Jim Sams

/Jim Sams

About Jim Sams

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So far Jim Sams has created 10 blog entries.
24 01, 2020

Court: Insurer Cannot Refuse Payment for Pain Cream Without Utilization Review

By | January 24th, 2020|Uncategorized|Comments Off on Court: Insurer Cannot Refuse Payment for Pain Cream Without Utilization Review

An insurer cannot ignore a $4,869.99 bill for a tube of compounded pain cream on the grounds that the medication is unnecessary without first filing a utilization review petition, a Pennsylvania appellate court ruled. The decision Thursday by the Commonwealth …

10 01, 2020

Accident Reports Now Ready Minutes After Crash on Smartphone, Says Telematics Firm

By | January 10th, 2020|Uncategorized|Comments Off on Accident Reports Now Ready Minutes After Crash on Smartphone, Says Telematics Firm

The company that helped make driver safety monitoring ubiquitous among auto insurers is now offering a product that can write accident reports within minutes of a crash. Cambridge Mobile Telematics (CMT) announced the launch of Claims Studio, an accident reporting …

30 12, 2019

Court Upholds Insurers’ Auto Body Repair Networks Against Racketeering Claim

By | December 30th, 2019|Uncategorized|Comments Off on Court Upholds Insurers’ Auto Body Repair Networks Against Racketeering Claim

A federal appellate court affirmed a decision to throw out a racketeering lawsuit brought by a group of 126 auto body collision repair shops against seven of the largest U.S. insurers. The 11th Circuit Court of Appeals in Atlanta agreed …

20 12, 2019

Mass. High Court Upholds Consent-to-Settle Clause in Malpractice Policy

By | December 20th, 2019|Uncategorized|Comments Off on Mass. High Court Upholds Consent-to-Settle Clause in Malpractice Policy

Massachusetts’ highest court on Monday rejected arguments that consent-to-settle clauses in professional malpractice insurance policies violate public policy. The Supreme Judicial Court sided with CNA subsidiary Continental Casualty Co. in an engineering malpractice lawsuit brought against homeowners Douglas and Kristen …

16 10, 2019

Aon: Mega Claims Driving Hardening of Hospital and Physician Liability Market

By | October 16th, 2019|Uncategorized|Comments Off on Aon: Mega Claims Driving Hardening of Hospital and Physician Liability Market

At first blush, it appears all is well within the hospital and physician professional liability market: For claims costing less than $2 million, severity is projected to increase 2% and frequency is expected to be flat, according to an analysis …

15 10, 2019

Adjuster’s Comment About ‘Homeys’ Enough to Allow Discrimination Claim to Proceed

By | October 15th, 2019|Uncategorized|Comments Off on Adjuster’s Comment About ‘Homeys’ Enough to Allow Discrimination Claim to Proceed

A claims adjuster’s comments about “homeys” and “you people” when talking to a South Chicago property owner were enough to merit further proceedings on a discrimination claim against State Farm Fire & Casualty Co. However, several counts that alleged a …

28 08, 2019

Fitch: Technology Needed to Reverse Commercial Auto’s Dismal Performance

By | August 28th, 2019|Uncategorized|Comments Off on Fitch: Technology Needed to Reverse Commercial Auto’s Dismal Performance

The commercial auto line hasn’t returned an underwriting profit for eight years now. Growing claim severity is a big part of the problem. Advanced technology needs to be a part of the solution, according to a report released Tuesday by …

27 08, 2019

New InsurTech Offering Brings Free Home Maintenance Visits with Price of Policy

By | August 27th, 2019|Uncategorized|Comments Off on New InsurTech Offering Brings Free Home Maintenance Visits with Price of Policy

Many insurance carriers offer their customers discounts on smart home products that protect homes from fire, water and theft. Some even contribute free devices to policyholders who are willing to take on do-it-yourself installation projects. A partnership announced Tuesday between …

26 08, 2019

Court Says Policy’s Vandalism Exclusion Doesn’t Bar Coverage for Arson

By | August 26th, 2019|Uncategorized|Comments Off on Court Says Policy’s Vandalism Exclusion Doesn’t Bar Coverage for Arson

Setting fire to a house is much more than an act of vandalism and if insurers want to exclude such damage from coverage they had best use the term “arson” in policy exclusions, the U.S. 6th Circuit Court of Appeals …

21 08, 2019

Free Interactive Maps Plot Fires and Other Disasters in Real Time

By | August 21st, 2019|Uncategorized|Comments Off on Free Interactive Maps Plot Fires and Other Disasters in Real Time

On Wednesday afternoon, the Hillsborough River at Morris Bridge Road north of Tampa, Florida, was flowing at more than 3,020 cubic feet per second. The surface of the river was at 31.48 feet above sea level and dropping after cresting …