State investigators allege failures involving employee reporting and insurance coverage, including one case in which an uninsured worker's injury resulted in more than $25,000 in state fund payments.
Pennsylvania prosecutors allege a claims adjuster fabricated medical records and claim documentation to direct a substantial settlement payment to a business he created that appeared to be a law firm.
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Investigators discovered two separate fire origins inside a Freightliner semi-truck and evidence of a lighter fluid purchase made the day before the blaze.
Investigators allege the couple deliberately set fire to their property, then collected $10,000 in insurance payments. Cellphone records, witness statements and evidence recovered from the scene contributed to the criminal case.
Wind gusts reaching 50 mph, dangerous surf and repeated tidal flooding threaten coastal communities from North Carolina to New Jersey as forecasters monitor the storm for possible tropical development.
The Category 2 hurricane made landfall near Destin, Florida, with 105-mph winds, damaging homes, flooding communities and leaving hundreds of thousands without electricity across the Southeast.
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Back-to-back seasons often put a second storm on a house before the first repair is done. How to separate the two claims so the same damage is not paid twice and the new damage is not denied as old.
A flat $1,000 deductible is no longer the number on a growing share of policies, including policies well inland. How percentage wind and named-storm deductibles are calculated, why the trigger language decides whether they apply, and what to say when the deductible exceeds the repair.
After a long dry spell, brick cracks and doors stick, and the homeowner reports a claim. Four causes produce the same cracks. How to separate drought shrinkage from a slab leak, and which answers the policy will pay.
Climate risk is reshaping how property claims are investigated, reserved, and explained to insureds. What field and desk adjusters are seeing as weather patterns shift, and how coverage analysis has to keep up when the same peril looks different year over year.
The estimate is more than a price tag. It frames the loss, drives negotiation, and often becomes the record everyone cites later. How adjusters build estimates that hold up under scrutiny, and what falls apart when the numbers cannot tell the story.
Sometimes a claim feels off before the facts prove it. What to verify first, how to document the gaps, and when instinct becomes a solid investigation. Walking through the awkward files where the story and the evidence do not line up.
