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CURRENT ISSUE
COVER STORY
Is the economy to blame for an increase in reports of questionable claims?
By Maureen Latimer / Claims Advisor Managing Editor &
Dave Pelland / Claims Advisor Contributing Writer
There is a recession. Insurance fraud referrals are up. Recessions cause insurance fraud. The logic is broadly accepted. To wit, insurance fraud referrals and investigations are up, but there are simply no studies correlating economic conditions with fraud convictions...
read the full article
Regulators and legislators need to find ways to rein in and punish staged-accident gangs and their friends in the medical and legal communities.
Dennis Jay / Coalition Against Insurance Fraud
Mortgages have significant implications for the validation of claims. Before a future claim mires you in problems, know the details of loans on properties you insure.
Rick Hammond / Chicago law firm of Johnson & Bell, Ltd.
Adjusting claims on environmentally friendly policies can make you green around the gills if you’re not up to speed on ratings, codes, materials, and the eemingly innumerable details in green building claims.
Jeffrey H. Peters P.E., LEED AP / Rimkus Consulting Group
SIU investigators capitalize on the very public face of some fraudsters.
Alfred J. Marrazzo / ESIS Inc.
Use predictive modeling and data to identify claims that may become highly complex.
Ernest Feirer / LexisNexis Claims Solutions / Dave Torrence / Mitchell International
       
Damp homes create cave-like conditions that might look like water damage.
Dr. Ralph E. Moon Ph.D., CHMM, CIAQP / Building Sciences Dept., HSA / Jeff Wilemon / Building Sciences Dept.
Is the economy to blame for an increase in reports of questionable claims?
Maureen Latimer / Claims Advisor / Dave Pelland / Claims Advisor
Auto insurers face higher hospital charges as federal health insurance programs cut reimbursements.
David Corum / Insurance Research Counsel
Does mild traumatic brain injury actually cause ongoing, compensable effects, or are you overpaying?
David R. Price Ph.D. / The Forensic Network
Advances in mobile technology can reduce your losses, decrease your expenses and increase your claims satisfaction.
Anand S. Rao / Diamond Management & Technology Consultants / Jamie Yoder / Diamond Management & Technology Consultants


LIVE! ONLINE EXCLUSIVES
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  • Property, business interruption, health and environmental claims are stacking up to create the most complex insurance event in U.S. history.
    By Paul Kottler / IAS Claim Services
    The Gulf Oil Spill is the most complex insurance event in history, and the establishment of a $20 billion White House-brokered fund to cover income losses will not make it easier to handle.. read the full article
  • Excerpts from an interview with Louisiana Insurance Commissioner James J. Donelon
    By James J. Donelon / Louisiana Insurance Commissioner
    Which insurers are most active in Louisiana for commercial and personal lines? What kind and quantity of claims are they seeing from the oil spill, and what has the insurer response been?.. read all
  • British Petroleum (BP) oil rig explosion leaves lessons and questions in its wake.
    By Mary Anne Medina / Contributing Writer and Maureen Brody / Claims Advisor
    The Gulf oil spill, which began April 20, has already cost more than $600 million in insurance claims paid.. read the full article
  • When your client is thrown into the car buying process by a total loss, you can create a win-win situation.
    By Jason Nierman / Zag.com
    A boxer prepares for months, on a diet of spaghetti and raw eggs, before taking on his opponent in the ring. While car buyers may stickh;spending about four months on average.... read the full article
  • Claims hiring is down. That means you need to build good relationships with vendors so you have trustworthy help when you need it.
    By Elise Farnham, CPCU, ARM, AIM, CPIW / Illumine Consulting
    Clients often ask questions about companies providing ancillary services to claims administrators. What makes one service... read the full article
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