Insurance Defense

Recently, Tom Diana was featured on a Lisa Miller & Associates podcast discussing the challenges faced in determining insurance coverage for storm damage caused by Hurricane Ian. Listen to that podcast here: Read the full story

Health insurance billing requires medical professionals to maintain detailed records of their patients and treatments. Suspicions of submitting a false claim may occur if a patient files a complaint about services or fees. Allegations of unnecessary treatments or...

Two years ago, the Coalition Against Insurance Fraud and the SAS Institute published a report with data collected from surveying 84 property/casualty insurers. Nearly 75 percent of those surveyed believed that fraud has increased in the past three years. Their...

Florida goes by many nicknames, with “The Sunshine State” being the best known. It is also Spanish for “land of flowers,” according to Ponce de Leon’s initial reaction to the region. Florida also shares the “Gulf State” moniker with Texas, Louisiana, Mississippi, and...

Once again, Florida’s 4th District Court of Appeals (“DCA”) has enabled litigants to file bad faith lawsuits even after an insurer covers a claim and timely pays the full amount of an appraisal award.  This time, in Zaleski v. State Farm, the Court neutered a 2019...

Few are lamenting the end of 2020, a year like no other. For individuals and businesses victimized by insurance fraud, they too are likely looking for the “reset” that comes with the first of January. The Coalition Against Insurance Fraud has looked back on the past...

Contracts are the backbone of any professional relationship, including those between insurance companies and the people they cover. However, while these agreements can be a critical tool in preventing disputes and misunderstandings, the fact is that almost any...

Countless insurance companies strive to maintain the highest customer service standards built upon a solid foundation of ethics and fairness. However, that will not stop policyholders from making serious allegations of fraudulent behavior. Accusations of adversarial...

Insurance companies have battled acts of fraud for as long as the industry has been in existence. Over time, technology has improved to fight these illegal tactics. Insurers have made significant investments to automate not only the reporting process but also...

It can be a difficult task for insurance companies to stay in the black with a constant onslaught of claims and lawsuits to defend against. It can be even more difficult when an insurer has to identify and investigate cases of insurance fraud. It can be helpful to...