Claims
Management

Data
Management

Litigation
Management

Risk
Management

Staff
Management

 

  

CLAIMS MANAGEMENT

 

Full control of the file handling process…

 


As contract claims managers, we assume a fiduciary duty to manage the customer’s assets in accordance with the client’s claims philosophy.  The client dictates our approach and strategy. Either as an insurer or a self-insured manufacturer or service provider, we can tailor our services to meet your needs.

 

Proactive loss and expense management…

 

 


We focus on controlling the expenditures of both the loss and expense of a claim file. Service providers adhere to our requirements of budgeting, detailed billing and accountability for results.

 

 

Reserve maintenance and reviews…

 

                               

Our reserve reviews give an objective, real life look at the current state of your liabilities.  Objective reserve reviews should be an integral part of your management strategy and a vital component of a Due Diligence on acquisitions.

 

 

 

Quality reviews and audits…

 

 


Good fiscal management requires quality, consistent claims handling.  Our review and audit team will give you a detailed report on the quality of your files with recommendations for improvement.  We can review your staff performance or focus on a service provider.

 

 

 

Process control and design…

 

 


As an insurer or self-insurer, the process an delivery of your claims management process is crucial to the success of your program.  We can assist you in the design and implementation of such systems to ensure quality, economical claim handling.

 

 

Recovery…

 

 


Recovery management programs, including subrogation and salvage are often an afterthought in the process.  We can help you maximize your recovery to reduce the total cost of your claims expenditures.

 

 

 

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DATA MANAGEMENT

 

Loss runs…

 


As a Risk Manager or an insurer’s Claims Manager, high level information and detailed claims information are needed to properly manage your business.  We proved the information on a timely basis, to your schedule and capturing the data elements you have requested.

 

Customized management information…

 


We are a flexible as you need us to be in the creation and delivery of claims management information.  We believe the data to be your property and we are obligated to give it to you in a format where your can use it, not just view it.

 

 

Data analysis…

 


Loss information and loss runs are meaningless unless they are used to manage the process and to gauge results.  We can assist you in the analysis and assist in the design and implementation of action plans and processes to improve results.

 

 

 

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LITIGATION MANAGEMENT

 

Pre-litigation reviews…

 


Litigation costs are a major component of a claims program.  Claims are often litigated when it would be better to consider alternatives.  On a per file or portfolio basis, we can review your case and introduce strategies to reduce overall costs.  If we act as your claims manager, litigation control is an integral part of our service.

 

 

Counsel selection and expense control…

 


When litigation is unavoidable, we can help you choose the right lawyer at the right price.  With ongoing expense control, you can be assured of consistent results with some degree of predictability.

 

 

 

Performance monitoring…

 


We monitor the performance of lawyers on an ongoing basis, both in terms of quality or service and cost.  As a stand alone, unbundled service, we can review your cases to report of the performance of your counsel list.

 

 

 

 

 

Strategic planning…

 

 


We will work with you to continue or to design your litigation management program and strategy.

 

 

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RISK MANAGEMENT

 

Claims avoidance programs…

 


We will help you in the design and delivery of programs designed to reduce your claims.  Working with past experience and knowledge of your operations, plants, personnel and product or service, we will, on a project or ongoing basis, recommend ways to reduce frequency and costs.

 

 

Post occurrence control plans…

 

When a disaster strikes, be it a large fire loss or a major products exposure, preparedness is vital to ensure good management of the claim.  We can assist in the preparation of Catastrophe Plans, Large Claim Procedures and related protocols.  Following a major claim much can be learned from an analysis of the event and the subsequent activities.  We can analyze, on your behalf, to determine future and corrective actions.

 

 

Claims coverage analysis…

 

 


Our years of experience have given us a strong background in analyzing coverage for all lines of business.

 

 

 

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STAFF MANAGEMENT

 

Staff audits and quality review…

 


For insurers, reinsurers and in-house claims departments, our review process allows an objective review of the quality of work, adherence to policies and procedures or industry standards, compliance with industry or government requirements and the integrity of personnel.

 

 

Training…

 

 


We have developed and delivered training programs for most aspects of claims handling.  We can offer group or one-on-one sessions in a variety of subjects.  We can assist in-house trainers in the development of claims and litigation training programs.

 

 

Recruitment…

 


We can assist you in finding the best-qualified claims person to fill your vacancy.  Our approach is low-key and focused.  With our knowledge and contacts in the industry, we can ensure the search is timely, confidential and aimed towards your needs.

Temporary personnel…

 

 


For selected lines of business, we can provide you with qualified claims handlers to manage a workload during temporary absences.

 

 

 

Operational and administrative reviews…

 


Our experience has given us an insight into the workings of many claims divisions and claims handling units.  We can help you review your current unit, operations and administration or help you design a ground-up department.

 

 

 

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