All posts by Mark Miller

Reversing Insurance Claim Denials Part 2: Credibly Analyze Claim Denial Letters

 

 

In Part 2 of this series on businesses and legal strategies that can be employed to reverse insurance claim denials, we address strategies for responding to insurance claim denial letters.  In this video Mark Miller explains that the next step in dealing with a denied business insurance claim is to credibly analyze the insurance carrier’s denial letter, taking apart, and responding to, each and every argument raised. 

When responding, there is one additional strategic step that policyholders should take.  Watch the video to learn about more about the process, and best practices for reversing a claim.

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Reversing Insurance Claim Denials Part 1: Don’t Believe Claim Denial Letters

 

 

Today we start a three part series addressing the best strategies that policyholders can use to reverse business insurance claims denials.  In this post, Miller Friel co-founding partner Mark Miller explains that the first, and perhaps the most important step, is to understand that the overwhelming majority of claim denial letters are false.  The video addresses the primary purposes of claim denial letters, and a more sinister trick that lies within claim denial letters that needs to be heeded to preserve coverage. 

 

Watch the video to learn more.

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Property Insurance Claims: The Value of a Second Look.

 

 

Property insurance claims can be extremely complex, and things are not always as they are portrayed by the insurance industry.  In this video, Mark Miller gives a perfect example of how property insurance claims can benefit from a second look by an insurance recovery lawyer.  This story is a real life example where a quick review of claim documents by an insurance recovery lawyer resulted in several million dollars of value to the client.

 To hear Mark’s story, watch the video.

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Insurance Recovery Law: What 17th Century Piracy Teaches Us About Property Insurance

 

 

What does 17th century piracy teach us about property insurance? Lots.  Although “Sue and Labor” clauses were first used in the 1600’s to deal with the loss of ships to pirates, that language is still in use today, and it is just as valuable now as it was back then.  Here, we address a classic snow removal case in New York, where tens of millions of dollars in snow removal costs were covered, despite the fact that there was no damage to property.  

Watch the video to learn how avoiding pirates relates to railroad switching equipment. 

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Insurance Recovery Law: History’s Best Decisions: Fountain Powerboat

 

 

Today we present the first part of our series, Insurance Recovery Law: History’s Best Decisions. The topic of this video is perhaps the most important business interruption insurance decision of all time, Fountain Powerboat Indus. v Reliance Ins. Co., 19 F Supp 2d 552, (ED NC 2000).  In this case, The Fountain Powerboat company of North Carolina had a work slow down as the result of hurricane Floyd.  They pursued relief under their property insurance policy pursuant to an “ingress egress” provision.  Their insurance carrier denied coverage based on an all to common insurance industry custom and practice — denying coverage because there was no physical damage to insured property.  The Court flatly rejected insurance industry custom and practice in favor of insurance policy language.  

Watch the video find out what happened, and to find out why this is one of the most important insurance recovery law decisions of all time.

Insurance Recovery Law

Miller Friel, PLLC

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Five Things You Need to Know About Property Insurance: 5) The Only Way To Maximize The Value Of Your Claim Is To Understand The Law

 

 

In our final installment of our series Five Things You Need To Know About Property Insurance, Mark Miller addresses the importance of understanding the law.    

The phrase “industry customs and practice” describes what insurance companies do.  These are the normal procedures and practices used in the insurance industry to adjust property claims.  These practices, though, can be markedly different from policy language and the law.  If you ask about an issue, and you hear, “this is just how we do things,” you should be concerned.  Insurance industry custom and practice, more often than not, has nothing to do with policy language or the law interpreting that policy language.  It is also entirely irrelevant in determining what rights are afforded under the insurance policies. 

Watch the video to learn more.

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Five Things You Need to Know About Property Insurance: 4) Most Property Claims Settle

 

 

The fourth thing that policyholders need to understand about property claims, is that most property claims settle.  This is good news, because litigation is expensive.  But, there are steps that you should take to put yourself in the correct position for an advantageous settlement.  Here, the process one goes through to move a claim from inception to settlement is critical to success. Watch the video to learn more.

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Five Things You Need to Know About Property Insurance: 3) Insurance Company Accountants Need To Be Questioned

 

 

Part three of our Five Things You Need To Know About Property Insurance series is: Insurance Company Accountants Need to be Questioned.  Insurance company accountants are unique in the accounting industry.  Far from objective reporters of the numbers, they function as highly competent advocates for insurance companies.  Unlike most accountants, insurance company accountants are not bound by typical cost accounting or public accounting standards.  Although they have certain typical tools they routinely use to minimize claims, they can literally make up and use any approach they want to improperly diminish claim value.  To learn more watch the video.

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Five Things You Need to Know About Property Insurance: 2) Presentation of the Claim is Everything

 

 

Part two of our Five Things You Need To Know About Property Insurance series is: presentation of the claim is everything.   Property insurance policies contain numerous options for coverage.  For each of these options, or coverage grants, different financial parameters attach. When corporations are faced with a complicated property insurance claim, the easiest thing to do is to provide all of the relevant claim information to the insurance carrier, and let them decide whether any given cost is covered under the policy.  This can be a recipe for disaster.  To learn more, watch the video.

For a transcript of the video please see below

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Five Things You Need to Know About Property Insurance: 1) When You Make a Property Insurance Claim, You Are Stepping Into a Minefield

 

 

Today, we start a new series, Five Things You Need To Know About Property Insurance.  In the first installment, we address why making a large property insurance claim is akin to unsuspectingly stepping into a minefield.  Property insurance claims are filled with potential pitfalls that can cripple a policyholder’s chances of recovery.  Yet, many of these pitfalls go unrecognized. 

Watch the video to learn more, and please check back in in the following weeks to see the continuation of this series.

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