CLAIM CLOSER

LITIGATION SUPPORT

RISK MANAGEMENT


 
Risk Management ...

Self-Insurance:  Evaluate the advantages and/or feasibility of being self-insured.

  • Preparation of documents required by applicable statute and assistance in interaction and follow through with the Department of Self-Insurance.
  • Evaluation and selection of a claim administrator.
  • Determination of self-insured retention levels.

Risk Management:  Evaluate the insurer’s portfolio.

  • Review organizational structure, methods of communication,  record keeping systems and methods.
  • Analyze program structure.

Insurance Adequacy:  Evaluate insurer’s coverage.

  • Identify loss exposures.
  • Evaluate and measure risk.
  • Analyze policy scope, limits, terms and conditions.

Insurance Purchasing:  Evaluate needs of the insurer.

  • Develop an insurance marketing plan.
  • Prepare  specifications, competitive bidding controls, bid evaluation.
  • Analyze insurer stability and service.

Brokerage Service:  Evaluate broker selection and performance appraisal.

  • Design performance criteria.
  • Negotiation of commissions/fees.

Claims Administration: Review of the following:

  • Determine the appropriateness of payments and case reviews.
  • Evaluate and design proper procedures and controls.
  • Review file documentation.
  • Audit the accuracy of computer reports.
  • Recovery of claims against a third party.