Most claims teams bolt AI onto workflows that were broken before the technology arrived. Here’s what actually works, and what I learned building it. A few years ago, I got tired of watching the same audit cycle play out: weeks of file selection arguments, inconsistent reviewer standards, and findings that arrived too late to change…
In our line of work, myths can be more dangerous than mistakes. They slow progress, fuel hesitation, and prevent claims teams from embracing tools that could make their lives easier and their outcomes stronger. Nowhere is that more true than with Artificial Intelligence. Despite proven use cases and mounting industry adoption, AI in claims still…
Get to the point! Claims examiners are juggling more responsibilities than ever, with less time to do them. Meanwhile, legal counsel, striving to be both transparent and thorough, provide numerous updates throughout a claim’s lifecycle. But how often do these reports actually help claims professionals do their jobs better? In claims management, success requires strategic…
In the first article of this series 5 Fatal Flaws in Litigation Management, we examined the persistent “us vs. them” mentality that often separates insurance carriers from legal counsel. This division undermines collaboration, increases costs, and delays claim resolutions. But what if the solution lies in redefining the dynamic—not as adversaries but as collaborative allies…
With over 25 years of experience in the insurance industry, I’ve had the unique opportunity to see both sides of the litigation management equation—first as a defense attorney representing carriers, and later as a claims professional hiring counsel to protect insureds. Despite decades of advancements in technology and claims practices, one critical aspect has stubbornly…
It’s been an interesting year and 2025 is shaping up to be another exciting year for the insurance industry. As 2024 ended we saw some interesting market trend reports from leading consulting and industry firms. As the insurance landscape evolves, claims departments face a range of new trends and challenges. Drawing insights from recent industry…
The U.S. insurance industry continues to exhibit its remarkable resilience, as underscored by its impressive financial turnaround in recent years. However, sustaining this momentum and preparing for future challenges demand more than just traditional strategies. As highlighted by the exceptional leaders featured in Insurance Business America’s Hot 100 2025, the road ahead involves fostering technological…
Addressing the Challenges of Accurate Data The integration of data analytics and predictive modeling into litigation management can revolutionize how insurers handle claims, especially considering some of the new technologies hitting the market. For years the focus has been on billing data to help manage counsel and litigation. This type of information provided some insight…
In the fast-paced world of insurance claims, the First Notice of Loss (FNOL) process is the critical first step that can make or break the entire claims experience. It’s the moment of truth where insurers have the opportunity to set the tone for the entire claims journey. Let’s dive into some best practices and cutting-edge…
I hate to state the obvious, but accurate, timely and consistent reserving is the one truth that remains constant in the ever-evolving world of insurance. As a recent industry analysis pointed out, “This gap ultimately impacts claims and reserves, as carriers with outstanding cases will have to ensure they have adequate reserves to handle payouts…