
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
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
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
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
Innovation efforts in insurance often fail not because of poor technology, but due to outdated norms, siloed departments, and incentive misalignments.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
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 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
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
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
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
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 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
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
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 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



