INSURASALES

Tag: claims management

Allstate Files Federal Suit Over $305K Alleged No-Fault Medical Equipment Fraud

Allstate sues A to Z Supply Services for over $305,000 in alleged fraudulent medical equipment claims under New York's No-fault system, highlighting challenges in insurance fraud detection and claims oversight.

Catalyst Solutions Launches Multi-State Implementation for P3 Health Partners

Catalyst Solutions completed a rapid 60-day implementation of Professional Health Partners services across Arizona, Oregon, Nevada, and California, enhancing Medicare population health management with scalable, hybrid onshore/offshore support.

Plymouth Rock Assurance Names COO and Chief Claims Officer to Boost Independent Agency Operations

Plymouth Rock Assurance appoints Brooke Bass as COO and Dale Brooks as Chief Claims Officer, enhancing operations and claims management in its Independent Agency Group across the Northeast.

Understanding the Financial Flow of Auto Insurance Claims in 2025

Explore the 2025 U.S. auto insurance landscape, detailing the complex financial flow of claims from accident to settlement, coverage types, state laws, and insurer strategies affecting payouts.

Maryland Court Ruling Limits Insurers' Use of Anti-Assignment Clauses in Post-Loss Claims

Maryland Supreme Court rules insurers cannot block post-loss claim assignments despite anti-assignment clauses. Impact on property and casualty claims handling and policy language.

Florida Appeals Court Upholds Denial Over Delayed Windstorm Damage Claim

Florida appellate court affirms insurer's denial of windstorm damage claim due to nearly two-year delayed notice, reinforcing prompt notice requirements in homeowners insurance.

Life Insurance Fundamentals: Risk, Pricing, and AI-Driven Underwriting Trends

Explore life insurance fundamentals, including actuarial risk, premium factors, term vs permanent policies, and AI-driven underwriting innovations transforming the U.S. insurance market.

NJM Insurance Tops J.D. Power 2025 Mid-Atlantic Auto Insurance Rankings

NJM Insurance Group leads the Mid-Atlantic in J.D. Power 2025 auto insurance rankings, excelling in customer satisfaction and claims handling benchmarks.

Payment Integrity Focus Shifts from Fraud to Preventing Overpayments in Healthcare

CMS reports $86B in improper payments, emphasizing payment integrity's role in preventing overpayments and improving healthcare claims accuracy.

CLARA Analytics Unveils AI-Driven Early Fraud Detection in P&C Insurance Claims

CLARA Analytics study reveals AI and machine learning enable detection of potential insurance fraud within two weeks of claim filing, improving early intervention in property and casualty claims.