Articles by Jim Sams

Sams is editor of ClaimsJournal.com, the online resource and daily newsletter for property/casualty insurance claims professionals. ClaimsJournal is a member of the Wells Media Group. Sams can be reached at jsams@wellsmedia.com

Traffic Returning to Roadways, But Claims Patterns May Shift Permanently

The number of cars on US roads is returning to normal as states ease COVID-19 restrictions, but that doesn’t necessarily mean claims frequency and severity will return to historic patterns. Metromile, a San Francisco-based pay-as-you-go auto insurer, expects a permanent …

Texas Supreme Court Sides with Farmers Insurance on Mold-Related Policy Changes

The Texas Supreme Court on April 9 reversed lower court rulings and found that Farmers Insurance was within its rights when it decided 19 years ago not to renew homeowners’ policies that it feared would have forced it to cover …

Texas Insured Who Paid Part of Settlement May Seek Recovery from Carrier

A woman who chipped in $100,000 toward a settlement after a car crash can sue her insurer to seek recovery of that cost, but cannot seek damages in excess of the policy limits for negligent failure to settle because there …

GEICO Must Pay $2.7M After Failing to Accept $30K Offer: Georgia Supreme Court

GEICO Indemnity Co.’s refusal to settle a bodily injury claim for $30,000 will cost it more than $2.7 million, under a ruling last week by the Georgia Supreme Court. The high court’s 7-0 decision answered three certified questions posed to …

Businesses Filing More COVID Lawsuits and the Stakes are Higher

The anniversary of COVID-19 shutdown orders brought an upturn in both the number of business-interruption lawsuits against insurers and the amount of damages they are claiming. In the past month: A New Jersey hospital system, RWJBarnabas Health, sued Zurich American …

N.J. Supreme Court Upholds Order to Reimburse Workers’ Comp Claimant for Marijuana

The New Jersey Supreme Court on Tuesday ordered a construction company to reimburse a workers’ compensation claimant for marijuana that was prescribed to relieve his back pain caused by a work injury. The high court rejected M&K Construction’s argument that …

Court Orders Chubb Subsidiary to Pay for Merchandise Lost in Warehouse Bankruptcy

Chubb’s Federal Insurance Co. must pay more than $2 million to a fabric company that lost 22 trailer loads of merchandise when the Mississippi warehouse company that stored it, filed for bankruptcy, sold the goods and pocketed the proceeds. A …

Texas Supreme Court Sides with Insurer on Mold-Related Policy Changes

The Texas Supreme Court on April 9 reversed lower court rulings and found that Farmers Insurance was within its rights when it decided 19 years ago not to renew homeowners’ policies that it feared would have forced it to cover …

Applied Analytics Isn’t Just for Insurers. Startups Help Claimants Get In On the Action.

Lee Fogle reached down to save his 12-lb. Yorkshire terrier Nemo as a pit bull lunged forward. The attacking dog’s jaws clamped onto his left hand, sending him to a clinic for sutures and starting a 10-month-long insurance battle. “It …

N.H. Supreme Finds ‘Special Relationship,’ Affirms Jury Award Against Insurance Agency

A split decision by the New Hampshire Supreme Court released Friday offers a lesson to insurance agents about the importance of checklists. Three justices overruled two dissenters to affirm a Superior Court jury’s verdict that Foy Insurance Group was negligent …