Insurance carrier forced
to disclose computerized claims-adjustment process
Wednesday, January 14, 2009 Filed in:
Insurance|
New
Jersey
A federal judge in Camden has handed down what
appears to be the first federal court ruling to allow
an insured to inspect a carrier's computerized
claims-adjustment process. U.S. Magistrate Judge Joel
Schneider directed Allstate to produce "the data,
pricing and software Allstate used between 2000-2004
to adjust property losses in New Jersey," along with
passwords, keys and activation codes needed to access
and use it. The disclosure was ordered in Opperman v.
Allstate New Jersey Insurance Co., a suit by a couple
over Allstate's handling of their claim for damage to
their home in a 2004 fire. The Oppermans allege
Allstate omitted and underpriced many items and they
could not find a reputable builder willing to do the
repairs at Allstate's price. The Oppermans sued
Allstate on behalf of a class of similarly situated
individuals making claims under Allstate policies.
Although Allstate and its software licensing company
opposed the inspection of its claims adjustment
software, Judge Schneider said the plaintiffs' need
for access outweighs the potential harm from
disclosure of trade secrets. It is unknown whether
Allstate intends to appeal the ruling.
This case will no doubt be cited by plaintiffs'
attorneys in New Jersey (most likely with success) to
gain access to claims processing software and related
tools from insurance carriers.