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California Marijuana Law Complicates Intoxication Defense in Work Injury Claims

Courts require more than a positive THC test to prove workplace marijuana impairment. Here’s what claims adjusters need to know post-AB 2188.
December 22 Fraud Legislation & Regulation Litigation Risk Management Workers' Compensation California

CHP Officer in California Sentenced for Workers’ Comp Fraud After Disability Claim Unravels

A California officer faked a disabling injury while collecting benefits, only to be caught performing manual labor on his property. The case underscores the vigilance required in high-risk workers’ comp claims.
December 22 Fraud Insurance Industry Legislation & Regulation Litigation Workers' Compensation California

AI Exclusions in Insurance Spark Coverage Uncertainty Beyond Cyber Policies

AI-related policy exclusions are showing up in D&O and E&O lines, raising red flags for adjusters assessing risk and coverage clarity.
December 22 Legislation & Regulation Risk Management Technology

Visa, Mastercard Settle ATM Fee Lawsuit for $167.5M Over Alleged Price-Fixing

The settlement resolves long-running claims of inflated ATM access fees affecting millions of consumers. A related lawsuit by ATM operators remains pending.
December 22 Insurance Industry Legislation & Regulation Litigation Risk Management District Of Columbia

Insurance Rep Accused of Issuing 126 Fraudulent Checks in Georgia

A total loss rep allegedly issued over 100 fraudulent checks in a scheme spanning multiple counties. Investigators detail how internal access was exploited.
December 18 Fraud Insurance Industry Legislation & Regulation Georgia

What Marijuana’s Schedule III Shift Means for Cannabis Insurance

Insurance adjusters, underwriters, and brokers should prepare for transitional risks, evolving D&O exposures, and new scrutiny in casualty lines.
December 18 Excess & Surplus Lines Insurance Industry Legislation & Regulation Liability Life & Health

NFIP Risk Rating 2.0 Premium Hikes Linked To Sharp Drop In Flood Insurance Policies

New research estimates premium changes under NFIP Risk Rating 2.0 reduced new policy counts and trimmed renewals, with the largest pullback in lower-income ZIP codes. For claims teams, the findings point to a wider protection gap and tougher recovery outcomes after flood losses.
December 18 Catastrophe Insurance Industry Legislation & Regulation Property Risk Management

GLP-1 Drug Litigation Surges as Product Liability Risks Escalate

Widespread use of obesity drugs is fueling lawsuits, regulatory scrutiny, and new cost pressures for insurers and reinsurers.
December 18 Insurance Industry Legislation & Regulation Liability Life & Health Litigation

Google Sues Darcula Cybercrime Group Over Massive Scam Text Campaign Targeting Americans

The lawsuit aims to seize phishing infrastructure blamed for millions of fraudulent texts and widespread financial losses affecting U.S. consumers and insurers.
December 18 Fraud Legislation & Regulation Technology

AI Transforms Insurance Decision-Making with Generative Tech and Intelligent Workflows

Insurers are leveraging generative AI to streamline workflows, ensure regulatory compliance, and enhance customer outcomes. The shift from prediction to real-time decision support is reshaping the industry.
December 18 Insurance Industry Legislation & Regulation Risk Management Technology

Life-Annuity Insurers Forecast Strong Earnings Growth Through 2027 Amid Rising Premiums, Portfolio Yields

Earnings and premium growth create space for strategic reinvestment, not complacency. Insurers must manage yield, capital, and longevity risks to stay ahead.
December 18 Insurance Industry Legislation & Regulation Life & Health Risk Management

2026 Claims Outlook Shows Regulatory Expansion Driving Cyber Claims Complexity and Expenses

As cyber and AI regulation expands, insurers and panel providers face increased claim costs and demand for specialized expertise next year.
December 18 Catastrophe Fraud Insurance Industry Legislation & Regulation Liability

GEICO Sues Over $2.7M Medical Equipment Fraud Tied to Kickbacks

Insurer accuses two Brooklyn-based suppliers of billing for unnecessary and undelivered medical equipment through a kickback-fueled fraud scheme. The lawsuit seeks to block $2M in pending no-fault claims.
December 15 Fraud Insurance Industry Legislation & Regulation New York

Tennessee Court Rejects Hospital Worker’s Mental Injury Claim for Late Notice

A Tennessee judge found a hospital worker failed to meet state notice rules after alleging psychological harm from workplace events. The claim was dismissed with prejudice after the worker did not respond to the motion.
December 15 Insurance Industry Legislation & Regulation Life & Health Workers' Compensation Tennessee

North Carolina Sting Catches Roofer Damaging Roof for $30K Insurance Claim

State investigators and Farm Bureau staged a bait house to catch a roofing contractor fabricating wind and hail damage in an alleged insurance fraud attempt.
December 15 Fraud Insurance Industry Legislation & Regulation Property North Carolina
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