Claims / Legal
Court Sharpens Causation Standard in All-Risk Policies in NC Church Mutual Case
In all-risk policies, an excluded cause of damage must be the sole cause of damage for the exclusion to apply, a federal appeals court decided last week in an opinion that clarifies North Carolina ...
State Farm Inked $1.5B Underwriting Profit for 2025; HO Loss Persists
State Farm reported an underwriting gain of $1.5 billion for its property/casualty businesses in 2025, representing a turnaround from an underwriting loss of more than $6 billion in 2024—and more ...
From Skill to System: The Next Chapter in Insurance Claims Negotiation
For the last several months, this series has made a deliberate case: Negotiation is not a peripheral activity in insurance litigation—it is the mechanism through which nearly every outcome is ...
AI Got Beat by Traditional Models in Forecasting NYC’s Blizzard
Two days before New York's biggest snowstorm in a decade began, forecasters were still unsure how much snow would fall. One traditional U.S. model had consistently predicted a major hit, while newer ...
Resilience: Cyber Risk Shifts From Disruption to Long-Tail Losses
Cyber attacks are no longer designed solely to cause immediate business disruption. Instead, they are increasingly engineered to inflict sustained financial, regulatory and reputational damage that ...
LA Fire Victims Suing City Utility for Billions Win Major Ruling
The water and power utility that serves the city of Los Angeles must face hundreds of lawsuits faulting its response to the massive 2025 wildfire that leveled one of the city's premier seaside ...
AI Claim Assistant Now Taking Auto Damage Claims Calls at Travelers
The Travelers Companies announced the launch of AI Claim Assistant, a fully agentic intelligent voice service to handle customer claim calls. The service, developed using OpenAI model capabilities ...
AI, Data and the Next Phase of Insurance Fraud Defense
The line between real and fake is becoming increasingly difficult to discern. Repair estimates, medical records, invoices and damage photos can be created with inexpensive, at-home AI setups and ...