Sentences with phrase «insurer claimed its investigation»

8 Although the insurer claimed its investigation was hindered by the late notice, the insurer provided no evidence that it actually attempted to investigate the accident.9

Not exact matches

The decision is a setback for the New York attorney general, Andrew M. Cuomo, whose predecessor, Eliot Spitzer, began in 2004 an industrywide insurance investigation into claims that clients had been steered to favored insurers in exchange for kickbacks.

He counsels insurers on a broad range of compliance matters, including rate regulation, pricing, product formation, underwriting, claims handling, operations, premium tax, reinsurance, corporate governance, licensing, market conduct and financial examinations, consumer complaints and deceptive practice claims, and internal and regulatory investigations, as well as legislative and rulemaking matters.

Insurance claims defense: Triton Global is a multidisciplinary practice that integrates insurance claims administration, legal defense and representation, and claim investigation and adjusting for professional indemnity insurers and policyholders.

9 Henry, Michele, The Toronto Star, Shady clinics bilk $ 1.3 billion in bogus car insurance claims scam, July 13, 2011, read; Henry, Michele, The Toronto Star, Charges laid in fraudulent auto injury claims investigation January 17, 2013, read; Insurance Bureau of Canada, Insurers Allege Clinics Stole Signatures to Bill, April 21, 2011, read; Economical v. Fairview, 2011 ONSC 7535; The Dominion of Canada General Insurance Company v. MD Consult Inc. (Toronto Regional Medical Assessment Centre), 2013 ONSC 1347; Allstate Insurance Company v. Fairview Assessment Centre, 2013 ONSC 544; and Economical Insurance Co. v. Fariview Assessment Centre, 2013 ONSC 4037.

Where a claim succeeds, coverage is not guaranteed as payment is subject to the insurer's investigation.5

Regardless, if positive results are found or an insurer intends to rely on the surveillance and an affidavit of documents has not been served, an entry indicating that surveillance or an investigation has been conducted must be listed in Schedule «B» of an affidavit of documents with a claim of litigation privilege.

It would be arguable that once an insurer, in any future cases, has established that it is defending a third - party claim on behalf of an insured, the Commissioner would have to cease its investigation.

Plaintiff sued the insurer for bad faith for its alleged conduct in the investigation of her claim and in the arbitration.

The case dates back to January 2011 when the syndic, or investigating officer, of the Chambre de l'assurance de dommages, a provincial regulatory body that oversees the damage insurance and claims adjustment sector, opened an investigation into the conduct of an insurance adjuster working for Aviva and asked the insurer to provide its files on the adjuster.

We have teams of professional indemnity lawyers in London, Leeds, Bristol and Dublin who specialise in representing accountants, actuaries, trustees, insolvency practitioners, other financial and consultancy professionals and their insurers in professional negligence claims, regulatory investigations and all court or regulatory proceedings.

Boston Commercial Litigation partners Greg Deschenes and Kurt Mullen, and Boston Government Investigations & White Collar Defense associate Charles Dell «Anno are mentioned as counsel successfully representing the Massachusetts Insurers Insolvency Fund in this article about a Massachusetts Supreme Judicial Court decision regarding whether the fund can recover workers» compensation claims.

Comment: A few commenters stated that the verification requirements will provide great uncertainty to providers who receive authorizations from life, disability income and long - term care insurers in the course of underwriting and claims investigation.

Insurers retain outside counsel during claim investigations for a variety of reasons, including, among others, providing coverage advice, assisting in reviewing and responding to communications with insureds that have legal implications, and providing settlement recommendations.

These terms can not be avoided by insurers when meeting claims and provide for defence costs, including the cost of defending any investigation, inquiry, or disciplinary proceeding to be met irrespective of excess.

However, in the event of claim arising within 2 years of purchasing the policy (may vary from insurer to insurer) the claim is settled only after undergoing an extensive investigation.

If the investigation takes longer than 40 days, then insurer must notify you in writing that additional time is needed, and issue a written claim status every 30 days thereafter.

Failing to confirm or deny coverage within a reasonable time period after the insurer has finished its claim investigation.

The aforementioned list of documents are required at the time of processing a claim, you may require presenting other evidence like certificate by the employer or any other reports or forms, which assist in resolving the issues raised during the claim verification by the insurer or the investigation process.

Insurers may sometimes request that third parties, such as friends or family members, who aren't insured for the purposes of the claim, agree to be interviewed or otherwise participate in the investigation.

If during the investigation the insurer finds that the cause of death was suicide, then it will reject the beneficiary's claim.

Usually, the larger the claim, and the more serious the incident, the larger and more intense the ensuing investigation, consisting of police and insurer investigators.

In order to protect the consumer, the Nebraska DOI conducts the licensing and examinations of insurance agents, periodic examinations of company affairs, policy approval, rating and claims practice investigations, foreign insurer admittance, approval of automobile, property and liability rates, and complaint investigations.

If you file a claim and then refuse to cooperate with the insurer's investigation, your refusal to cooperate may constitute breach of the insurance contract.

If a claim happens within the first two years of purchasing the policy (This period is different for every insurer), the company does thorough investigation before settling the claim.

This is because the insurer requires proof of death and performs an investigation to ensure that the claim is not fraudulent.

During its claim investigation if the insurer finds out that there was any type of misrepresentation from the policyholder at the time of taking the policy, the insurance company may reject the claim and declare the policy as null and void and forfeit all the premiums.

With regards to claim settlement and investigation, insurers have to adhere to the following: 1) Once the claim is received by the insurer, the insurer has to raise all claim requirements (documentation) within 15 days.