Claims Magazine-September 2015

Issue Gallery ›

  • Improving SIU Through Data Analytics

    Jeffrey G. Rapattoni, Esq., James Hulett

    The business of insurance is constantly changing and evolving. As society grows and trends in differing directions, so too must the insurance industry read and react to what goes on around it.

  • Editor's Note

    Patricia Harman

    Insurers write close to $1 trillion in insurance premiums each year according to the FBI that's a lot of risk management and a huge opportunity for some claimants to take advantage of an insurance company. Fraud comes in all shapes and sizes. Non-healthcare related fraud runs well over $40...

  • They’re Robbing You Blind

    Douglas Karpp

    Employee theft is a constant threat for all business. It doesn't matter if the organization is big or small, public or private, all are vulnerable.

  • In Law, Uncertainty is a Certainty

    Ken Brownlee, CPCU

    With the states in turmoil over gay marriage, just who is a spouse if one was married in a state allowing gay marriage, but had a claim in a state that did not recognize such marriages? It was one of those fickle pickles of insurance policy language.

  • Beware of the Warranties in Marine Insurance

    Barry Zalma, Esq., CFE

    Insurers have the right to limit their risk by placing warranties in their policies that state if the warranty is breached the policy is void as of the breach. They are rarely used.

  • From Pasha to Prisoner: The Story of Mikhail Zemlyansky

    Dennis Jay

    Dodgy insurance claims for thousands of injured drivers and passengers flooded auto insurers during a reign of error by a Russian-American crime ring working the New York City area. Mikhail Zemlyansky masterminded the largest no-fault auto scheme ever charged and New York's streets must have seemed like a giant bumper-car...

  • Fighting Fraud with Metadata

    Michael H. Boyer

    Questions frequently arise as to the true cause of losses, the extent of the alleged loss, the insured's representations during the investigation as to ownership, and the documentation submitted in support of the claims.

  • Can cloud computing improve new-business submissions?

    Dan Pitcher, CPCU, Ajoy Kumar Palanivelu

    Application submissions are one of commercial underwriting's biggest time sinks. Most quotes are a jumble of formats and paperwork that keep underwriters from getting to more important tasks like risk analysis.

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