#claims-denial

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Healthcare
fromFuturism
2 days 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.
Law
fromMoneywise
15 hours ago

Towing scams are surging across the U.S. - and one NYC case shows just how brazen these companies have become

Clutch Towing in Brooklyn continues to operate despite a settlement for overcharging customers, leaving victims like Michael Medved with hefty fees.
#insurance
LA real estate
fromtherealdeal.com
2 days 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.
LA real estate
fromtherealdeal.com
2 days 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.
fromBrownstoner
2 days ago

What Owners Need to Know About Their Apartment Insurance

Most water claims start in the most ordinary places: under sinks and around toilets. A slow drip from a supply line or a small leak by a toilet can lead to severe water damage across several units.
NYC real estate
fromwww.housingwire.com
3 days ago

Rocket Companies moves to dismiss RESPA lawsuit

Rocket Companies contends that the plaintiffs failed to plead injury, a qualifying referral, a thing of value, or an agreement, which are essential for their claims under RESPA.
Boston real estate
fromFortune
3 days ago

The quadruple amputee cornholer's shooting was in self-defense, lawyer says | Fortune

The truth here is that he would have been a murder victim if he had not acted immediately in defense of his life, according to defense attorney Andrew Jezic.
US news
Podcast
fromSlate Magazine
4 days ago

A Court Settlement Made Me a Millionaire. I've Barely Touched the Money.

Natalie received over a million dollars in a major abuse settlement after being sexually abused by her university gynecologist.
UK news
fromwww.independent.co.uk
5 days ago

Car finance scandal compensation scheme revealed for millions of UK motorists

The FCA has announced a compensation scheme for 12 million drivers mis-sold car loans, with payouts averaging £830.
Remote teams
fromTheregister
5 days ago

Security contractor blew the whistle on shabby support crew

Brad, a security contractor, faced challenges with antivirus alerts while working in a labor hire company's office without proper IT support.
Real estate
fromwww.housingwire.com
5 days ago

AI can accelerate real estate transactions But it can't replace the professional work that protects property rights

Artificial intelligence is enhancing efficiency in the title industry, but professional expertise remains essential for ensuring clear property ownership.
#insurance-fraud
Law
fromwww.amny.com
1 day ago

Restaurateur and friend of Eric Adams pleads not guilty to insurance fraud, alongside 2 men previously sued by GEICO | amNewYork

Zhan Petrosyants and two businessmen were indicted for insurance fraud and money laundering related to fraudulent claims against GEICO.
NYC politics
fromStreetsblog
3 weeks 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
fromwww.amny.com
1 day ago

Restaurateur and friend of Eric Adams pleads not guilty to insurance fraud, alongside 2 men previously sued by GEICO | amNewYork

Zhan Petrosyants and two businessmen were indicted for insurance fraud and money laundering related to fraudulent claims against GEICO.
NYC politics
fromStreetsblog
3 weeks 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.
Medicine
fromSocial Media Explorer
1 week 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.
fromLos Angeles Times
2 days ago

SoCal hospice owners bilked taxpayers for millions in false claims, federal officials say

Eight individuals were arrested and 15 charged in a scheme to defraud Medicare of over $50 million by running sham hospice facilities across Southern California. Federal officials described the actions as brazen efforts to commit fraud, with many billed patients not being terminally ill.
Healthcare
#auto-insurance
fromwww.amny.com
1 week ago
NYC parents

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

fromwww.amny.com
2 months ago
New York Islanders

Driving costs down: Hochul says new proposals will lower car insurance rates in New York while fighting fraud

NYC parents
fromwww.amny.com
1 week 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.
fromwww.amny.com
2 months ago
New York Islanders

Driving costs down: Hochul says new proposals will lower car insurance rates in New York while fighting fraud

fromwww.housingwire.com
3 days ago

eXp, Weichert home seller commission lawsuit settlements approved

The Gibson plaintiffs claimed that eXp negotiated the agreement with the Hooper plaintiffs after conducting prolonged, unsuccessful settlement negotiations with Intervenor Plaintiff counsel, conducting a reverse auction in an attempt to gain a sweetheart deal.
Boston real estate
LA real estate
fromwww.housingwire.com
4 days ago

California bills target condo deposits and defect liability

California lawmakers are considering bills to reduce barriers for condominium construction, addressing deposit limits and construction defect liability.
Law
fromwww.npr.org
1 day ago

Penalties stack up as AI spreads through the legal system

Lawyers face increasing sanctions for using AI-generated errors in legal briefs, with over 1,200 cases reported, including significant fines for fictitious citations.
Agile
fromEntrepreneur
2 weeks 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.
#no-surprises-act
fromMedCity News
1 week ago
Healthcare

'This is Crazy': Health Experts Call for Changes to the No Surprises Act - MedCity News

The No Surprises Act is facing challenges due to the misuse of the Independent Dispute Resolution process by providers, leading to unsustainable reimbursement levels.
fromMedCity News
2 months ago
Public health

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.
Healthcare
fromMedCity News
1 week ago

'This is Crazy': Health Experts Call for Changes to the No Surprises Act - MedCity News

The No Surprises Act is facing challenges due to the misuse of the Independent Dispute Resolution process by providers, leading to unsustainable reimbursement levels.
fromMedCity News
2 months ago
Public health

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

Privacy professionals
fromwww.housingwire.com
2 weeks 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.
Law
fromAbove the Law
2 days ago

The Price Of Justice And The Promise Of AI - Above the Law

Rising legal service costs and declining access-to-justice funding widen the gap for those needing legal protections, with AI presenting potential solutions.
Healthcare
fromwww.businessinsider.com
5 days ago

I used AI to dispute a $1,200 dental bill. I don't see the glory in wasting my energy on tedious life tasks.

Unexpected dental bills can arise from changing providers, especially if insurance coverage is not verified beforehand.
fromTechCrunch
3 weeks ago

Lawyer behind AI psychosis cases warns of mass casualty risks | TechCrunch

In the lead up to the Tumbler Ridge school shooting in Canada last month, 18-year-old Jesse Van Rootselaar spoke to ChatGPT about her feelings of isolation and an increasing obsession with violence, according to court filings. The chatbot allegedly validated Van Rootselaar's feelings and then helped her plan her attack, telling her which weapons to use and sharing precedents from other mass casualty events.
Canada news
Law
fromBoston.com
2 days ago

Kelsey Fitzsimmons was found not guilty. Now she's suing.

Kelsey Fitzsimmons, a former police officer, was acquitted of assault and is pursuing a civil lawsuit against North Andover town officials.
fromSocial Media Explorer
3 weeks 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
#car-insurance
Law
fromStreetsblog Empire State
4 days ago

Crash Victims, Lawmakers To Hochul: 'We Have A Better Idea To Reform Car Insurance' - Streetsblog Empire State

Victims oppose a proposal to reduce car insurance costs that would limit compensation for injuries from accidents they did not cause.
fromStreetsblog
1 month ago
US politics

Gov. Hochul Is Playing With Toys - And The Facts - In Latest 'Propaganda' Video on Car Insurance: Lawyers - Streetsblog New York City

Law
fromStreetsblog Empire State
4 days ago

Crash Victims, Lawmakers To Hochul: 'We Have A Better Idea To Reform Car Insurance' - Streetsblog Empire State

Victims oppose a proposal to reduce car insurance costs that would limit compensation for injuries from accidents they did not cause.
fromStreetsblog
1 month ago
US politics

Gov. Hochul Is Playing With Toys - And The Facts - In Latest 'Propaganda' Video on Car Insurance: Lawyers - Streetsblog New York City

fromTheregister
4 days 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
#auto-insurance-reform
fromStreetsblog
2 months ago
US politics

'Lowballing Victims': Crash Survivors Furious At Hochul's Car Insurance Proposal - Streetsblog Empire State

fromStreetsblog
2 months ago
US politics

'Lowballing Victims': Crash Survivors Furious At Hochul's Car Insurance Proposal - Streetsblog Empire State

Healthcare
fromEntrepreneur
2 weeks 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.
Law
fromBloomberglaw
3 days ago

Newborn Death Verdict Displays Tort Law Power in Work Disputes

A $22.5 million verdict against an Ohio company highlights the legal risks of denying medical accommodations for pregnant employees.
fromLos Angeles Times
4 weeks 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
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 week 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.
fromAbove the Law
1 month ago

Discovery As Truth-Seeking: Win Hard Without Playing Hide-The-Ball - Above the Law

Effective discovery requires more than compliance - it requires strategy. Litigators can balance expansive discovery rights and privacy concerns without slowing cases down through practical, results-focused approaches that consider proportionality, electronically stored information management, and the specific discovery rules applicable to their jurisdiction.
Intellectual property law
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.
Relationships
fromwww.theguardian.com
1 month 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.
#insurance-regulation
fromSun Sentinel
2 months ago
US politics

Proposal to require state oversight of insurance affiliate payments clears first hurdle in Legislature

fromSun Sentinel
2 months ago
US politics

Proposal to require state oversight of insurance affiliate payments clears first hurdle in Legislature

Law
fromLos Angeles Times
2 weeks 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.
New York City
fromBrownstoner
1 month ago

How to Protect Your Building From Water and Fire Claims

Regular inspections, basic water sensors, electrician checks, and a three-year prepaid policy reduce water and fire claim risk from aging plumbing and electrical systems in NYC multi-unit buildings.
fromwww.amny.com
3 weeks 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
3 weeks 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.
fromAol
1 month 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
#wildfires
Law
fromAbove the Law
3 weeks ago

Seven Essential Security Strategies For Law Firms And Legal Departments - Above the Law

Legal professionals must prioritize cybersecurity as a leadership imperative, with one in three law firms targeted by breaches costing over five million dollars annually, requiring proactive vendor management and transparent security practices.
fromIndependent
2 months ago

'I swear to God, I never lie' - how fraudster's attempts to play Ireland's personal injury system were exposed

Constantin Iosca moved here from Romania in 1997 for a 'better life', but will be spending nearly three years in jail after bringing a fraudulent personal injury claim
Miscellaneous
US politics
fromwww.independent.co.uk
1 month 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.
California
fromLos Angeles Times
2 months ago

Uber - a target of car crash lawsuits - pushes for law to limit California lawyer fees

Uber-backed initiative would cap attorney fees at 25% in vehicle collision cases, which lawyers say will reduce access to legal representation and income.
Real estate
fromwww.housingwire.com
2 months ago

Gibson commission lawsuit settlements face objections

Mullis objects unless the court clarifies the settlement excludes homebuyers' separate commission-damages claims, and urges rejection if the release covers those claims.
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.
UK news
fromwww.theguardian.com
1 month 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.
Public health
fromCbsnews
2 months ago

State of denial: How insurance companies impact health care today

Insurance profit motives are reducing access to necessary medical care through unaffordable premiums, high deductibles, and denials of tests and treatments.
California
fromwww.theguardian.com
2 months ago

Delays, lowballs, outright denials': how the LA wildfires have exposed the US's broken insurance industry

Homeowners who lose homes to wildfires often face slow, adversarial insurance claims processes that undervalue losses, delay payments, and impede rebuilding.
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.
Real estate
fromwww.housingwire.com
2 months ago

Distressed assets, AI fraud complicating title insurance risk

Layered validation and synchronized countermeasures are essential to combat increasingly sophisticated, AI-driven title insurance fraud amid uneven property market risks and rising bad actors.
Law
fromLondon Business News | Londonlovesbusiness.com
1 month ago

Benefits of hiring an injury solicitor instead of handling claims alone - London Business News | Londonlovesbusiness.com

Professional legal representation in injury claims yields payouts four times higher than self-representation, covering essential expenses like rent and medical bills.
#home-insurance
fromIndependent
2 months ago
Real estate

'It's a quick win and can save you hundreds each year': How to switch home insurance providers and get a better deal

fromIndependent
2 months ago
Real estate

'It's a quick win and can save you hundreds each year': How to switch home insurance providers and get a better deal

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.
fromKqed
2 months ago

New California Insurance Laws on the Books in 2026 | KQED

Gov. Gavin Newsom noted that insurance companies are returning or expanding coverage in California in his final State of the State speech, but acknowledged that there is still "a lot of work to do here." His latest budget includes a financing program to help survivors of wildfires bridge the gap between insurance payouts and the costs of rebuilding. "This will help get survivors back in their homes much, much faster," he said.
California
fromwww.npr.org
1 month ago

Lawsuit from families of men killed in boat strikes is the first to reach U.S. court

Chad Joseph and Rishi Samaroo are presumed dead after a U.S. missile hit the boat they were taking home to Trinidad last October. President Trump said the strike targeted narco terrorists when he posted the video online, but families of those men say they had no ties to the drug trade. Now Joseph's mother and Samaroo's sister are suing the U.S. government in federal court in Massachusetts.
US politics
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.
California
fromtherealdeal.com
2 months ago

Insurance unlock? What new commissioner could mean for California resi

The California Insurance Commissioner race centers on proposals for transparency, pricing reform, disaster-response regulation, homeowner discounts for risk reduction, and public-private partnerships to address insurance challenges.
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.
Law
fromSocial Media Explorer
1 month 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.
Law
fromwww.amny.com
2 months ago

At State Bar panel, workers comp fraud litigator tells attorneys to document everything amNewYork

Thorough, rapidly secured documentation—especially surveillance footage and daily logs—is essential to proving or disproving workers' compensation fraud claims.
fromwww.mercurynews.com
2 months ago

Help! Travel insurance won't pay for my flight delay

Last August, my dream trip to India imploded before takeoff. A delayed flight from Orlando to Atlanta caused me to miss my connection to Paris. Delta Air Lines rebooked me 25 hours later through London, costing me $270 for hotels, meals and taxis. I'd wisely bought Trawick International travel insurance, which covers a trip disruption. But SureGo Claims, their administrator, became a nightmare. They demanded endless documents, assured me everything was received, then denied my claim with a lie: Your delay was only 3 hours.
Law
fromwww.housingwire.com
2 months ago

Judge denies State Farm bid to halt discovery in hailstorm lawsuit

State Farm's nationwide scheme made simple: State Farm does not define what is and isn't considered damage in its policies, raises premiums as much as possible, and if a state's insurance commissioner objects, threatens to leave the state, said lead attorney Jeff Marr. It then manipulates its internal and secret definition of damage a higher threshold means fewer indemnity payments to policyholders
Law
#personal-injury
fromwww.housingwire.com
2 months ago

NAR outlines legal risk mitigation, litigation strategy in 2025 report

These initiatives include things like analyzing and assessing legal risks and providing members, local associations and MLSs with legal resources and the education to do the same, as well as reducing litigation exposure and working with industry partners to garner favorable legal outcomes. In its 2025 Annual Report, NAR outlined what it was doing to accomplish these initiatives. Efforts highlighted by the trade group included hiring
Law
fromAbove the Law
1 month 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
Law
fromAbove the Law
1 month ago

Threading The Needle: How To Win The Case That Can't Be Won (At Least Not The Obvious Way) - Above the Law

Win messy cases by accepting client imperfection, avoiding absolutism, and focusing ruthlessly on the single pivotal issue that defines where responsibility ends.
fromSocial Media Explorer
1 month ago

Why Early Legal Guidance Matters After an Injury in Stamford - Social Media Explorer

Seeking legal guidance promptly can significantly influence the outcome of a case. When individuals face legal challenges, whether they are related to personal injury, criminal charges, or family disputes, the initial steps taken can set the tone for the entire process. Engaging a qualified attorney early on ensures that individuals are informed about their rights and obligations, which can prevent missteps that may jeopardize their case.
Law
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