Risk Management
Insurance
Claims Management

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

Practical claims handling strategies for identifying, retaining and using experts

Advice from a reinsurer

Insurer conduct on trial

Make workers’ compensation claims easier by asking the following questions

16 claims settlement practices considered to be unfair

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

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

A series of articles on claims operations

Example of a crime claims form

Ideas on how to move the process along

Diminished value payments when your car has been in a wreck

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

Articles covers the complexity of fire investigation

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

How to calculate a standard depreciation schedule

Brief overview by State

State requirements on insurers to conduct certain anti-fraud activitie

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

Discusses litigation mismanagement and provides guidance on properly handling litigation management

Considerations for handling medical malpractice claims

Information on how to become certified to adjust National Flood Insurance Program claims

Text of the guidelines for OECD countries

Listed by state

Refer to this checklist to know what to do in the event of a property loss

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

Guidelines for determining storm-caused damage

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

Know relationships among insured, contractors, adjusters and insurance companies for better restoration

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

Provides an overview of property claims adjusting

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?