processing claim (Ohio) · Go Syfert
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processing claim in Ohio

81 Ohio opinions name it 3 courts 1990–2025 10 in the last five years

The cases below were cited by Ohio courts in a sentence that names this issue. Sides come from how each citing opinion treated the case (Syfertize flag on that citation), so a case can appear on both: that is where the law is contested. A red or yellow chip is the case's own overall treatment.

Followed or applied (6)

CaseFollowedCited
Zoppo v. Homestead Insurancegreen
ohio · 1994 · cited in 64 Ohio opinions naming this issue, 1996–2025
2 sentences

2015The Ohio Supreme Court set out the standard to determine whether an insurer has breached its duty to its insured to act in good faith: “‘[A]n insurer fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor [sic.].’” Zoppo, 71 Ohio St.3d at 554 , quoting Staff Builders, Inc. v. Armstrong, 37 Ohio St.3d 298, 303 , 525 N.E.2d 783 (1988).

2013Co., 71 Ohio St.3d 552 (1994), paragraph one of the syllabus (“[a]n insurer fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor”). 7 {¶24} As a threshold argument, Fidelity argues appellants have no contractual relationship with the company; thus, it contends, appellants have no basis for a claim of bad faith.

264
Staff Builders, Inc. v. Armstronggreen
ohio · 1988 · cited in 16 Ohio opinions naming this issue, 1990–2024
2 sentences

2024Co. (1983), 6 Ohio St.3d 272 . . ., and Staff Builders, Inc. v. Armstrong (1988), 37 Ohio St.3d 298 . . . , “an insurer fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor.” Id. at 303 , . . . .

2024Co. (1983), 6 Ohio St.3d 272 . . ., and Staff Builders, Inc. v. Armstrong (1988), 37 Ohio St.3d 298 . . . , “an insurer fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor.” Id. at 303 , . . . .

116
Gaines v. Preterm-Cleveland, Inc.green
ohio · 1987 · cited in 1 Ohio opinions naming this issue, 2025–2025
1 sentence

2025Co., 71 Ohio St.3d 552 (1994), paragraph one of the syllabus. {¶20} Finally, fraud consists of: “(a) a representation or, where there is a duty to disclose, concealment of a fact, (b) which is material to the transaction at hand, (c) made falsely, with knowledge of its falsity, or with such utter disregard and recklessness as to whether it is true or false that knowledge may be inferred, (d) with the intent of misleading another into 7 relying upon it, (e) justifiable reliance upon the representation or concealment, and (f) a resulting injury proximately caused by the reliance.” Groob v. KeyBa

11
Cirino v. Bur. of Workers' Comp. (Slip Opinion)green
ohio · 2018 · cited in 1 Ohio opinions naming this issue, 2022–2022
2 sentences

2022See Cirino v. Ohio Bur. of Workers' Comp., 153 Ohio St.3d 333 , 2018-Ohio-2665, ¶ 4 , quoting R.C. 4123.341 (stating No. 21AP-385 16 that "the bureau * * * is required to ensure that all 'administrative costs'—that is, all costs that are 'incident to the discharge of the duties and performance of the activities of the * * * bureau'—are borne by the state and employers"). {¶ 29} From the foregoing, it is clear that, in the processing of a claim for benefits, BWC has the authority to refer such claim for investigation, as was done in this case when BWC sought Dr. Yosowitz's opinion of appellant'

2022See Cirino v. Ohio Bur. of Workers' Comp., 153 Ohio St.3d 333 , 2018-Ohio-2665, ¶ 4 , quoting R.C. 4123.341 (stating No. 21AP-385 16 that "the bureau * * * is required to ensure that all 'administrative costs'—that is, all costs that are 'incident to the discharge of the duties and performance of the activities of the * * * bureau'—are borne by the state and employers"). {¶ 29} From the foregoing, it is clear that, in the processing of a claim for benefits, BWC has the authority to refer such claim for investigation, as was done in this case when BWC sought Dr. Yosowitz's opinion of appellant'

11
Unklesbay v. Fenwickgreen
ohioctapp · 2006 · cited in 1 Ohio opinions naming this issue, 2021–2021
2 sentences

2021Thus, ‘[a]n insurer fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor.’ ” (Citations omitted.) Unklesbay v. Fenwick, 167 Ohio App.3d 408 , 2006-Ohio-2630 , 855 N.E.2d 516, ¶ 14 (2d Dist.), quoting Zoppo v. Homestead Ins.

2021Thus, ‘[a]n insurer fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor.’ ” (Citations omitted.) Unklesbay v. Fenwick, 167 Ohio App.3d 408 , 2006-Ohio-2630 , 855 N.E.2d 516, ¶ 14 (2d Dist.), quoting Zoppo v. Homestead Ins.

11
Stefano v. Commodore Cove East, Ltd.green
ohioctapp · 2001 · cited in 1 Ohio opinions naming this issue, 2017–2017
1 sentence

2017Co., 71 Ohio St.3d 552 (1994), paragraph one of the syllabus. {¶ 21} "If an insurer improperly refuses to pay a valid claim, such failure may amount to insurance 'bad faith.' " Beever at ¶ 20 , citing Stefano v. Commodore Cove E., Ltd., 145 Ohio App.3d 290, 293 (9th Dist.2001).

11

Distinguished, questioned or overruled (0)

CaseNegativeCited
No negative-treatment citations attached to this issue in Ohio. Read the followed side critically anyway.

Also cited on this issue (20)

CaseCitedYears
Hoskins v. Aetna Life Insurance green
ohio · 1983
2 sentences

2024Co. (1983), 6 Ohio St.3d 272 . . ., and Staff Builders, Inc. v. Armstrong (1988), 37 Ohio St.3d 298 . . . , “an insurer fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor.” Id. at 303 , . . . .

2024“Furthermore, ‘[a]n insurer fails to exercise good faith in the processing of a claim of its insured where its 10 Case No. 2024-A-0029 refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor.’” Id., quoting Zoppo v. Homestead Ins.

81992–2024
Motorists Mutual Insurance v. Said green
ohio · 1992
2 sentences

2004Co. v. Said [1992], 63 Ohio St.3d 690 , 590 N.E.2d 1228 , overruled to the extent inconsistent herewith.)" {¶ 31} An insurer's lack of good faith in the processing of a claim is frequently referred to as "bad faith." Such conduct gives rise to a cause of action in tort against the insurer.

2004Co. v. Said [1992], 63 Ohio St.3d 690 , 590 N.E.2d 1228 , overruled to the extent inconsistent herewith.)" {¶ 31} An insurer's lack of good faith in the processing of a claim is frequently referred to as "bad faith." Such conduct gives rise to a cause of action in tort against the insurer.

41998–2004
Deibler v. Atlantic Properties Group, Inc. neutral
scotus · 1995
2 sentences

2003Co. (1994), 71 Ohio St.3d 552 , paragraph one of the syllabus, certiorari denied (1995), 516 U.S. 809 , 116 S.Ct. 56 , 133 L.Ed.2d 20 . {¶ 24} Dover Lake has asserted that the jury could have concluded that Scottsdale's denial of its claim for attorney fees and expenses was not reasonably justifiable from 1) the terms of the SIR endorsement, 2) Mr. Chelak's memorandum, and 3) the absence of any prejudice suffered by Scottsdale.

2001Currently, the tort is defined by Zoppo v. Homestead Insurance Company (1994), 71 Ohio St.3d 552 , syllabus 1, cert. denied (1995), 516 U.S. 809 , providing that an insurer fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish a reasonable justification therefore.

31998–2003
Mundy v. Roy, Unpublished Decision (3-3-2006) green
ohioctapp · 2006
2 sentences

2012Clark No. 2005-CA-28, 2006-Ohio-993, ¶ 17 . {¶ 26} Stephens’ and Daniel’s complaint alleges that Grange failed to act with “reasonable justification in attempting to settle and resolve claims made against Daniel to protect him from excess judgments.” We note that the complaint refers to “the original judgment of $51,478.50,” and alleges that only $31,478.50 of that amount has been satisfied, but the complaint does not specify, consistent with the jury verdict, that Stephens was awarded both compensatory damages (in the amount or $31,478.50), as well as punitive damages (in the amount of $20,00

2006Co. (1994), 71 Ohio St.3d 552 , 644 N.E.2d 397 , paragraph one of the syllabus. {¶ 15} In Mundy v. Roy, Clark App. No. 2005-CA-28, 2006-Ohio-993 , 2006 WL 522380 , we recognized that a bad-faith “refusal to pay” encompasses more than the outright denial of a claim.

22006–2012
Homestead Insurance v. Zoppo neutral
scotus · 1995
2 sentences

2003Co. (1994), 71 Ohio St.3d 552 , paragraph one of the syllabus, certiorari denied (1995), 516 U.S. 809 , 116 S.Ct. 56 , 133 L.Ed.2d 20 . {¶ 24} Dover Lake has asserted that the jury could have concluded that Scottsdale's denial of its claim for attorney fees and expenses was not reasonably justifiable from 1) the terms of the SIR endorsement, 2) Mr. Chelak's memorandum, and 3) the absence of any prejudice suffered by Scottsdale.

1998Co. (1994), 71 Ohio St.3d 552 , syllabus, certiorari denied (1995), 516 U.S. 809 , 133 L.Ed.2d 20 .

21998–2003
Crane Serv. & Inspections, L.L.C. v. Cincinnati Specialty Underwriters Ins. Co. green
ohioctapp · 2018
1 sentence

2025As such "'[a]n insurer fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor.'" Id., quoting Zoppo v. Homestead Ins.

12025–2025
Cromer v. Children's Hosp. Med. Ctr. of Akron (Slip Opinion) green
ohio · 2015
2 sentences

2019Ctr. of Akron, 142 Ohio St.3d 257 , 2015-Ohio-229 , 29 N.E.3d 921, ¶ 22 . {¶ 30} In Ohio, an insurer acts in bad faith where “[it] fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor.” Zoppo v. Homestead Ins.

2019Ctr. of Akron, 142 Ohio St.3d 257 , 2015-Ohio-229 , 29 N.E.3d 921, ¶ 22 . {¶ 30} In Ohio, an insurer acts in bad faith where “[it] fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor.” Zoppo v. Homestead Ins.

12019–2019
Daniels v. Citizens Ins., Unpublished Decision (11-21-2005) neutral
ohioctapp · 2005
1 sentence

2013As such "[a]n insurer fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor." Id., quoting Zoppo v. Homestead Ins.

12013–2013
Daniels v. Fraternal Order of Eagles Aerie of Tecumseh 979 green
ohioctapp · 2005
2 sentences

2012Clark No. 2005-CA-28, 2006-Ohio-993, ¶ 17 . {¶ 26} Stephens’ and Daniel’s complaint alleges that Grange failed to act with “reasonable justification in attempting to settle and resolve claims made against Daniel to protect him from excess judgments.” We note that the complaint refers to “the original judgment of $51,478.50,” and alleges that only $31,478.50 of that amount has been satisfied, but the complaint does not specify, consistent with the jury verdict, that Stephens was awarded both compensatory damages (in the amount or $31,478.50), as well as punitive damages (in the amount of $20,00

2012Clark No. 2005-CA-28, 2006-Ohio-993, ¶ 17 . {¶ 26} Stephens’ and Daniel’s complaint alleges that Grange failed to act with “reasonable justification in attempting to settle and resolve claims made against Daniel to protect him from excess judgments.” We note that the complaint refers to “the original judgment of $51,478.50,” and alleges that only $31,478.50 of that amount has been satisfied, but the complaint does not specify, consistent with the jury verdict, that Stephens was awarded both compensatory damages (in the amount or $31,478.50), as well as punitive damages (in the amount of $20,00

12012–2012
Fantozzi v. Sandusky Cement Products Co. green
ohio · 1992
2 sentences

2012Clark No. 2005-CA-28, 2006-Ohio-993, ¶ 17 . {¶ 26} Stephens’ and Daniel’s complaint alleges that Grange failed to act with “reasonable justification in attempting to settle and resolve claims made against Daniel to protect him from excess judgments.” We note that the complaint refers to “the original judgment of $51,478.50,” and alleges that only $31,478.50 of that amount has been satisfied, but the complaint does not specify, consistent with the jury verdict, that Stephens was awarded both compensatory damages (in the amount or $31,478.50), as well as punitive damages (in the amount of $20,00

2012Clark No. 2005-CA-28, 2006-Ohio-993, ¶ 17 . {¶ 26} Stephens’ and Daniel’s complaint alleges that Grange failed to act with “reasonable justification in attempting to settle and resolve claims made against Daniel to protect him from excess judgments.” We note that the complaint refers to “the original judgment of $51,478.50,” and alleges that only $31,478.50 of that amount has been satisfied, but the complaint does not specify, consistent with the jury verdict, that Stephens was awarded both compensatory damages (in the amount or $31,478.50), as well as punitive damages (in the amount of $20,00

12012–2012
CARE Risk Retention Group v. Martin neutral
ohioctapp · 2012
1 sentence

2012Montgomery No. 24791, 2012-Ohio-1426, ¶ 12 . {¶ 25} “In Ohio, an insurer has a duty to act in good faith toward its insured in carrying out its responsibilities under the policy of insurance. * * * ‘An insurer fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the 14 claim is not predicated upon circumstances that furnish reasonable justification therefor.’” Mundy v. Roy, 2d Dist.

12012–2012
Hart v. Republic Mutual Ins. green
ohio · 1949
2 sentences

2008Co. [1949], 152 Ohio St. 185 , 39 O.O. 465 , 87 N.E.2d 347 ; Staff Builders, Inc. v. Armstrong [1988], 37 Ohio St.3d 298 , 525 N.E.2d 783 , approved and followed; Slater v. Motorists Mut . *Page 16 Ins.

2008Co. [1949], 152 Ohio St. 185 , 39 O.O. 465 , 87 N.E.2d 347 ; Staff Builders, Inc. v. Armstrong [1988], 37 Ohio St.3d 298 , 525 N.E.2d 783 , approved and followed; Slater v. Motorists Mut . *Page 16 Ins.

12008–2008
Calich v. Allstate Ins. Co., Unpublished Decision (3-31-2004) neutral
ohioctapp · 2004
1 sentence

2007No. 21500, 2004-Ohio-1619 , at ¶ 4 , citing Zoppo , 71 Ohio St.3d at 554 . "`An insurer fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification therefor.'" Zoppo , 71 Ohio St.3d. at 554-555, quoting Staff Builders, Inc. v. Armstrong (1988), 37 Ohio St.3d 298 , 303 .

12007–2007
Islam v. Creative Tours Micronesia, Inc. neutral
scotus · 1995
1 sentence

2003Co. (1994), 71 Ohio St.3d 552 , paragraph one of the syllabus, certiorari denied (1995), 516 U.S. 809 , 116 S.Ct. 56 , 133 L.Ed.2d 20 . {¶ 24} Dover Lake has asserted that the jury could have concluded that Scottsdale's denial of its claim for attorney fees and expenses was not reasonably justifiable from 1) the terms of the SIR endorsement, 2) Mr. Chelak's memorandum, and 3) the absence of any prejudice suffered by Scottsdale.

12003–2003
Grava v. Parkman Twp. green
ohio · 1995
1 sentence

2003Under that doctrine, "[a] valid, final judgment rendered upon the merits bars all subsequent actions based upon any claim arising out of the transaction or occurrence that was the subject matter of the previous action ." Grava v. Parkman Twp ., 73 Ohio St.3d 379 , 653 , 1995-Ohio-331 , at the syllabus (emphasis added).

12003–2003
Grava v. Parkman Township green
ohio · 1995
1 sentence

2003Under that doctrine, "[a] valid, final judgment rendered upon the merits bars all subsequent actions based upon any claim arising out of the transaction or occurrence that was the subject matter of the previous action ." Grava v. Parkman Twp ., 73 Ohio St.3d 379 , 653 , 1995-Ohio-331 , at the syllabus (emphasis added).

12003–2003
Preston v. Murty green
ohio · 1987
1 sentence

1999Actual malice is found were there is, "* * * a conscious disregard for the rights and safety of other persons that has a great probability of causing substantial harm." Preston v. Murty (1987) 32 Ohio St.3d 334 , 336 .

11999–1999
Wagner v. Midwestern Indemn. Co neutral
ohio · 1998
1 sentence

1998Co., 1998-Ohio-111 .] Insurance—Insurer intentionally acts in bad faith in the processing of a claim of its insured, when—Innocent spouse rule construed and applied—Civil procedure—Prejudgment interest awarded, when.

11998–1998
State Farm Mut. Auto. Ins. Co. v. Reinhart neutral
ohio · 1995
1 sentence

1995Co. v. Reinhart, 1995-Ohio-170 .] Insurance—Insurer fails to exercise good faith in the processing of a claim of its insured, when.

11995–1995
Hammond v. Grange Mut. Cas. Co. neutral
ohio · 1995
1 sentence

1995Co., 1995-Ohio-47 .] Insurance—Insurer fails to exercise good faith in the processing of a claim of its insured, when.

11995–1995

Statutes the citing opinions construe

OH § Ohio Rev. Code § 3937.18 (3)

Counted by distinct opinions that both name this issue and are annotated to the section; sections every opinion cites regardless of issue are not filtered here, so read the counts against the total above.

Where else courts name it

OH 81 (1990–2025) NY 20 (1983–2020) AZ 7 (1969–2009) TX 4 (1991–2025) CO 4 (1974–2013) DE 3 (1995–1997) OR 3 (1982–2004) PA 2 (1981–2019) CA 2 (2007–2025) MA 2 (1996–2011) IL 2 (2004–2004) MD 2 (1954–1985) NJ 2 (1979–2002) MI 2 (2022–2022)

Opinions by the citing court's state. A doctrine retained in one state and abandoned in another shows up here as a year span that stalls.

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