Tag Archives: Claims Handling

Arizona Insurers Reminded to Provide Timely and Specific Notice of Coverage Changes

Last week, the Arizona Department of Insurance issued the first Regulatory Bulletin of 2017.1 The Bulletin reminded property insurance carriers that, pursuant to A.R.S. § 20-1677, they must provide their policyholders with written notice of premium increase, changes in deductible or reduction in limits or substantial reduction in coverage at least thirty days before the … Continue Reading

Claims Handling Requirements by State – Arkansas

I recently received a request to write about the claims handling guidelines in Arkansas. As always, I am happy to help. The Arkansas Insurance Rules and Regulations state that the “purpose of this rule is to define certain minimum standards which, if violated with such frequency as to indicate a general business practice, will be … Continue Reading

Claims Handling Requirements by State – Tennessee

As promised in my recent post regarding the Gatlinburg fires, today we are looking at the claims handling guidelines provided by the Tennessee code. The Tennessee code has general requirements that require insurance carriers to develop standards and practices for the prompt and proper handling of claims in the Unfair Claims Settlement Practices Act.1… Continue Reading

Florida Hurricane Matthew Claims – Payment of Undisputed Amounts

States differ regarding the time frame required for a first-party property insurance carrier to pay undisputed amounts on a claim. In Florida, for a residential first-party property insurance claim, the carrier is required to pay undisputed amounts within 90 days after receipt of notice of the claim, if these three things have occurred:1 The insurer … Continue Reading

Incentive Pay to Lower Insurance Claims to Policyholders Still Exists

The recent Wells Fargo calamity of opening customer accounts without permission underscores how financial incentives can promote unethical behavior by employees on the front line of servicing customers. I was asked by a reporter involved with stories of the recent Tennessee wildfire whether insurance companies offer incentive pay to their claims managers.… Continue Reading

State Farm Operation Guidelines Regarding Wind and Hail Damage to Composition Roofs

Insurance companies routinely have instructions for their claims adjusters on how to adjust various types of losses. State Farm has some of the most detailed claims guidelines in the industry. I have often stated that for first-party claims, relevant claims guidelines should also be provided to the policyholders who suffer losses. Why not?… Continue Reading

Insurance Company Lawyers Called “Dogs on a Leash”

The CBS 60 Minutes documentary, The Storm After The Storm, called insurance company lawyers, "Dogs on a Leash." It raised the question whether insurers should be held accountable for acquiescing to unethical and wrongful misconduct by their own lawyers. Lawsuits naming insurance company lawyers and law firms for their complicity with aiding wrongful underpayments to … Continue Reading
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