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Claims covers many aspects of fraudulent claims - how they are perpetrated, red flags to look for in a claim, provides examples of fraudulent claims and the consequences for the perpetrators, and highlights the most egregious fraudsters in our annual Hall of Shame feature.
The enactment of the Federal Health Insurance Portability and Accountability Act (HIPAA), coupled with the passage of the Health Information Technology for Economic and Clinical Health Act (HITECH), has transformed how health information is handled and created strict guidelines regarding how much of a patient's medical record can be viewed...
With 40,000 potential firms to select from, the task of choosing one, especially in a distant jurisdiction, can be difficult. You likely know this all too well: retaining counsel on short notice not only draws attention, time and effort away from normal work, but it can also add to your...
Haag Education, LLC proudly announces a new product that will take the guesswork out of estimating replacement panels for steel, aluminum, and single-ply roofing. The Haag Panel and Membrane Gauge (HPMG) is the latest addition to Haag's industry-leading collection of tools for today's claim and assessment professionals.
Already familiar with EagleView Technologies aerial roof measurement reports, a large, national insurance carrier learned about the company's wall report and was eager to try it out for claims that involve damage to siding or windows.
Last month we explored how litigation affects claims and why it is the adjuster who manages the claim file and litigation, deciding when to settle and when to fight, knowing that court fights are expensive. Adjusters must make correct decisions based on the law in the jurisdiction where the claim...
When it comes to emerging risks, nowhere are they more apparent than in the insurance industry. From cyber liability to product recalls to Ebola, the list of risks insurers must anticipate for their clients is long and varied, and continues to grow.
Most people do not understand how hard it is to set fire to a house that destroys the entire dwelling and its contents. Most residences simply do not have sufficient combustibles in the right place to allow for a sustained fire. Many homes, especially the more modern ones, have fail-safe...
Human factors involves the application of what we know about people, their abilities, characteristics, and limitations to the design of equipment they use, environments in which they function, and jobs they perform. Human factors is a multi-disciplinary field grounded in the behavioral and engineering sciences, synonymous with ergonomics where engineering...
Businesses are looking more to technology in order to stay efficient in their business practices. While technology is convenient in many ways, it also exposes businesses to cyber attacks.
In 1997, Engle Martin & Associates, Inc. was formed with a comprehensive business philosophy: to provide the best insurance claim adjustment results in the industry, present the most talented personnel, foster an innovative and professional leadership team, and develop client-focused technology. Today, with 58 offices and 600+ employees, Engle Martin...
From Origami Risk
The MGA market is more competitive than ever. With new entrants leveraging digital tools and shifting market dynamics, staying ahead requires strategic adaptation. Discover how to refine your approach, embrace innovation, and outperform the competition in 2025.
Download ResourceFrom Voltaire
Inefficient P&C claim letters hide significant costs. Discover how the application of AI for claims letters can transform this liability into a strategic asset, automating accurate letter generation for 200%+ ROI and operational efficiency.
Download ResourceFrom ZestyAI
Severe convective storms (SCS) caused $56B in insured losses last year, highlighting rising risks and the urgent need for insurers to adapt their risk assessment strategies. This overview explores 2025's trends, La Niña's impact, and how AI-driven, property-level insights can help insurers mitigate losses and improve underwriting.
Download ResourceFrom AgentSync
This guide explores the biggest pitfalls in Distribution Channel Management and practical steps you can take to reduce risk, streamline operations, and better support your agency relationships.
Download ResourceFrom OneSpan
Mixed manual and digital onboarding processes often cause customer frustration and lost policyholders. This white paper shows how to fully digitize first-day processes--making them faster, easier, and more secure with key technologies--to help you minimize abandonment and attract new clients.
Download ResourceFrom ZestyAI
Explore how AI is reshaping underwriting, pricing, and claims--while meeting rising regulatory expectations. This special guide cuts through the noise to reveal real-world use cases, debunk myths, and offer actionable best practices for responsible implementation.
Download ResourceFrom AgentSync
Looking to cut appointment costs without risking compliance? Learn how Just-in-Time (JIT) appointments can help carriers save thousands while staying aligned with state regulations.
Download ResourceFrom Laserfiche
Insurers face mounting pressure from outdated systems, data silos, and rising customer expectations. Discover how a connected, digital-first approach can improve policyholder experiences, streamline operations, and help meet compliance mandates. This guide offers actionable strategies to modernize value-chain operations and drive business growth.
Download ResourceFrom ZestyAI
Traditional roof risk assessment falls short. Ballooning combined ratios demand better methods. This guide reveals how AI and new data sources provide significant lift over traditional models for hail and wind risk.
Download ResourceFrom Verisk
Recovering funds from at-fault parties in auto claims is crucial for insurers, yet subrogation challenges like incomplete data and manual processes slow the process. This guide reveals how claims professionals can streamline subrogation, reduce administrative costs, and maximize recoveries with a more efficient approach. Get the insights you need to speed up claims resolution and improve financial outcomes.
Download ResourceFrom Laserfiche
Rising customer expectations, more restrictive regulations, and increased competition are pushing insurers to modernize information management to boost productivity and efficiency. Discover how Intelligent Information Management (IIM) transforms insurance operations--addressing key challenges and delivering measurable ROI by streamlining processes, reducing costs, and enhancing customer experiences.
Download ResourceFrom Verisk
Digital media fraud is evolving fast--can your fraud detection strategies keep up? With AI-powered tools making it easier than ever to manipulate claims evidence, insurers must stay ahead of fraudsters. Download this guide to explore the latest digital media fraud tactics that are affecting the industry.
Download ResourceFrom Vortex Weather Insurance
Rain-related business disruptions can be costly for your clients. Parametric hourly rain insurance offers a proactive approach to mitigate financial losses from weather conditions. This data-driven solution delivers fast, automated payouts when rainfall thresholds are met, ensuring your clients are protected when they need it most.
Download ResourceFrom Vortex Weather Insurance
Hurricane-related financial risks can leave businesses vulnerable due to gaps found in traditional insurance policies. Parametric hurricane insurance provides a proactive solution for your clients to recover from hurricane-related financial losses quickly. Learn how this innovative coverage model offers transparent payouts based on measurable storm conditions--helping your clients bridge critical financial gaps when they need it most.
Download ResourceFrom EIS
Discover how insurers can detect fraudulent claims faster, enhance accuracy, and streamline claims operations.
Download ResourceFrom Origami Risk
Avoid Costly Setbacks, Stay on Schedule, and Maximize ROI
Download ResourceFrom Origami Risk
The MGA market is more competitive than ever. With new entrants leveraging digital tools and shifting market dynamics, staying ahead requires strategic adaptation. Discover how to refine your approach, embrace innovation, and outperform the competition in 2025.
Download ResourceFrom Voltaire
Inefficient P&C claim letters hide significant costs. Discover how the application of AI for claims letters can transform this liability into a strategic asset, automating accurate letter generation for 200%+ ROI and operational efficiency.
Download ResourceFrom ZestyAI
Severe convective storms (SCS) caused $56B in insured losses last year, highlighting rising risks and the urgent need for insurers to adapt their risk assessment strategies. This overview explores 2025's trends, La Niña's impact, and how AI-driven, property-level insights can help insurers mitigate losses and improve underwriting.
Download ResourceFrom AgentSync
This guide explores the biggest pitfalls in Distribution Channel Management and practical steps you can take to reduce risk, streamline operations, and better support your agency relationships.
Download ResourceFrom OneSpan
Mixed manual and digital onboarding processes often cause customer frustration and lost policyholders. This white paper shows how to fully digitize first-day processes--making them faster, easier, and more secure with key technologies--to help you minimize abandonment and attract new clients.
Download ResourceFrom ZestyAI
Explore how AI is reshaping underwriting, pricing, and claims--while meeting rising regulatory expectations. This special guide cuts through the noise to reveal real-world use cases, debunk myths, and offer actionable best practices for responsible implementation.
Download ResourceFrom AgentSync
Looking to cut appointment costs without risking compliance? Learn how Just-in-Time (JIT) appointments can help carriers save thousands while staying aligned with state regulations.
Download ResourceFrom Laserfiche
Insurers face mounting pressure from outdated systems, data silos, and rising customer expectations. Discover how a connected, digital-first approach can improve policyholder experiences, streamline operations, and help meet compliance mandates. This guide offers actionable strategies to modernize value-chain operations and drive business growth.
Download ResourceFrom ZestyAI
Traditional roof risk assessment falls short. Ballooning combined ratios demand better methods. This guide reveals how AI and new data sources provide significant lift over traditional models for hail and wind risk.
Download ResourceFrom Verisk
Recovering funds from at-fault parties in auto claims is crucial for insurers, yet subrogation challenges like incomplete data and manual processes slow the process. This guide reveals how claims professionals can streamline subrogation, reduce administrative costs, and maximize recoveries with a more efficient approach. Get the insights you need to speed up claims resolution and improve financial outcomes.
Download ResourceFrom Laserfiche
Rising customer expectations, more restrictive regulations, and increased competition are pushing insurers to modernize information management to boost productivity and efficiency. Discover how Intelligent Information Management (IIM) transforms insurance operations--addressing key challenges and delivering measurable ROI by streamlining processes, reducing costs, and enhancing customer experiences.
Download ResourceFrom Verisk
Digital media fraud is evolving fast--can your fraud detection strategies keep up? With AI-powered tools making it easier than ever to manipulate claims evidence, insurers must stay ahead of fraudsters. Download this guide to explore the latest digital media fraud tactics that are affecting the industry.
Download ResourceFrom Vortex Weather Insurance
Rain-related business disruptions can be costly for your clients. Parametric hourly rain insurance offers a proactive approach to mitigate financial losses from weather conditions. This data-driven solution delivers fast, automated payouts when rainfall thresholds are met, ensuring your clients are protected when they need it most.
Download ResourceFrom Vortex Weather Insurance
Hurricane-related financial risks can leave businesses vulnerable due to gaps found in traditional insurance policies. Parametric hurricane insurance provides a proactive solution for your clients to recover from hurricane-related financial losses quickly. Learn how this innovative coverage model offers transparent payouts based on measurable storm conditions--helping your clients bridge critical financial gaps when they need it most.
Download ResourceFrom EIS
Discover how insurers can detect fraudulent claims faster, enhance accuracy, and streamline claims operations.
Download ResourceFrom Origami Risk
Avoid Costly Setbacks, Stay on Schedule, and Maximize ROI
Download ResourceFrom Origami Risk
The MGA market is more competitive than ever. With new entrants leveraging digital tools and shifting market dynamics, staying ahead requires strategic adaptation. Discover how to refine your approach, embrace innovation, and outperform the competition in 2025.
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