Claims Magazine-December 2014

Issue Gallery ›

  • FSLA and Employment Practices Liability Issues

    Raanon Gal

    As we look back on 2014 and forward to 2015, insurers should continue to pay attention to the effect of wage and hour employment claims on Employment Practices Liability Insurance (EPLI) coverage. Wage and hour claims brought under the Fair Labor Standards Act (FLSA) and state law equivalents continued to...

  • Legal factors impacting insurance claims

    Bradley M. Jones, Anthony J. Alt

    Notification of a claim or commencement of a suit requires considering what must be done, now. But too much focus on the present without considering a claim's entire potential lifespan is shortsighted. The possibility of an appeal should influence a claim handler's decisions at each step of a claim. Defense...

  • Preparing for the Next Catastrophe Season

    Patricia Harman

    In the United States, it has been a relatively quiet year for catastrophes. There were wildfires along the West Coast earlier in the year; the earthquake in Napa Valley, Calif., in August; and flooding in the Midwest, Northeast and Mid-Atlantic. The recent Polar Vortex that blanketed much of the country...

  • 2014 Insurance Fraud Hall of Shame

    Dennis Jay

    America's most notorious insurance schemers have earned leadership of their moral wasteland by induction into the Insurance Fraud Hall of Shame.

  • Claims Fraud: Abusers, Opportunists & Forgotten Employees

    Gary Jennings

    Many think that workers compensation fraud is running rampant, and it may be in some areas. We see the worst cases in presentations or in media reports. However, the media and conference speakers do not talk about the many parties involved in workers compensation who act honestly and ethically within...

  • Editor's Note

    Patricia Harman

    The lengths fraudsters will go to in order to perpetrate a fraud never cease to amaze me. Im not sure if it's their audacious behavior, their creativity, their stupidity, or the fact that they just think theyll never be caught. I often wonder what diseases could be cured or social...

  • Creating Successful CAT Plans

    Gregg T. Golson

    CAT plans, like strategic plans, tend to be crafted in offices far away from the adjusters who will implement them. These voluminous, dust-covered binders sit comatose only to be revived when an actual catastrophe looms.

  • The Insurance Claims Adjuster's ‘Black Box’

    Ken Brownlee, CPCU

    Every profession has some motto and a few secrets hidden in a special place. For physicians, the essence of the Hippocratic Oath is Do no harm. Their black box is likely a black bag with a stethoscope and other tools. For attorneys, the motto may be Litigate the issue! and...

  • Arbella Insurance Holds Annual Pink Day

    Patricia Harman

    Arbella Insurance Group got into the pink and joined forces with the Arbella Foundation to raise $34,500 for breast cancer screening in October. The employees raised $17,250, which was matched by the Arbella Insurance Foundation and will support community visits by the Dana-Farber Mammography van, as well as community visits...

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