Target Fraud

The insurance industry has organized crime in its crosshairs. There is today a more detailed understanding of the extent of sophisticated fraud rings and how they steal from insurers and their customers. There is also a sense that now is the time for more specific strategies to bolster regulations, cut off the flow of money and punish offenders.

By Craig Harris | September 30, 2012

13 min read

Due Diligence Defence

After more than 40 years of defending insurance claims, I can observe that the insurance industry in general spends entirely too much time and effort building reactive defences to whatever the plaintiff has claimed. Quite simply, we tend to fight on the plaintiffs’ chosen field of battle. If we look at commercial coverages, it is […]

By Owen Smith | September 30, 2012

4 min read

The Fine Line Between Custodial and ‘On Call’ Care

In cases involving severe brain injuries, the Assessment of Attendant Care Needs (Form 1) certainly allows for custodial care under Level II attendant care. However, the Form 1 may not necessarily allow for a situation where an insured requires non-custodial attendant care assistance such as a “life line” or “on call” care. Unfortunately, the recent […]

By Philippa G. Samworth and Andrea R. Lim | September 30, 2012

4 min read

Dimming the ‘Bright Line’ Rule

An examination of The Glasgow Coma Scale and Catastrophic Impairment

By Linda Matthews and Laura Hodgins | September 30, 2012

6 min read