Claims

Can a Judge Correct Errors in AMA Guide Ratings?
Regulatory & Compliance Can a Judge Correct Errors in AMA Guide Ratings?

The intricate process of converting a physical injury into a precise percentage for a workers' compensation claim is fraught with complexity, often leading to contentious disputes where the final payout hinges on the interpretation of dense medical guidelines. A landmark ruling from the Iowa Court

Can a 5-Year Delay Kill a $10 Million Insurance Claim?
Risk Management Can a 5-Year Delay Kill a $10 Million Insurance Claim?

A staggering $10 million court judgment hangs in the balance, secured by a victim against a wrongdoer with a robust umbrella insurance policy, yet the insurer's refusal to pay has brought the entire matter to a federal appeals court. When the insurer was not notified of the underlying incident

Can Wildfire Maps Predict Financial Burn?
Risk Management Can Wildfire Maps Predict Financial Burn?

The once-static lines on wildfire risk maps, primarily tools for firefighters and emergency planners, are now being redrawn with dynamic, high-resolution data that has captured the attention of corporate boardrooms and global investors. These advanced mapping technologies emerging in states like

Can AI Solve the Claims Document Bottleneck?
Technology & Trends Can AI Solve the Claims Document Bottleneck?

The modern insurance claims process is governed by a relentless influx of information, where adjusters are tasked with navigating a digital deluge of reports, invoices, estimates, and correspondence that arrives through countless channels. This constant stream of unstructured data creates a

Will This Bill Fix California's Disaster Claim Crisis?
Risk Management Will This Bill Fix California's Disaster Claim Crisis?

In the wake of the devastating January 2025 Los Angeles wildfires, thousands of residents found themselves facing a second disaster: navigating the labyrinthine process of insurance claims while grappling with the loss of their homes and communities. Despite insurance companies paying out a

Insurers Grapple With New AI Liability Risks
Risk Management Insurers Grapple With New AI Liability Risks

The proliferation of artificial intelligence across the business landscape has created a complex and unforeseen challenge for the traditional insurance industry, which now finds itself in a pivotal, transitional phase. Insurers are grappling with how to define, categorize, and underwrite a novel

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