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

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, 2025 Catastrophe Fraud Insurance Industry Legislation & Regulation Liability

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

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, 2025 Fraud Insurance Industry Legislation & Regulation New York

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

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, 2025 Insurance Industry Legislation & Regulation Life & Health Workers' Compensation Tennessee

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

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, 2025 Fraud Insurance Industry Legislation & Regulation Property North Carolina

Culture Clash Slows Innovation in Insurance, Not Technology

Culture Clash Slows Innovation in Insurance, Not Technology

Innovation efforts in insurance often fail not because of poor technology, but due to outdated norms, siloed departments, and incentive misalignments.
December 15, 2025 Education & Training Insurance Industry Legislation & Regulation Risk Management Technology

Fitch Forecasts 2026 P/C Insurance Results to Mirror 2024

Fitch Forecasts 2026 P/C Insurance Results to Mirror 2024

Slower premium growth, stabilized catastrophe trends, and softening property rates are expected to shape a return to 2024-level underwriting performance in 2026.
December 12, 2025 Auto Catastrophe Insurance Industry Legislation & Regulation Property

Disney Sued Over Restrictive Disability Access Changes at Theme Parks

Disney Sued Over Restrictive Disability Access Changes at Theme Parks

Disney faces legal and shareholder challenges over new limits to its disability access program, with critics arguing the company is denying necessary accommodations.
December 11, 2025 Insurance Industry Legislation & Regulation Liability Litigation Risk Management California Florida

State Farm Under Investigation Over $5B in California Wildfire Claims

State Farm Under Investigation Over $5B in California Wildfire Claims

California regulators and LA County are investigating delays, denials, and AI use in State Farm’s wildfire claims process after $5 billion in payouts.
December 11, 2025 Catastrophe Legislation & Regulation Technology California

AI and Ontologies Are Fixing Insurance’s Data Quality Crisis

AI and Ontologies Are Fixing Insurance’s Data Quality Crisis

Semantic ontologies and AI-powered validation tools are transforming how insurers clean and structure their data, improving underwriting, fraud detection, and claims accuracy.
December 11, 2025 Fraud Insurance Industry Legislation & Regulation Risk Management Technology

AI Cybersecurity Advancements Drive New Safeguards and Risk Models

AI Cybersecurity Advancements Drive New Safeguards and Risk Models

As AI models improve at handling cyber tasks, OpenAI is building safety layers and forming global partnerships to help defenders stay ahead of attackers.
December 11, 2025 Legislation & Regulation Risk Management Technology

Breaking the Plastic Wave 2025: Plastic Pollution Could Triple Without Systemic Reform

Breaking the Plastic Wave 2025: Plastic Pollution Could Triple Without Systemic Reform

A major Pew-backed study finds global plastic pollution could nearly triple by 2040 unless sweeping system-wide reforms are implemented across industries.
December 5, 2025 Catastrophe Legislation & Regulation Life & Health

Agentic AI Advances Transform Insurance Operations from Sales to Claims

Agentic AI Advances Transform Insurance Operations from Sales to Claims

Agentic AI takes automation beyond chatbots, streamlining insurance processes and raising new regulatory and operational questions for claims professionals.
December 5, 2025 Insurance Industry Legislation & Regulation Technology

Insurers Tighten Cyber Coverage for 2026 with New AI and Catastrophic Event Exclusions

Insurers Tighten Cyber Coverage for 2026 with New AI and Catastrophic Event Exclusions

New exclusions targeting AI use, state-sponsored cyberattacks and catastrophic digital events will reshape cyber coverage in 2026. Risk managers and adjusters must prepare for narrower definitions and stricter conditions.
December 5, 2025 Insurance Industry Legislation & Regulation Risk Management Technology

Rising Ocean Temps to Drive Massive Insured Losses From Cat 5 Hurricanes in Florida, East Coast

Rising Ocean Temps to Drive Massive Insured Losses From Cat 5 Hurricanes in Florida, East Coast

New research links a warming Atlantic to more extreme hurricane activity, with Florida, New York, and the Carolinas facing sharp increases in storm-driven insurance claims.
December 4, 2025 Catastrophe Insurance Industry Legislation & Regulation Property Risk Management Florida Massachusetts New York North Carolina Rhode Island

AI Bias in Medical Diagnoses Raises Malpractice and Discrimination Risks

AI Bias in Medical Diagnoses Raises Malpractice and Discrimination Risks

AI tools are transforming diagnostic accuracy but may also embed systemic biases, raising exposure to malpractice and civil rights litigation. Claims professionals must monitor this evolving risk vector.
December 4, 2025 Insurance Industry Legislation & Regulation Litigation Risk Management Technology
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