We evaluate and improve claim handling practices and devise strategies to bring complex claims to prompt, equitable settlements.

You receive assurance that best practices are being followed, collateral requirements are in check, and reserve funds are appropriate.  This all helps reduce your overall cost of risk.

We are qualified to address claims issues in all lines of insurance and in all jurisdictions. Specific services include:

  • Claim Auditing (WC, GL, & Auto).  We evaluate the effectiveness of claims providers by examining claims handling strategies and execution, reserving practices, staffing, supervision, and policies/procedures.
  • Claims Cost Control Programs. Develop and implement claims cost control programs for corporate clients and provide training to key personnel.
  • TPA Selection.  Manage the TPA selection process: draft requests for proposals, interview qualified candidates, create comparison matrixes and provide selection recommendations.
  • Expert Witness. Litigation support in connection with legal disputes requiring a claims expert.
  • Bankruptcy Asset Recovery. Pursue insurance asset recoveries and manage claim liabilities in the bankruptcy arena.

Contact

Lisa C. Hartman
Claims Management Practice Leader
(781) 449-2866
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Reservation of Rights Letters

A claim is made and you dutifully submit the particulars to your insurance company. In reply, your insurance company responds with a letter stating that they are reserving their rights to deny coverage. This is the insurer’s way of stating they are not sure the claim is covered and informing you of your options.