Claims Management

Property and Casualty

We offer claims management services on all lines placed. We help you move auto, property, general liability, and professional liability claims efficiently through the claims adjustment process. For liability or third-party claims, we help manage the litigation process to minimize expenses and provide fair settlement analysis.

Workers’ Compensation

We learn the unique needs of your business to identify areas for improvement in workers’ compensation programs. We implement a custom plan to control claims exposure through prevention, early intervention, and cost reduction. When a loss occurs, we’re there to help you work through varying laws and benefit levels across multiple jurisdictions and states.

Claims Management Services

• Understand your current processes, philosophies, service needs, and challenges
• Create efficient, effective, and proactive strategies to reduce claim costs and mitigate exposures
• Ensure claim notice requirements are met by reviewing internal claim reporting processes and establish a service for notification of all claims and claim circumstances to the appropriate insurers
• Advocate to insurers on clients’ all claim and service issues
• Coordinate activities with insurers, both foreign and domestic, for any issues that arise in the adjustment of a property claim or the management of a claim involving complex litigation
• Consult and advise on coverage questions prior to claim notification and issues likely to arise post claim notification
• Assist in claim settlement negotiation
• Establish claims reporting procedures with insurance carriers
• Maintain claim files
• Produce claim reports and analysis as required
• Provide claims review meetings with timeframes agreed to by you
• Monitor performance of insurance carrier claims representatives
• Manage large claim reporting between U.S. and Global Integrated Programs

Claim Advocacy and Consulting Services

Casualty Claims

• Always serve as your advocate
• Ensure notification to all appropriate levels of insurance
• Coordinate retention of defense counsel acceptable to insurer
• Confirm litigation status reports are sent by defense counsel to the insurer in a timely manner and are compliant with Litigation Management Guidelines
• Resolve issues regarding administration and billing between defense counsel, and the insurer
• Participate as required in conference calls or meetings between insurers, counsel and the client to address any problems or issues as they arise
• Evaluate exposure presented to determine appropriate policies (primary, umbrella, and excess) to be notified and proceed to notify as appropriate
• Work to resolve issues that arise regarding coverage and/or financial exposure

Advocacy for Coverage Disputes

• Determine coverage issues giving rise to a dispute and analyze the subject policy wording
• Work with you to develop a comprehensive strategy to approach insurers to resolve the dispute
• Act as your advocate to present arguments for coverage with the claims representatives for the insurer involved
• Solicit the involvement of underwriters placing the coverage to present arguments for coverage under the policy wording
• Involve the insurer’s executive management team as indicated or required to aid in negotiating a resolution
• Provide access to qualified coverage counsel to explore prospects and likely outcome of policyholder litigation against the insurer