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Georgia Agent Accused of Selling Fake Workers’ Comp Insurance

Georgia Agent Accused of Selling Fake Workers’ Comp Insurance

Georgia regulators say businesses may have received fraudulent workers' compensation certificates and believed they had valid coverage when they did not.
May 18 Fraud Insurance Industry Legislation & Regulation Workers' Compensation Georgia

Property and Casualty Insurers See Underwriting Gains Amid Auto, Liability Claims Pressure

Property and Casualty Insurers See Underwriting Gains Amid Auto, Liability Claims Pressure

The U.S. property and casualty market recorded its strongest underwriting result in more than a decade in 2025, but adjusters still face elevated catastrophe exposure, litigation pressure and rising replacement costs.
May 18 Auto Catastrophe Excess & Surplus Lines Insurance Industry Liability

New York Bill Would Extend 9/11 Workers’ Comp to National Guard Responders

New York Bill Would Extend 9/11 Workers’ Comp to National Guard Responders

New York lawmakers are trying to reopen workers' compensation access for National Guard members who served at Ground Zero but were excluded from prior 9/11 responder coverage.
May 7 Insurance Industry Legislation & Regulation Life & Health Workers' Compensation New York

People Risk 2026 Report: Workforce Trends Driving Insurance Claims Exposure

People Risk 2026 Report: Workforce Trends Driving Insurance Claims Exposure

New data shows how AI gaps, cyber behavior, labor shortages, and employee stress are driving higher claims frequency, severity, and operational risk.
April 30 Catastrophe Fraud Insurance Industry Liability Technology

Why Claims Speed Fails Without Trustworthy Medical Record Review

Why Claims Speed Fails Without Trustworthy Medical Record Review

Speed gains mean little if claim decisions cannot be explained and defended. Adjusters need structured workflows, not just more tools.
April 20 Insurance Industry Risk Management Technology Workers' Compensation

Women in Claims Leadership Face Hidden Barriers Despite Strong Performance

Women in Claims Leadership Face Hidden Barriers Despite Strong Performance

High-performing women in insurance claims are driving results but not gaining authority. New research shows the issue is visibility and structural bias, not ambition.
April 8 Education & Training Insurance Industry Risk Management Technology Workers' Compensation

South Dakota Construction Firm Accused of Firing Worker After Reporting Severe Job Injury

South Dakota Construction Firm Accused of Firing Worker After Reporting Severe Job Injury

Federal officials allege a construction company fired a worker two days after he reported severe burns from scalding water in a pressurized pipe. The lawsuit seeks reinstatement, back pay, damages, and punitive damages.
April 8 Legislation & Regulation Liability Litigation Workers' Compensation South Dakota

Medicare Secondary Payer Compliance: Strategies to Settle Claims Faster

Medicare Secondary Payer Compliance: Strategies to Settle Claims Faster

Early coordination, clear documentation, and informed MSA decisions help insurers reduce delays and manage Medicare reimbursement risk.
April 3 Auto Legislation & Regulation Liability Risk Management Workers' Compensation

Auto Insurance Reserve Redundancy Signals Rate Cuts in 2026

Auto Insurance Reserve Redundancy Signals Rate Cuts in 2026

Declining auto claims and reserve releases point to softer pricing in 2026, while liability lines continue to face reserve pressure and social inflation challenges.
March 23 Auto Insurance Industry Liability Property Underwriting

FedEx Driver’s Family Trip to New York Not Covered Under Florida Workers’ Comp, Court Rules

FedEx Driver’s Family Trip to New York Not Covered Under Florida Workers’ Comp, Court Rules

A Florida appeals court ruled that workers' compensation carriers are not required to pay for out-of-state travel that is not medically necessary, even when a catastrophic injury claimant argues the trip would improve mental health.
March 23 Legislation & Regulation Liability Litigation Workers' Compensation Florida New York

Southern California Towing Owners Accused in $6M Workers’ Comp Premium Fraud Case

Southern California Towing Owners Accused in $6M Workers’ Comp Premium Fraud Case

California investigators say two Southern California towing company owners underreported payroll and paid workers off the books, leading to nearly $5.9 million in lost workers' compensation premiums. The case also triggered a payroll tax evasion investigation.
March 12 Fraud Insurance Industry Legislation & Regulation Workers' Compensation California

2026 Claims Insights: Carrier Strategies on Social Inflation, AI Fraud and Workforce Risk

2026 Claims Insights: Carrier Strategies on Social Inflation, AI Fraud and Workforce Risk

New survey data shows carriers recalibrating underwriting, fraud detection and workforce strategy as social inflation, AI-generated fraud and catastrophe losses intensify.
March 2 Auto Catastrophe Fraud Insurance Industry Legislation & Regulation

Utah Supreme Court Rules Workers’ Comp Carrier Must Pay Full Share of Legal Fees

Utah Supreme Court Rules Workers’ Comp Carrier Must Pay Full Share of Legal Fees

Decision clarifies that future exposure counts when calculating an insurer's share of third-party settlement costs in Utah workers' comp claims.
March 2 Insurance Industry Litigation Subrogation Workers' Compensation

Extreme Heat Drives Workers’ Comp Claims as OSHA Extends Enforcement Program

Extreme Heat Drives Workers’ Comp Claims as OSHA Extends Enforcement Program

Federal inspections continue while state heat standards tighten. Claims data shows accident rates rise sharply above 90 degrees (F), raising exposure for high-risk industries.
March 2 Catastrophe Legislation & Regulation Property Risk Management Workers' Compensation

LAPD Officer Charged With Disability Fraud After Skydiving While on Injury Leave

LAPD Officer Charged With Disability Fraud After Skydiving While on Injury Leave

Prosecutors allege the officer collected disability benefits while participating in skydiving and intense gym workouts.
March 2 Fraud Insurance Industry Litigation Workers' Compensation California
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