S.I.B.S. Approach: Evaluating the Merit of a Claim
First Published 3/10/2015, Updated 5/6/2021 The success of properly processing an insurance claim requires due diligence/fiduciary duty as an insurance professional to evaluate each claim
First Published 3/10/2015, Updated 5/6/2021 The success of properly processing an insurance claim requires due diligence/fiduciary duty as an insurance professional to evaluate each claim
We have officially begun the holiday season; Thanksgiving, Christmas, and New Year’s Eve are all right around the corner. This time of year brings Football,
The Fraud Triangle shows why there is an element of fraud that can and will arise out of this unfortunate crisis. All types of insurance
SIUs – Perception & Reality With new state mandated compliance regulations, Special Investigative Units (SIUs) are utilized to fight and expose fraud — whether it
According to the Bureau of Labor Statistics Census of Fatal Occupational Injuries (CFOI), of the 5,250 fatal workplace injuries that occurred in the U.S. in 2018,
Tis officially the holiday season! Halloween, Thanksgiving, Christmas, and New Year’s Eve are all right around the corner. This time of year brings Football, Fall
When natural disasters happen, having all the variables in place to ensure a smooth claims process is key. There are many times when, due to
Memorial Day, 4th of July, Mother’s Day, Father’s Day, school vacation, family vacations, sports activities, beach activities and yard maintenance. What do all these things
Each state has different requirements to effectively fight against fraud, and it is the responsibility of the insurer to stay up to date on the
According to the Bureau of Labor Statistics Census of Fatal Occupational Injuries (CFOI), of the 4,679 fatal workplace injuries that occurred in the U.S. in
The season for Tropical Storms and Hurricanes are upon us. Hurricane Harvey dropped more than 50 inches of rain in Houston and went toward Louisiana,
By Jeff Schneider, Gene Kissane and Robert Brumell. Originally published in Litigation Management Magazine, winter 2013. Slip and fall claims have been around since businesses
By Howard Kaplan, Robert H. Brumell III – Originally published on TheCLM.org Businesses and insurers often deal with fraudulent lawsuits. Two recent lawsuits, aggressively using the Racketeer Influenced
Ever had one of those claimants who just won’t settle no matter what you do? Ever have one of those claimants that you just can’t
Every corporation has a number of internal components that need extra scrutiny, and workers’ compensation fraud is one of these important components. Even as the