Delayed Notice of a Claim Does Not Necessarily Nullify Coverage

In practically every insurance policy, a policyholder is required to give prompt notice of the claim before the insurance company has any responsibility to act on the claim. What happens if the policyholder substantially delays in giving notice of the claim, or in some circumstances, fails to give notice altogether? Is the policyholder’s claim automatically … Continue Reading

What Happens to Your Property Insurance Claim After Foreclosure in New Jersey?

I previously discussed the increasing number of “for sale” signs along the New Jersey Shore in Recovering Replacement Cost After Selling Unrepaired Property. Unfortunately, many of these homeowners are not able to sell their properties and are forced to default on their mortgages. Lately, a frequent question from insureds is, “what happens to my property … Continue Reading

New York Federal Court Creates Miscellaneous Civil Case for Administration of Hurricane Sandy Claims

The United States District Court for the Eastern District of New York (“EDNY”), in an effort to more efficiently administer the multitude of insurance coverage cases involving Hurricane Sandy claims, entered an Order on January 10, 2014, directing the Clerk to open a “Miscellaneous Civil Case” for all actions seeking insurance coverage for damages caused … Continue Reading

Innocent Co-Insured Doctrine

A recent situation reminded me of an often overlooked and underutilized legal gem – the innocent co-insured doctrine. This blog post is aimed at reminding policyholders and policyholder advocates of this doctrine, which could breathe life into a claim that, at first blush, seems untenable due to the alleged misconduct of one of multiple named … Continue Reading

Don’t Throw Away the “Smoking Gun”

Most people never report a property damage claim to an insurance company and for the ones that do report a claim; it may be only one in their lifetime. As such, many insureds make critical mistakes after a loss that insurance carriers will use to deny legitimate claims. Today, I want to discuss preserving the … Continue Reading

Series on Insurer’s Obligations: A carrier has an obligation to assist the policyholder and explain all available coverage

Last week I explained the carrier’s obligation to treat its policyholders’ interests at least equal to its own. Insurance adjusters also have an obligation to assist the policyholder. This duty to assist the policyholder includes informing the policyholder of additional coverage that may be available, even if not being claimed.… Continue Reading

Florida Statute 627.70132 Provides Three Years From Landfall To Report Your Hurricane Claim

Every first-party property insurance contract provides the insured with an obligation to provide notice of the claim. Some require "prompt" notice and others require reasonable notice. Under Florida law, if an insured fails to give reasonable notice of his or her claim, then the insured must overcome a presumption of prejudice. Whether a carrier has … Continue Reading

Are you maximizing your flood claim?

Most policyholders and their representatives can navigate themselves through a flood claim; however, I have noticed many claimants failing to maximize their recovery. If your property was damaged by a flood, you may be required to meet certain building requirements in your community to reduce future flood damage before you repair or rebuild your damaged … Continue Reading

An Insurance Company is Not Acting in Good Faith When it Holds Own Interests Above That of the Insured

With greater frequency I am getting calls from policyholders concerned their insurers’ claims investigations are more focused on finding reasons that support denial than coverage. Also, more claims are hastily or unnecessarily referred to the special investigation unit (SIU) when evidence of fraud is lacking. Most claims that end up in SIU come to a screeching halt, with … Continue Reading

PSE&G Files Suit Against Insurers for Hurricane Sandy Losses

If you are facing litigation with your insurance carrier over Hurricane Sandy damage, you are not alone. Public Service Enterprise Group, the parent company of PSE&G – the largest utility company in the state, filed suit recently against eleven insurers in Essex County, New Jersey. In the complaint, PSE&G alleges it had $1 billion worth … Continue Reading

Misleading Insurance Statistics Regarding Hurricane Sandy

For a few months now, the insurance industry has been touting the alleged statistic that 95-96% of New Jersey insurance claims from Hurricane Sandy have been closed. I have had many conversations with clients, public adjusters and other attorneys in the industry and, frankly, nobody believes this statistic. Turns out, this is an accurate, albeit … Continue Reading

Framing the Chipped Tile Claim

Framing issues with proper perspective and language is crucial to every legal argument. As an advocate, I choose words carefully. I was thinking language and framing issues when researching "chipped tile claims" last week. I found a number of interesting discussions and advertisements, primarily from South Florida attorneys who routinely handle these types of claims. … Continue Reading

Chipped Tile Claims Get Marred

Restoration contractors, public adjusters and some attorneys feasting on "chipped tile claims" in South Florida got hammered yesterday in a very problematic decision Ergas v. Universal Property and Casualty Insurance Company.1 From a claims standpoint, South Florida is ground zero for "chipped tile claims." The frequency of that type of loss is geographically extraordinary because … Continue Reading
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