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Claims

2 min read

The Loss Ratio Is Decided in the Inbox...Before the Adjuster Opens It

The most consequential moments in a claim happen before the claim is ever opened. A demand letter lands in an adjuster's inbox at 4:47 PM on a...

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2 min read

Understanding Policy Voids: Essential Insights for Insurance Claims Handling

Executive Summary In the insurance sector, the integrity of information provided by policyholders is paramount. When an insured party breaches a...

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3 min read

Managing Claims Entropy: Applying Thermodynamic Principles to Enhance Insurance Operations

Executive Summary In the insurance industry, the concepts underpinning thermodynamics offer a compelling framework to understand and manage the...

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1 min read

AI in Insurance Claims: Balancing Innovation with Legal Obligations

Concise summary of the key elements from "When Algorithms Deny: AI and the New Frontier of Bad Faith" (originally published on JDSupra by Cozen...

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4 min read

From Sequential to Simultaneous:A Claims Expert's AI Reality Check

This guest article from Friendly first appeared HERE Like many claims professionals, I had developed a trusted process over the years—structured,...

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2 min read

Delivering Claims Results — Part 1: Exposing Hidden Claim Errors

This guest article from Elysian first appeared HERE Welcome to Part 1 of Delivering Claims Results. This series examines how traditional QA misses...

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4 min read

When Claims Go Viral: The Rise of Adjusters on SocialMedia

Not long ago, the work of a claims adjuster occurred quietly behind the scenes, often in cubicles, over the phone, or via email. Consumers had a...

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4 min read

Guest Post: Litigation Finance (Litigation Funding) 101

This article first appeared HERE There has been significant press surrounding litigation finance as of late. Particularly, litigation finance has...

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2 min read

The (First Five) Days After A Hurricane: Preparing for Hurricane Season

As the calendar turns to June 1st, a date that marks the official start of hurricane season, insurance professionals find themselves at a critical...

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1 min read

Feed the People or Feed the Machine: Every Claim Leader’s Struggle

Every claim leader faces a fundamental challenge: Should they invest in improving the system—the machine—or developing their people? In an industry...

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