claims investigation News

Requirements, Exceptions, and Considerations of an Insurer’s Right to Examinations Under Oath

An insurer’s right to examine its insured under oath in connection with evaluating a claim submitted under the insurer’s policy is well established under the law. Over 130 years ago, the United States Supreme Court in Claflin v. Commonwealth Insurance …

Insurer’s Quick Investigation of Exotic Dancer’s Claim Costs it More Than $5.4 Million

In November 2010, Kailee M. Higgins downed 15 shots of tequila during her Saturday night shift as a dancer at Centerfolds II in Worcester, Mass. She was only 20 at the time. Higgins texted a friend that she was “maadd …

10 Common EUO Questions Answered

Insurers often require an insured to attend an examination under oath – a formal proceeding where insurers ask questions about a loss that may affect coverage – related to first party property insurance claims. During a recent Combined Claims Conference …

The Recorded Statement and the Art of Storytelling

Taking a claimant’s recorded statement is often a required portion of your claims investigation process, and for good reason. The statement may impact your decision to accept or deny a claim, as it usually provides valuable information regarding the mechanism …

Fighting Back Against Rising Bodily Injury Severities

Looking at insurance loss trends can be quite baffling at times. Perhaps no more so than when trying to figure out why bodily injury severities continue to rise despite frequency declining at a time when the safest cars ever produced …

Plans to Raze Flawed Vegas Hotel Tower on Hold While Claim Investigated

Plans for owners of the CityCenter development to demolish a flawed, half-built hotel tower on the Las Vegas Strip have been placed on hold. Clark County District Judge Elizabeth Gonzalez, at a Friday hearing, withdrew her Aug. 23 approval of …

How to Review Bodily Injury Demands

Effectively Investigating, Evaluating and Negotiating Your Way to a Competitive Advantage We see it time and time again, the stacks of papers that pile up on adjusters’ desks in the form of bodily injury (BI) demands from attorneys for injuries …

Thorough Investigation Key to Successful Claims Handling

A thorough claims investigation includes a review of coverage, negligence and damages, according to Barbara J. Mandell, an experienced California insurance defense attorney and Ken Oswald, regional vice president of claims for Access General Insurance Company, Inc. “The Insuring agreement …