Insured, but not covered
Cashless claims are being denied even at empanelled hospitals. Here is why it happens, what to do when it does and how to pick a health insurer that actually pays up.
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Cashless claims are being denied even at empanelled hospitals. Here is why it happens, what to do when it does and how to pick a health insurer that actually pays up.
Filing a mediclaim becomes easier when you know what to prepare before treatment, during hospitalisation and after discharge. Many claim delays happen because families miss documen...
Ready to collect every penny your policy owes you? The average homeowner files a claim once — maybe twice — in their life. They have absolutely no idea what they’re doing. And insu...
In logistics, cargo claims are more than an afterthought – they’re a financial inflection point. Goods can be lost, stolen, or damaged in transit before receipt, and navigating lia...
There is a quiet but profound shift in how insurers handle property insurance claims. For decades, the gold standard of claims handling involved a trained field adjuster who inspec...
Carpenters Group’s Donna Richards and Simon Smith on closing the gap between digital insurance and human claims handling
Disclosure: This article reflects my personal experience as a policyholder managing a family claim under Care Health Insurance’s Enhance Super Top-Up policy. The matter is currentl...
A hurricane, a fire, a burst pipe, a tornado, when disaster strikes your business, properly reporting the property damage to your property insurer is only the beginning of the chal...
A rented trailer, a worker's alleged injury, and four ways to deny coverage
Communication gaps, inconsistent handling and outdated processes are reshaping how brokers and clients experience claims
AI, automation and APIs are improving claims handling, but integration, data and process gaps continue to slow progress
Unlike life insurance, the policy number changes each time a health insurance is renewed. So, over a 25-30-year period, many changes in policy number formats can be expected as hea...
TL;DR Collecting feedback right after a real interaction, such as First Notice of Loss (FNOL), claims resolution, renewal, or cancellation, is far more useful than sending...
Policyholder says carrier leaned on engineering report to dispute the rest of a $574K loss
The scheme is looking to RIPE-style standardisation to improve recovery rates and ease capital strain on high-volume property damage claims
This is what you need to know about how the car insurance claim process in Michigan works after an accident. Generally, there are three potential claims that a crash victim may hav...
A couple of months ago, I went to the insurance department of an eye hospital to apply for a cashless claim for my mother’s cataract surgery. I usually chat with hospital staff, pa...
Two pallets of car parts allegedly never made it - now an insurer wants its money back
I have spent decades in the trenches of property insurance claims disputes. I am going to say something plainly that many inside the insurance claims industry quietly acknowledge b...
It all comes down to one clause - and one delivery truck
Case raises red flags on program structures and audit recoverability
The Massachusetts Appeals Court’s recent decision in Nwozuzu v. Safety Insurance Company, 2026 Mass. App. Unpub. LEXIS 190 (Mar. 12, 2026) (Rule 23.0), offers a useful study in the...
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