#claim-denial

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California
fromwww.npr.org
3 hours ago

Lawsuits accuse State Farm of secretly working to cut insurance payouts

State Farm denied a claim for hail damage, leading to lawsuits from homeowners across the country.
#home-insurance
SF real estate
fromwww.npr.org
3 hours ago

Millions of homes in the U.S. are uninsured. NPR wants to hear your story

Many homeowners are forgoing home insurance due to rising costs, exposing themselves to financial risks from extreme weather events.
SF real estate
fromwww.npr.org
3 hours ago

Millions of homes in the U.S. are uninsured. NPR wants to hear your story

Many homeowners are forgoing home insurance due to rising costs, exposing themselves to financial risks from extreme weather events.
Law
fromStreetsblog New York City
8 hours ago

Hochul Says She'll Rein in Big Insurance With 'Excess Profit' Law; Experts Call That A 'Joke' - Streetsblog New York City

The 'excess profits' law in New York is criticized for being ineffective in protecting consumers from auto insurance companies' profits.
#homeowners-insurance
Real estate
fromwww.housingwire.com
2 days ago

Homeowners Insurance is Reshaping the Real Estate Transaction

Rising homeowners' insurance costs are reshaping the homebuying process, introducing uncertainty and affecting borrower eligibility.
SF real estate
fromEarth911
3 weeks ago

How Climate Disasters Are Breaking the Homeowners Insurance Market

Homeowners in high-risk areas face significant insurance premium increases due to climate risk, impacting affordability and availability of home insurance.
Real estate
fromwww.housingwire.com
2 days ago

Homeowners Insurance is Reshaping the Real Estate Transaction

Rising homeowners' insurance costs are reshaping the homebuying process, introducing uncertainty and affecting borrower eligibility.
SF real estate
fromEarth911
3 weeks ago

How Climate Disasters Are Breaking the Homeowners Insurance Market

Homeowners in high-risk areas face significant insurance premium increases due to climate risk, impacting affordability and availability of home insurance.
#fraud
fromwww.paymentsdive.com
1 day ago
Privacy professionals

Tactics to combat fraud and protect your business reputation

Fraud losses exceeded $12.5 billion in 2024, significantly impacting consumer trust and brand reputation.
fromwww.bbc.com
2 weeks ago
UK news

Ex-Met officer admits role in car insurance scam

An ex-Metropolitan Police officer admitted to participating in a 'crash for cash' scam for financial gain, leading to multiple fraudulent claims.
Travel
fromFast Company
3 days ago

Here's how to decide when travel insurance is worth it

Travel insurance is essential for covering trip cancellations, medical care, and emergencies while traveling.
#healthcare
Healthcare
fromSlate Magazine
2 days ago

There's an Expense in America That Can Feel Particularly Maddening. I Know an Easy Way to Lower It.

Negotiating medical bills can significantly reduce costs, as providers often settle for much lower amounts than their initial charges.
Healthcare
fromCbsnews
2 weeks ago

Fighting for health care claim approvals

Insurance companies often delay or deny necessary medical treatments, causing significant emotional and physical distress for patients.
Healthcare
fromSlate Magazine
2 days ago

There's an Expense in America That Can Feel Particularly Maddening. I Know an Easy Way to Lower It.

Negotiating medical bills can significantly reduce costs, as providers often settle for much lower amounts than their initial charges.
Healthcare
fromCbsnews
2 weeks ago

Fighting for health care claim approvals

Insurance companies often delay or deny necessary medical treatments, causing significant emotional and physical distress for patients.
fromLos Angeles Times
4 days ago

Officers called out serious problems at firearms training facility; LAPD retaliated, jury finds

These officers bravely spoke out not just for their own rights, but for the safety of the public and their fellow officers. In return, they were subjected to egregious retaliation simply because they reported misconduct and unsafe working conditions.
Los Angeles
fromwww.housingwire.com
5 days ago

How fraud gets stopped in its tracks by real estate and title pros

In 2025, the FBI's Internet Crime Complaint Center logged 1,008,597 cyber-enabled crime complaints, with losses surpassing $20.8 billion, marking a 26% rise from the prior year.
Information security
#insurance-fraud
California
fromFortune
1 week ago

A bizarre insurance scam was exposed as 'clearly a human in a bear suit' damaging luxury cars | Fortune

Three individuals in California staged insurance fraud using a bear costume to claim damages on luxury cars, seeking nearly $142,000 in payouts.
California
fromABC7 Los Angeles
1 week ago

3 Southern California residents sentenced in bear suit insurance fraud scheme

Three residents staged fake bear attacks on cars for insurance fraud, leading to jail sentences and restitution.
NYC politics
fromStreetsblog
1 month ago

Hochul's Car Insurance Plan Blows Fraud Way Out Of Proportion: Stats - Streetsblog Empire State

Governor Hochul's auto insurance reform relies on fraud claims unsupported by prosecution data, with fewer than 0.4% of reported fraud cases resulting in convictions.
California
fromFortune
1 week ago

A bizarre insurance scam was exposed as 'clearly a human in a bear suit' damaging luxury cars | Fortune

Three individuals in California staged insurance fraud using a bear costume to claim damages on luxury cars, seeking nearly $142,000 in payouts.
California
fromABC7 Los Angeles
1 week ago

3 Southern California residents sentenced in bear suit insurance fraud scheme

Three residents staged fake bear attacks on cars for insurance fraud, leading to jail sentences and restitution.
NYC politics
fromStreetsblog
1 month ago

Hochul's Car Insurance Plan Blows Fraud Way Out Of Proportion: Stats - Streetsblog Empire State

Governor Hochul's auto insurance reform relies on fraud claims unsupported by prosecution data, with fewer than 0.4% of reported fraud cases resulting in convictions.
Law
fromSlate Magazine
20 hours ago

A Comprehensive New Book Exposes One of the Worst Pieces of the Modern Legal System

Tort litigation has both negative perceptions and significant achievements in consumer protection against big businesses.
California
fromABC7 San Francisco
4 days ago

CA State Senate to vote on slew of insurance reform bills, addressing transparency, non-renewals

California is voting on insurance reform bills aimed at increasing transparency and accountability in the insurance market.
fromTNW | Health-Tech
4 days ago
Healthcare

How AI Is Reshaping Workers' Compensation Claims and Healthcare Operations

Workers' compensation is a significant yet often overlooked part of the healthcare ecosystem, facing unique challenges and requiring focused innovation.
Law
fromnews.bitcoin.com
2 days ago

38 Attorneys General Back Massachusetts Lawsuit Against Kalshi Over Prediction Markets

A coalition of 38 attorneys general supports Massachusetts' lawsuit against Kalshi for alleged unlicensed sports betting activities.
Healthcare
fromMedCity News
5 days ago

How the DOJ Is Tackling Fraud in the ACA Marketplace - MedCity News

Fraud targeting vulnerable populations in the Affordable Care Act Marketplace is a significant issue, with deceptive practices disrupting healthcare access.
Law
fromwww.housingwire.com
3 days ago

States' deed theft protection measures tracked by new tool

EquityProtect launched a Scorecard to track deed theft and property title fraud legislation across all states, revealing significant vulnerabilities in property protection.
NYC politics
fromStreetsblog Empire State
3 weeks ago

Monday Headlines: Insurance Politicking Edition - Streetsblog Empire State

Governor Hochul's proposed car insurance reforms may disadvantage crash victims while benefiting insurance companies, raising concerns among lawmakers and advocacy groups.
Healthcare
fromLos Angeles Times
6 days ago

Stolen ID: Woman hears she's 'in hospice' in L.A. County after filing Medicare claim for pickleball injury

Fraud in the hospice industry has led to victims being denied care and facing terrifying situations despite evidence of wrongdoing.
Law
fromABC7 Los Angeles
4 days ago

Judge approves $425 million Capital One settlement. How to check if you're eligible for payout

Capital One customers may receive compensation from a $425 million lawsuit settlement regarding savings account practices.
LA real estate
fromtherealdeal.com
3 weeks ago

Campaign promises offered as assurances on California's troubled resi insurance market

Pacific Palisades residents face a $1.5 million gap between insurance payouts and rebuilding costs after last year's fire.
#auto-insurance
fromStreetsblog Empire State
1 week ago
California

Talk About Insurance Fraud! Big Tech Floods Pols' In-Boxes With Fake Emails In Support Of Hochul's Car Premium Ploy - Streetsblog Empire State

fromwww.amny.com
1 month ago
NYC parents

Op- Ed | Hochul's proposed auto insurance reforms would be a death sentence' for traffic violence victims | amNewYork

California
fromStreetsblog Empire State
1 week ago

Talk About Insurance Fraud! Big Tech Floods Pols' In-Boxes With Fake Emails In Support Of Hochul's Car Premium Ploy - Streetsblog Empire State

Dead individuals are reportedly sending emails to lawmakers supporting a controversial auto insurance proposal in Albany.
NYC parents
fromwww.amny.com
1 month ago

Op- Ed | Hochul's proposed auto insurance reforms would be a death sentence' for traffic violence victims | amNewYork

Proposed changes to auto insurance laws in New York may harm victims of traffic accidents by limiting their recovery options and redefining serious injuries.
Law
fromAbove the Law
1 week ago

Some Law Firms Got Paid, Others Still Waiting By The Mailbox- See Generally - Above the Law

Some law firms have successfully converted billable hours into significant wealth, while others face financial and ethical challenges.
Medicine
fromSocial Media Explorer
1 month ago

How Truck Accident Injuries Are Evaluated for Compensation - Social Media Explorer

Truck accidents can cause severe physical and psychological injuries, necessitating comprehensive medical care and accurate documentation for treatment and legal processes.
fromwww.housingwire.com
2 weeks ago

eXp denied dismissal of fraud claims in sexual misconduct case

During the three-year span of the lawsuit, eXp and its founder Glenn Sanford faced allegations of negligent hiring. But these claims against Sanford and the company were ultimately dismissed.
Law
Healthcare
fromFuturism
3 weeks ago

Insurance Companies Already Deploying AI Systems to Deny Claims Faster Than Ever Before

AI automation in insurance claims may lead to increased denials of necessary medical care, raising concerns among patients and advocates.
Agile
fromEntrepreneur
1 month ago

What Every CEO Should Do When a Customer Claims Your Business Caused Harm

Businesses need a clear, repeatable playbook for handling serious complaints to prevent chaos and control outcomes during critical moments.
fromTheregister
3 weeks ago

ServiceNow salesman sues employer in commission dispute

Costa's then-manager told him that ServiceNow would not pay this commission because the Sales Compensation Department had concluded that Costa had 'overachieved to a degree that was outside normal' in relation to his sales quota. In other words, ServiceNow believed Costa had made too much money, notwithstanding that his commission was only a small percentage of the revenue recognized and received by ServiceNow.
Law
Privacy professionals
fromwww.housingwire.com
1 month ago

Reducing risk: Why logging, protection, and review matter

Application logs are critical cybersecurity safeguards that provide visibility into system behavior, enabling early detection of security threats and operational issues in real estate and mortgage lending organizations.
fromAol
2 months ago

7 Insurance Moves That Won't Leave You High and Dry, According to Brokers

Insurance is often one of those bills people think about only when premiums rise or a loss makes it necessary to review. Not updating a policy can cost you vastly more money than just paying a slightly higher premium, be that car insurance, home insurance or life insurance, to name a few. Rather than waiting to find out what coverage you have, brokers and other insurance experts offered some moves you should make as soon as possible.
Health
US politics
fromwww.independent.co.uk
2 months ago

Motorists left out of pocket by car insurance over key policy

Independent seeks donations to fund on-the-ground journalism while consumer watchdog Which? warns many car insurance policies inadequately cover personal belongings.
Public health
fromMedCity News
2 months ago

Is It Time to Change the Independent Dispute Resolution Process of the No Surprises Act? - MedCity News

Anthem alleges Prime Healthcare flooded the No Surprises Act IDR process with thousands of ineligible disputes to obtain millions in wrongful awards.
fromwww.theguardian.com
1 month ago

How extreme weather is leaving thousands of homes uninsurable

We're seeing more frequent, more severe extreme weather events and that inevitably affects claims and affects pricing it can't not. And this is happening all over the globe. More, after this week's most important reads.
Environment
Law
fromSocial Media Explorer
1 month ago

How to Gather Evidence After a Bicycle Accident for a Strong Case - Social Media Explorer

Gathering evidence after an accident is crucial for legal claims and insurance settlements, influencing liability and recovery outcomes.
fromSocial Media Explorer
1 month ago

Stop Shouting on Billboards: How to Write Personal Injury Copy That Actually Converts - Social Media Explorer

Your potential client is in pain, their car is totaled, the medical bills are piling up, and a claims adjuster is calling them relentlessly, trying to get a recorded statement. They do not want a gladiator in a suit; they want a lifeline.
Marketing
Relationships
fromwww.theguardian.com
2 months ago

Romance fraud: warning over scam that turns victims into insurance cheats

Scammers recruit romantic partners into staged accidents or fake insurance claims to exploit victims' identities and trigger fraudulent payouts, harming victims' insurance and credit records.
Parenting
fromSlate Magazine
1 month ago

The Neighbor Kids Keep Trespassing on Our Property. It's Going to End in Disaster.

Property owners face legal liability for child injuries on their land from attractive nuisances like frozen ponds, requiring immediate protective action beyond verbal warnings.
Healthcare
fromEntrepreneur
1 month ago

Why Liability Insurance No Longer Works the Way You Think - and What CEOs Must Do About It

Liability insurance has shifted to a shareholder-driven system, requiring leaders to manage claims proactively to avoid costly surprises.
UK news
fromwww.theguardian.com
2 months ago

My husband burned down our house then the bank threatened repossession'

A domestic abuse survivor faced financial ruin and prolonged legal obstacles after her husband's arson and financial sabotage, but halted repossession by paying the mortgage.
fromFast Company
2 months ago

Why insurers' increased use of AI is sparking concerns for policyholders

“fireball burning everything in its path”
Real estate
fromStreetsblog
1 month ago

Thursday Headlines: Insurance Who Insurance Why Edition - Streetsblog Empire State

Part of the issue is the black box that is insurance. The state Department of Financial Services helps set rates for companies operating in New York, but on a granular level, companies use proprietary algorithms and metrics to set premiums.
US politics
fromLos Angeles Times
1 month ago

State Farm reaches deal to keep 17% hike in home insurance rates

The agreement will provide financial relief to many policyholders while ensuring continued coverage for State Farm policyholders while California's insurance market stabilizes. State Farm argued the emergency hike was necessary because catastrophic fire losses jeopardized its financial ratings. The company has reported that it paid out $6.2 billion in claims last year, largely from the wildfires, with most of the costs covered through reinsurance payments.
LA real estate
Real estate
fromwww.housingwire.com
2 months ago

Best practices for real estate buyer-broker agreements take shape

Brokerages implemented rapid, standardized training, tech-integrated disclosures, and layered audits nationwide to ensure compliance with buyer representation and compensation practice changes.
Privacy professionals
fromDataBreaches.Net
2 months ago

You're not paranoid: lawyers ARE coming to get you. - DataBreaches.Net

Failure of federal regulators to act after patient-data breaches can prompt state attorneys general and class-action lawsuits seeking money and corrective action plans.
LA real estate
fromLos Angeles Times
27 years ago

Homeowners File Suit Against Builder

A homeowners association sued builder Amcal General Contractors for widespread construction violations including defective electrical, plumbing, waterproofing, and sound reduction systems at a 90-unit condominium complex.
Privacy professionals
fromDataBreaches.Net
2 months ago

Investigation into data breach involving Blue Cross Blue Shield members could head to court - DataBreaches.Net

BCBSMT sued Montana's state auditor, arguing the auditor lacks authority to investigate a Conduent-related data breach affecting up to 462,000 members.
Law
fromLos Angeles Times
1 month ago

California trial attorneys push bills to rein in 'bad actors' in legal industry

California trial lawyers support bills increasing penalties for attorneys who illegally solicit clients or allow hedge funds to control case strategy.
Real estate
fromwww.housingwire.com
2 months ago

Unison faces consumer lawsuit over home equity investment claims

Unison's home equity investment agreements are alleged to be misleading, functioning as unlicensed, high-cost mortgages that can strip homeowners' equity and evade consumer protections.
fromLos Angeles Times
2 months ago

Senators call for investigation into insurance department over handling of L.A. wildfire claims

Two California senators have asked for an investigation into the state insurance department's handling of complaints filed by Los Angeles wildfire victims struggling to collect payouts from State Farm. The calls follow a Los Angeles Times report Thursday that revealed a range of complaints among more than a dozen fire victims over how the state insurance department has handled their claims since the January wildfires.
California
Healthcare
fromwww.mercurynews.com
2 months ago

My insurance says I owe nothing, so why is Quest Diagnostics demanding $563?

Provider failed to file the claim timely due to a coding error, leaving the patient wrongly pursued for full charges; patient should not be responsible.
Real estate
fromwww.housingwire.com
2 months ago

Rocket Mortgage alleges $194,000 loss in broker fraud lawsuit

Rocket Mortgage sues Sharp Loan and Reyes for fraud and breach after undisclosed UWM loans caused repurchases and about $194,000 in losses.
Healthcare
fromFast Company
2 months ago

You might qualify for this Kaiser settlement without ever filing a complaint

Kaiser Foundation Health Plan agreed to pay $10.5 million to settle claims it sent marketing texts after recipients had opted out.
fromwww.amny.com
1 month ago

Op-Ed | How much is my personal injury case worth? | amNewYork

According to a 2025 MetLife personal injury study, the severity of injury plays a significant role in determining a settlement amount both in terms of economic and non-economic damages. As such, the MetLife study found that on average, the amount of settlement money a personal injury litigant receives is about $324,000.
Law
Law
fromIPWatchdog.com | Patents & Intellectual Property Law
1 month ago

Legal Groups Push for Mandatory Disclosure of Litigation Funders

Third-party litigation funders must disclose their involvement in federal civil cases through a proposed amendment to Federal Rule of Civil Procedure 26(a)(1)(A) to establish uniform disclosure requirements across inconsistent federal courts.
Law
fromSocial Media Explorer
2 months ago

What to Expect From the Legal Process After a Catastrophic Accident - Social Media Explorer

Thorough initial investigations and timely legal representation are essential to gather evidence, document circumstances, and shape effective legal strategy.
fromSocial Media Explorer
2 months ago

The Role of Witnesses in Strengthening Your Injury Case - Social Media Explorer

Witnesses play a crucial role in personal injury cases, often serving as the backbone of the evidence presented in court. Their testimonies can provide essential context and details that may not be captured through physical evidence alone. In many instances, the accounts of witnesses can corroborate the claims made by the injured party, lending credibility to their narrative. This is particularly important in personal injury cases, where the burden of proof lies with the plaintiff. A strong witness can help
Law
fromAbove the Law
2 months ago

Running Your Cases - Above the Law

They don't drive it. They don't manage it. They don't control it. They let it control them. And then one day, they look up and realize discovery closed last week, the client is asking why nobody has taken the key depo, the adjuster wants a status report "by the end of the day," and the partner is asking the question that makes your stomach drop: "Where are we on this file?"
Law
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