Risk Mgt, Claims & Ins
Claims Management
Claims Administration

How to investigate and adjust a liability claim

What to look for when conducting a TPA audit

Guidelines in use by the government of New South Wales

Tips for Avoiding Bad Faith Claims

Practical claims handling strategies for identifying, retaining and using experts

Advice from a reinsurer

Insurer conduct on trial

16 claims settlement practices considered to be unfair

A description of the nature of the work, training, other qualifications, etc

A series of articles on claims operations

Perspectives from the viewpoint of the risk manager and of the insurer

Identify the relevant principles and leading court decisions governing a wide variety of claims topics

Well managed claim operations will track multiple metrics gauging the effectiveness of claim management

Key steps involved in a TPA financial controls audit

Example of a crime claims form

Ideas on how to move the process along

Example of a TPA health claim audit conducted electronically instead of on-site

Considerations for reporting, settlement, reimbursement procedures

Part of the local government self-insurance program implemented in the state of Washington

Brief overview by State

Insights and perspectives - a series of articles

State requirements on insurers to conduct certain anti-fraud activitie

Key fundamental points to aligning claims practices with risk managers' expectations

A discussion of IP risk exposure

Discusses litigation mismanagement and provides guidance on properly handling litigation management

Considerations for handling medical malpractice claims

Study explains reserving methodologies and that improvements will be beneficial to the industry, its clients, etc

Text of the guidelines for OECD countries

Listed by state

A discussion of defense costs incurred by the insured before the insured tenders the claim to the insurer

What delays in reporting an injury can cost you

They buy the insurer time to investigate further and make a final decision regarding denying claims

Valuing the case, etc.

Series of articles related to claims management

Case reserve considerations

Avoiding Bad Faith and Civil Liability in Handling Suspicious Claims (pdf)

Time periods within which you can bring a lawsuit for personal injuries in each state

Explanation of structured settlements including advice on when to consider a settlement

Offers value and greater claims recovery

The work of property loss adjusters

Not all policyholders have the ability to finance repairs themselves while they wait for the adjustment process

Is a claim for insurance purposes a claim for reinsurance purposes?