claims News

California Fines Online Health Provider $3.2M over Claims Practices

The Pill Club Holdings Inc. (dba The Pill Club) paid $3.2 million after the California Department of Insurance alleged it violated the California Insurance Frauds Prevention Act by submitting false claims to insurance companies for reimbursement for telehealth visits and …

2 Big Cannabis Insurance Providers Say Losses from California Storms Not as Bad as Feared

Just how big an impact the recent historic California storms had on the state’s cannabis industry is still coming into focus, and while two of the biggest players in California’s cannabis insurance market are starting to see upticks in claims, …

Ohio Insurtech battleface Launches Platform Supporting Travel Insurance

Columbus, Ohio-based travel insurance provider battleface announced the launch of Robin Assist, a new tech-driven platform as a service. Built for insurance carriers, brokers, managing general agents (MGAs) and self-insured enterprise partners, the global Application Programming Interface (API)-driven insurtech platform …

WCIRB Report on Medical Characteristics of Cumulative Trauma Claims

A report from the Workers’ Compensation Insurance Rating Bureau of California shows indemnity claims are the key driver of cumulative trauma claim costs. Highlights of the WCIRB report, Medical Characteristics of Cumulative Trauma Claims, include: Indemnity claims are the key …

Report: California Workers’ Comp Public Self-Insured Claim Volume Rose in FY 2021/22

California’s public self-insured workforce rose less than 1% in the 12 months ending June 30, but the total number of public self-insured work injuries and illness claims reported to the state jumped 35%, as the medical-only claim count rose 29.9% …

Report: It Takes 7 Years to Close Most California Workers’ Comp Claims

It takes seven years to close the vast majority of workers’ compensation claims in California, more than double the time in the median state. The Workers’ Compensation Insurance Rating Bureau of California released a report detailing duration drivers for California …

California Workers’ Comp Bureau Study Shows Higher L.A. Claims Frequency

The Workers’ Compensation Insurance Rating Bureau of California released its 2022 WCIRB Geo Study, which underscores regional differences in claim characteristics across California. Key findings include: Even after controlling for regional differences in wages and industry mix, indemnity claim frequency …

As Homeowners Rebuild After Ian, a Cooling New Housing Market Drops Material Costs

If Hurricane Ian would have made landfall in Florida, say, six months ago, the costs of reconstruction could have been even higher than the already staggering estimates now coming from the Sunshine State. Inflation is indeed set to bump up …

Report: More than Half of California COVID-19 Workers’ Comp Claims in Healthcare

More than a half of all reported COVID-19 indemnity claims in California continue to arise from workers in the healthcare sector, according to a new report from the Workers’ Compensation Insurance Rating Bureau. The WCIRB released the information this week …

State Farm Agrees to Settle Katrina Claims Lawsuit with Mississippi AG

Mississippi has quietly settled its lawsuit against State Farm Fire and Casualty Co. for allegedly minimizing its Hurricane Katrina payments to policyholders, leaving the state to compensate homeowners. The settlement says the $12 million payment represents “restitution for damage, which …