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Claims, Case Law, and Legal Articles


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Claims Management

Workers Compensation Reserves—Dollars and Sense

2009-02-01

William Quinn explains how improper loss reserving can affect insurers and employers, and should be monitored closely.

Claims Practices

Insurance Fraud

2009-01-01 | Barry Zalma

Barry Zalma explains that insurance fraud can only be defeated by a thorough investigation by claimspersons, investigators, and insurance coverage counsel.

Courts and Coverage

Underinsured Motorist Insurance: Prerequisites before Coverage Applied

2009-01-01 | R Brent Cooper

Brent Cooper relates a Texas decision showing a further entrenchment in the plain-and-ordinary meaning test.

Personal Lines Claims

Avoiding Bad Faith Allegations in Excess Loss Situations

2009-01-01 | Elise Farnham

Elise Farnham discusses steps claim professionals can take to avoid bad faith situations and minimize damage if they encounter them.

Claims Management

Is Self-Administration Ever the Right Answer?

2008-11-01

Glenn Brown explores the decision-making process along with the risks, possible rewards, and challenges of administering your own claims.

Claims Practices

The Examination under Oath

2008-10-01 | Barry Zalma

Barry Zalma explains why this is an important tool to help insureds prove their loss or to allow an insurer to examine the proofs of loss to avoid potential fraud.

Courts and Coverage

Injury-in-Fact Coverage Trigger—HO Policy View

2008-10-01 | R Brent Cooper

Brent Cooper looks at Don's Building Supply and its application to the Texas Homeowners Insurance Policy HO-B.

Personal Lines Claims

Personal Lines Property Loss Adjusting—Achieving Excellence

2008-10-01 | Elise Farnham

The steps involved to achieve claims closure involve knowing the policy, the contract, textbook answers, and alternatives. Elise Farnham explains.

Claims Management

Technology and Claims: Blessing or Curse?

2008-08-01

RMIS Review Editor David Tweedy takes a look at the advantages and disadvantages of technological progress in claims management.

Courts and Coverage

Event Data Recorders: Balancing the Benefits and Drawbacks

2008-08-01 | R Brent Cooper

EDRs are in more modes of transportation than ever. Brent Cooper looks at the legislation and case law on the issue of privacy versus public safety.