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Previous Announcements

● A public watchdog group needed assistance in their efforts to question the latest utility rate hike in front of the local public utility commission. The matter involved questioning the substantial portion of the rate hike attributable to insurance costs. IEN placed a local insurance expert who had experience in placing and advising on the same type of insurance within the same market factors as the utility was encountering.

● A claims handling expert is presently assisting an attorney on a case involving a residential fire loss.  During the claims adjusting process there were certain actions taken by the adjuster which appeared to be irregular and not in conformance with industry standards and practices.  There are allegations of breach of contract, a claim of bad faith and a violation of the state’s Unfair Trade Practice Act. 

IEN referred 4 highly qualified experts to an attorney on a matter early in the discovery phase involving questions surrounding the premium development for a large Property & Casualty and Professional Liability coverage program.  IEN placed the expert who was retained to help form the interrogatories and other discovery requests for the case.  The experts all met the requirements to be able to evaluate the premiums developed, loss effects on premiums and the algorithms underlying the results.

An insurance actuarial expert was retained in order to value damages due a health policy insured.  IEN referred the expert to an attorney representing the insured.  The basis for the suit was that the health insurance company attempted to cancel the health policy and failed to do so correctly. The expert is to value several different aspects of premium and benefits over the projected life of the insured.

Insurance Expert Network successfully introduced a property insurance claims expert to an attorney who retained the expert to review, evaluate and report on the claims handling that was done on a specific claim on a residential property.  The claim was for water damage to the insured property due to a covered cause of loss. The attorney reported to IEN that the introduced expert had nearly the perfect claims handling and expert witness experience for his case. 

An attorney looking for a life insurance underwriting expert came to IEN.  In less than 24 hours IEN had referred two life insurance underwriting experts who could opine on the rescission based on material misrepresentation.  Within a 2 year contestability period the carrier attempted to rescind the life Insurance policy based on answers given in the application.  These answers were investigated by the carrier subsequent to the claim presentation.  The plaintiff is contesting that the answers were misrepresentations.

Insurance Expert Network, LLC placed a life insurance expert on a case. The expert will offer his opinion not only on the Error & Omissions of the agent for possibly not processing the insurance application properly, but also on the life insurance company’s alleged claims handling bad faith.  The claims handling by the company were to be analyzed by the expert to determine if the handling met industry customs & practices and whether they also fell within state insurance regulation requirements.

An IEN insurance claims expert recently was retained on a case which involved the question of coverage applicability for medical bills under workers compensation and commercial general liability policy.  IEN was able to provide an expert familiar with not only the coverage forms but also the claims handling standards, industry and specific domicile issues of the insured.

On very short notice, IEN was able to provide a liability insurance expert to an attorney who was able to provide not only the requested review and analysis the case documents but also to provide an affidavit within the deadline.  The case involved whether the carrier conducted itself within both industry standards and practices but also insurance regulatory requirements.

Insurance Expert Network, LLC referred an life insurance actuary expert to an attorney who needed one to review and analyze a single premium life insurance policy and the performance of it over time. The attorney was unsure whether he needed an underwriting or actuary expert.  IEN was able to provide several experts in both categories and provided conference calls with any of the experts with whom the attorney wanted to speak.

In a recent case involving a property insurance claim denial there were also issues of insurance broker errors & omissions.  We were able to provide an insurance expert who had both company underwriting and insurance agency/brokerage knowledge.  The expert provided could handle the near term agency/brokerage standards and practices and, if required later, would be able to provide the property insurance underwriting expertise.

 

 


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