claims adjuster News

Fla. Claims Adjuster Charged with Filing $24K in Fraudulent Auto Claims

Florida investigators have charged a former Progressive Insurance claims adjuster with fraud, alleging that she used claimants’ identities to submit fraudulent auto claims, then pocketed almost $24,000 in settlements. Kiyuana R. Pasley, 41, of Homestead, was an adjuster at Progressive …

Adjuster’s Lawsuit Accuses UPC of Altering Hurricane Damage Estimates

The practice of insurance companies revising independent adjusters’ damage reports may be as widespread in Louisiana as it is in Florida, according to adjusters and a plaintiffs’ attorney who has filed a lawsuit over it. “They changed my estimate completely. …

Colo. Supreme Rules Adjuster Can’t Be Held Personally Liable for Denied Claim

A Colorado law that allows claimants to collect double coverage if a claim is unreasonably denied or delayed does not allow plaintiffs to hold claims adjusters personally liable, the state Supreme Court decided Monday. In a unanimous decision, the high …

Viewpoint: Adopt a ‘Need-to-Know’ Approach to Avoid Nuclear Verdicts

The last claim settlement I wrote was considered a bargain at $5 million, half of the $10 million amount that would be deemed a “nuclear verdict.” According to VerdictSearch, nuclear verdicts have increased 300% since 2019. Adjusters can take action …

Growing Use of ‘Unlicensed Surrogates’ Worries Policyholder Attorney

Can insurers resolve claims more efficiently by dispatching specialist vendors instead of claims adjusters to determine the cause of loss and the replacement value? Some experts say so. But policyholder attorney Chip Merlin of Tampa, Fla. posits in an Oct. …

Plaintiff Must Prove Use of Mitchell Program Violated Collateral Source Rule

For the second time in a year, a federal judge rejected a plaintiff’s attorney’s argument that an insurance carrier acted in bad faith by using the Mitchell Decision Point program when calculating the value of a Colorado policyholder’s underinsured motorist …

RiskStream Hoping Insurers Share FNOL Data on Blockchain

A research team funded by insurance carriers will soon launch a system that uses block chain technology to allow claims adjusters from multiple insurers to share access to a single first notice of loss. The RiskStream Collaborative said that it …

Hover Gaining Ground as Underwriting, Adjusting Tool

After securing $87 million from investors in three funding rounds, the insurtech startup Hover is hitting its stride in the customer-acquisition phase. The San Francisco-based firm this month announced deals with two independent adjusting companies. Executive Vice President Kevin Reilley …

The Power of User Experience: How to Simplify the Claims Decision-Making Process

Humans make thousands of decisions every day, from small choices like what to eat, what to watch on TV, or what to wear, to larger decisions like purchasing a home or changing careers. Some of us even suffer from decision …

Court Bars Statute of Limitations Defense Because of Misrepresentations

The owner of Golden Isles Cruise Lines promised to “take real good care” of Robert Bruce Lowie, but he didn’t. After Georgia’s one-year statute of limitations to file a tort claim passed, Golden Isles stopped paying Lowie’s medical bills, even …