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Medical errors are among the top 3 causes of patient deaths in the United States, with up to 400,000 preventable deaths occurring in hospitalized patients each year. Although improvements have been made in anesthesia patient safety, adverse outcomes continue to occur. This study used thematic analysis to examine anesthesia closed claims that were associated with preventable morbidity and mortality. Investigators determined that 123 closed malpractice claims files from the American Association of Nurse Anesthetists (AANA) Foundation closed claims database involved events that the involved Certified Registered Nurse Anesthetist could have prevented. Factors that were associated with preventable closed claims included communication failures, violations of the AANA Standards for Nurse Anesthesia Practice, and errors in judgment.

Purpose The purpose of this paper is to investigate which factors will affect the insurance claims adjusters’ attitude and behavior intention toward lenient claims handling practices. These factors include organizational justice, behavioral-based control, significant others, and customer complaints. Design/methodology/approach Data are collected with questionnaires from full-time licensed insurance claims adjusters in Taiwan. Partial least squares method is used to test the hypotheses. Findings The main results show that significant others and organizational justice have significant effects on the claims adjusters’ attitude toward the lenient claims handling practices. Significant others and attitude have significant effects on the behavioral intention. Originality/value The influence of claims management on insurance companies’ operation is quite considerable. Poor claims management may not only harm insurance companies’ finance, but also affect the adjustment of future premiums. Yet, in reality, some claims adjusters are found to make flawed claims decisions. Very few studies discuss this problem. This study provides an initial step toward understanding this issue.

Instead of having to get a totally brand-new license in every state they adjust claims in and have to abide by multiple states' stipulations for exams and continuing education, an adjuster can get a license in a state that they don't live in and then use that to get reciprocal licenses in (other) nonresident states. [...]it's the only state Puerto Rico considers reciprocal for adjuster licensing – Florida-licensed adjusters don't have to re-sit for the Puerto Rico exam. [...]if we had a nickel for how often we hear people lamenting that they got a Florida DHS only to learn their resident state offers the staff or independent adjuster license they need… well, we'd have a noisy pocketful. Because the standard advice for many large agencies and carriers is \"get a Florida DHS,\" some adjusters unquestioningly zone in and get that Florida DHS in complete ignorance of their own state's offerings.

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Dominguez The decision to change policies was made by Citizens' Executive Leadership Team, which includes \"senior leaders\" in the state-created insurer of last resort, Citizens' spokesman Michael Peltier said in an email. Many insurers and some public officials, including Florida's former chief financial officer, now a Congressman, have long railed against PAs for swooping in after storms and sometimes inflating the dollar amount of claims – which triggers more claims litigation. \"Not only do individuals need more time to get out of a public adjuster contract during a state of emergency, we need to reduce the percentage a public adjuster is entitled to immediately following a storm, ensuring their motives are aligned with helping Floridians get back on their feet.\" [...]most Florida insurers, including Citizens, have listed public adjusters as co-payees.

[...]the Texas Senate on Wednesday unanimously approved House Bill 1706, a measure that would prohibit insurers from writing polices that bar the use of public adjusters. Insurance defense attorney Steven Badger, a partner with the Zelle law firm, said he also supports adoption of professional standards for public adjusters and also supports the Texas bill that would prohibit insurance policies that bar policyholders from hiring them. A District Court judge said it appeared that Paramount forged endorsement signatures on Thirteen's check in order to deposit the money into its own account.

Even before the Florida Legislature adopted the Insurer Accountability Act of 2023, requiring insurers to stop altering independent adjusters' damage estimates without providing transparency, a number of Florida property insurers and adjuster firms stopped the practice on their own, said adjusters who had made some bold allegations about the industry. Vinson and two other independent adjusters sparked a controversy in December when they charged at a Florida House of Representatives hearing that several insurers and their hired adjuster firms were making wholesale changes to their damage estimates, slashing repair amounts by as much as two-thirds – but leaving the field adjusters' names on the revised reports. The Florida Department of Financial Services' investigative division, after some initial confusion over whether it would look into the allegations, is now in the midst of a formal examination, adjusters and others said.

[...]the Texas Senate on Wednesday unanimously approved House Bill 1706, a measure that would prohibit insurers from writing polices that bar the use of public adjusters. Insurance defense attorney Steven Badger, a partner with the Zelle law firm, said he also supports adoption of professional standards for public adjusters and also supports the Texas bill that would prohibit insurance policies that bar policyholders from hiring them. A District Court judge said it appeared that Paramount forged endorsement signatures on Thirteen's check in order to deposit the money into its own account.

First of all, no one wants to hear that you're sorry.