Latest Claims Headlines
All the headlines from our Claims Topic Page, ordered by recency.
Webster Bank Closes Acquisition of Medical Claims Firm Ametros
Jan 25 2024 // Connecticut-based Webster Bank has completed the acquisition of Ametros Financial Corp., a firm that administers medical claims settlements. Ametros provides post-settlement medical administration for those receiving funds...
People Moves: Coalition Nabs AIG’s Jones as Head of Global Claims
Jan 25 2024 // Robert Jones has joined Coalition as the head of global claims. He will step into the role Feb. 5. Jones previously spent 32 years at AIG where he most recently served as the executive vice president of financial lines,...
Georgia Woman Wanted on Charges She Filed $45,000 in Faked Pet Insurance Claims
Jan 23 2024 // Law enforcement officials on Monday were looking for a Georgia woman who allegedly gained almost $45,000 from fraudulent pet insurance claims, from 2019 through 2022. Amanda Lindley, 39, of Paulding County, northwest of...
Higher Auto Claims, More Frequent Accidents Continue to Outpace Premium Hikes
Jan 22 2024 // As claim severity rises, U.S. personal auto results are on the decline, according to AM Best’s Market Segment Report, issued in December 2023. The 112.2 net combined ratio in 2022 for personal auto was an almost...
Illinois Supreme Court Applies ‘RTFP!’ Principle to Faulty Workmanship Claims
Jan 22 2024 // As reported by attorney Randy Maniloff in his Coverage Opinions newsletter, the Illinois Supreme Court has finally addressed coverage for construction defects, joining what is probably a slight majority of legal...
Medical Experts May be Needed, Even in Negligence Claims – Kentucky Supreme Court
Jan 19 2024 // When a baseball umpire, well-traveled in college conferences, went to a hospital for X-rays on his surgically repaired ankle in 2015, a hospital attendant pushing the ump’s wheelchair accidentally bumped his foot...
Georgia Saw Most Frozen-Pipe Claims in 2022-2023, State Farm Says
Jan 18 2024 // Georgia was, by far, the state with the most frozen pipe and water damage claims, State Farm Insurance reported as much of the country faces the first deep freeze for winter 2024. The insurer said in an article on its...
People Moves: Guy Carpenter Names Wolfe Chief Commercial Officer, N. A.; Verisk Forms Claims Advisory Board; Chamberlain to Lead DUAL Specialty Healthcare
Jan 17 2024 // Guy Carpenter appointed Keith Wolfe to the newly created role of chief commercial officer, North America, effective immediately. Wolfe joins Guy Carpenter after 27 years with Swiss Re and its predecessor companies, where...
Florida OIR Report Shows Indemnity Paid Was Much Higher for Litigated Claims
Jan 16 2024 // Stakeholders have continued to react to a recent Florida Office of Insurance Regulation report on the property insurance market, a report that underscored the impact that excessive claims litigation had on insurers but...
People Moves: Allstate Names Fiato EVP and Chief Claims Officer; TNEDICCA Names Progressive’s Pratt to Board
Jan 12 2024 // Allstate, headquartered in Northbrook, Ill., named Mike Fiato as executive vice president and chief claims officer, effective Jan. 22. Fiato joins Allstate with more than 32 years of industry experience. Most recently, he...
People Moves: AXIS Appoints Tan Head of Wholesale Casualty; Fiato Named Allstate Chief Claims Officer; Schoberth to Lead Canopius US Distribution
Jan 12 2024 // AXIS Capital Holdings Limited named Anna Tan as head of wholesale casualty. Tan joins AXIS from Navigators, a brand of The Hartford, where she served for over 12 years, most recently as head of excess casualty. Before...
Rokstone Launches Kentucky-based TPA for U.S. Agricultural Claims
Jan 11 2024 // Rokstone, a specialty insurance and reinsurance managing general agency, has launched a new third-party administrator service based in Kentucky. Part of the Aventum Group, Rokstone said its new Verus TPA will manage...
California Man Gets Prison for False Sex Assault Claims in $100M Suit Against Hollywood Executives
Jan 11 2024 // A California man was sentenced to four years in prison for seeking to win a $100 million lawsuit by making false sexual assault claims against Hollywood executives. Rovier Carrington, 34, of Los Angeles was sentenced in...
OpenAI Claims New York Times Isn’t ‘Telling the Full Story’ in Suit
Jan 9 2024 // OpenAI publicly addressed a lawsuit from the New York Times in a strongly worded blog post on Monday, saying the newspaper’s complaint was “not telling the full story” about its use of Times data. The...
McKinsey to Pay $78 Million to Settle Opioid Claims by Insurers
Jan 3 2024 // McKinsey & Co. is poised to pay $78 million to health insurers and company benefit plans, in its latest settlement of lawsuits over its role advising opioid makers in their sales of the painkillers. The proposed...
Ohio Supreme Court Affirms 4-Year Deadline for Med Mal Wrongful Death Claims
Jan 2 2024 // A divided Ohio Supreme Court on Thursday drew a bright line around the state’s statute of repose for medical malpractice claims, ruling in separate cases that an absolute four-year deadline to bring an action applies...
5th Circuit Reverses Class Certification in Lawsuit Alleging State Farm Undervalued Total-Loss Claims
Dec 28 2023 // A federal appellate court reversed a trial court’s decision to certify a class of plaintiffs in a lawsuit that alleged State Farm Mutual Automobile Insurance Co. undervalued total-loss claims by Louisiana...
Missouri Urgent Care Chain Settles for $9.1M Over False Claims for COVID-19 Testing
Dec 27 2023 // ST. LOUIS (AP) – One of the largest urgent care chains in Missouri will pay $9.1 million to settle allegations that the company submitted false claims for medical services, including COVID-19 testing. The U.S. Attorney`s...
Delaware Hospital System to Pay $47 Million to Settle Billing Fraud Claims
Dec 27 2023 // Delaware’s largest hospital system will pay more than $47 million to settle whistleblower allegations by its former compliance officer that it provided kickbacks to outside doctors in return for patient referrals,...
Citi Suit Raises #MeToo Claims at Wall Street’s Top Levels
Dec 21 2023 // Ardith Lindsey’s lawsuit accusing Citigroup Inc. of tolerating years of sexual harassment and assault against her struck a chord across Wall Street for many reasons, not least of which was her title: managing...
