Claims Processing

Does ERISA Give Health Insurers a Free Pass to Deny Care?
Regulatory & Compliance Does ERISA Give Health Insurers a Free Pass to Deny Care?

The fundamental promise of employer-sponsored health insurance has increasingly collided with a legal framework that prioritizes corporate liability protection over the lives of millions of American workers and their families. This tension is rooted in the Employee Retirement Income Security Act of

Court Rules on Iowa Contractor First Amendment Lawsuit
Digital Insurance Court Rules on Iowa Contractor First Amendment Lawsuit

The ability of a business to communicate its expertise to potential clients represents a fundamental pillar of the modern American economy, yet this right frequently clashes with state regulations designed to ensure professional competence. In the state of Iowa, a recent legal battle between

Can the Insurance Industry Bridge the AI Fluency Gap?
Digital Insurance Can the Insurance Industry Bridge the AI Fluency Gap?

Simon Glairy is a recognized expert in the fields of insurance and Insurtech, with a specialized focus on risk management and AI-driven risk assessment. As algorithms increasingly take the wheel in underwriting and claims processing, Simon provides a vital voice on the "human element" that must

How Is Cowbell OMNI Redefining Specialty Insurance for SMEs?
AI & Automation How Is Cowbell OMNI Redefining Specialty Insurance for SMEs?

Small and medium-sized enterprises have long struggled to secure specialized cyber insurance because the administrative overhead often outweighs the potential profit for traditional carriers. This economic reality has left a massive segment of the global economy vulnerable to increasingly

Lawmakers Crack Down on Staged Commercial Vehicle Crashes
Data Analytics Lawmakers Crack Down on Staged Commercial Vehicle Crashes

A sudden braking maneuver on a crowded highway often serves as the opening act for a sophisticated criminal operation targeting commercial trucks rather than a mere lapse in driving judgment. These staged accidents are no longer the work of isolated opportunistic individuals but have transformed

Your Smart Doorbell Could Increase Your Home Insurance Risk
Regulatory & Compliance Your Smart Doorbell Could Increase Your Home Insurance Risk

Homeowners who once viewed the installation of a smart doorbell as a foolproof way to safeguard their property are now discovering that these high-tech sentries can introduce a surprising set of financial liabilities regarding their insurance coverage. While the primary intent of these devices is

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