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November 02, 2018
Joseph Noel
Complex liability regional director
Analysis: Are cavity wall insulation claims the new PPI?

Joseph Noel, complex liability regional director at Sedgwick, contributed to this article

November 02, 2018 by Joseph Noel, Complex liability regional director
Blog
March 08, 2018
Lee-Anne Klawsuc
Claims Examiner – Liability, Sedgwick Canada
Drive-thru operators beware: A double-double = an accident benefits claim?

The Court of Appeal for Ontario recently released a decision in a case that has far-reaching impacts. In Dittmann v. Aviva Insurance Company of Canada, an Ontario accident benefits claim was presented to the insurer, Aviva Canada, as a result of a sc…

March 08, 2018 by Lee-Anne Klawsuc, Claims Examiner – Liability, Sedgwick Canada
Blog
November 21, 2017
Tim Over
SVP Specialty Operations
The changing landscape of veterinarian malpractice

Oh, how things change… I remember, growing up, the family dog slept outside in a dog house. Today, over 62% of our pets share our bed. Our pets are now considered part of the family  and we hold great emotional ties to them. Jump on a p…

November 21, 2017 by Tim Over, SVP Specialty Operations
Newsletter
October 15, 2017
PL Risk Resource Newsletter, Third edition 2017

October 15, 2017
Blog
August 16, 2017
Laurie Walker, CIP, CRM, SVP, Director of Operations, Canada
Definition of “accident” under Ontario auto accident benefits policy expands to “trip and fall!”

In a recent License Appeal Tribunal (LAT) decision between a claimant and TD Insurance Meloche Monex (D.S. and TD Insurance Meloche Monex #16-000131/AABS), it would seem the stranger the circumstances, the wider the allowance to access Ontario acci…

August 16, 2017 by Laurie Walker, CIP, CRM, SVP, Director of Operations, Canada
Blog
March 01, 2017
Mike Merlino
SVP Medicare Compliance
It is happening: LMSAs (and NFMSAs) are almost here

For the past several years, the Centers for Medicare & Medicaid Services (CMS) has been providing the industry with vague hints about liability Medicare set-aside arrangements (LMSAs). The absence of clarity left the liability community unable to…

March 01, 2017 by Mike Merlino, SVP Medicare Compliance
Blog
December 14, 2016
Robert Fox, CPA Managing Director, forensic accounting and business income services, Vericlaim, a Sedgwick company
Why you need a forensic accountant

The story is simple and familiar to any experienced property claims professional: a pipe breaks flooding the restaurant downstairs causing it to close for two weeks, or a worker unknowingly drills through a pipe while working on a customer’s equipm…

December 14, 2016 by Robert Fox, CPA Managing Director, forensic accounting and business income services, Vericlaim, a Sedgwick company
Blog
September 27, 2016
April Clemens, Business Relationship Manager, Specialty Operations and Diana Shick, Consultant Team Lead, Liability Nurse Program
When medical evidence does not add up in a liability claim

A Sedgwick liability nurse was asked to analyze the records of a claim involving a 52-year-old man whose car was struck when our client’s truck driver fell asleep at the wheel, overturning his rig and causing damage to several cars.  Liability…

September 27, 2016 by April Clemens, Business Relationship Manager, Specialty Operations and Diana Shick, Consultant Team Lead, Liability Nurse Program
Blog
June 29, 2016
Michael Reynolds, Director of Total Performance, Unified Investigations & Sciences, Inc.
This 4th of July, stay safe!

Who doesn’t love July 4th, Independence Day, a celebration of our nation’s independence and traditionally a day filled with food, family and good fun? Unfortunately, July 4th is also a holiday that can bring danger and great potential for property …

June 29, 2016 by Michael Reynolds, Director of Total Performance, Unified Investigations & Sciences, Inc.
Blog
May 28, 2015
Michael Hoffman, District Manager, Unified Investigations & Sciences
Hidden danger: Preventing commercial truck fires

Although fires only represent a small fraction of trucking accidents, they can be deadly and costly. In the fire investigation industry, the cause of a truck fire often relates to preventative maintenance or lack thereof. In fact, the most common ca…

May 28, 2015 by Michael Hoffman, District Manager, Unified Investigations & Sciences
Blog
May 21, 2015
Kathleen Shostek
VP Healthcare Risk Management
Managing drug samples in physician offices

Managing drug samples in a physician’s office or ambulatory care clinic requires a system of checks and balances to help prevent medication errors and adverse drug events, establish a tracking system for alerts and recalls to comply with federal la…

May 21, 2015 by Kathleen Shostek, VP Healthcare Risk Management
Blog
April 07, 2015
Tim Over
SVP Specialty Operations
Healthcare consolidation and its impact on liability claims outcomes

Not that long ago, the insurance industry, if not the business world, was rocked when Connecticut General and INA merged to form CIGNA. Today, mergers and acquisitions are a common everyday occurrence. Once an M&A announcement has been made publ…

April 07, 2015 by Tim Over, SVP Specialty Operations
Blog
December 18, 2014
Michael Reynolds, National Corporate Audit Services Manager, Unified Investigations & Sciences
If lightning strikes…are you at risk for a CSST fire?

A hole is melted in the thin wall of CSST after a lightning-caused fire Since the 1990s, a product called corrugated stainless steel tubing (CSST) has been used in some home and light commercial construction. CSST is used to deliver fuel gases to ga…

December 18, 2014 by Michael Reynolds, National Corporate Audit Services Manager, Unified Investigations & Sciences
Blog
October 30, 2014
Mike Merlino
SVP Medicare Compliance
Change, non-change important to Medicare compliance regulations

If you have been trying to keep up with the latest Medicare compliance changes, you might feel like you are watching the carnival vendor who used to say, “around and around it goes and where it stops nobody knows.” Fortunately, with these answers y…

October 30, 2014 by Mike Merlino, SVP Medicare Compliance
Newsletter
February 11, 2014
PL Risk Resources - First Edition 2014

February 11, 2014
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