Risk Mgt » Claims Management
Information on claims management, e.g., structured settlements, importance of prompt reporting, construction claim guidance, preservation of evidence, etc. Self-insurance & claims administrators/adjustors selection/evaluation checklist of TPAs. Variations in imaging technology and the issues confronting claims adjusters. Experts offer tips to adjusters about salvage.
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Hot Topics: Insurance: Claims Management
Professional Guides: Business Manager, Claims & Injury Managers, Human Resources Manager, Occupational Medicine, Property Manager, Risk Manager
Risk Mgt / Claims Management » Divisions: Structured Settlements
Avoiding Insurance Bad Faith Claims [16413] 
Real-life illustrations of situations subjecting insurers to substantial liability
Real-life illustrations of situations subjecting insurers to substantial liability
BAP & Business Uses [22324]
BAP can be limited to owned autos only and may not cover all claims scenarios
BAP can be limited to owned autos only and may not cover all claims scenarios
Claim Guides [17965]
Basics about the different lines of insurance coverage claims - some case law available
Basics about the different lines of insurance coverage claims - some case law available
Claims Adjusters, Appraisers, Examiners and Investigators [5765]
A description of the nature of the work, training, other qualifications, etc
A description of the nature of the work, training, other qualifications, etc
Claims Handling Policies [25689]
Perspectives from the viewpoint of the risk manager and of the insurer
Perspectives from the viewpoint of the risk manager and of the insurer
Claims Management Metrics [13015]
Well managed claim operations will track multiple metrics gauging the effectiveness of claim management
Well managed claim operations will track multiple metrics gauging the effectiveness of claim management
Coverage for the Traveling Employee [15853]
The availability of compensable damages for traveling employees has long been a troublesome issue for the courts
The availability of compensable damages for traveling employees has long been a troublesome issue for the courts
Electronic Auditing [28473]
Example of a TPA health claim audit conducted electronically instead of on-site
Example of a TPA health claim audit conducted electronically instead of on-site
Guidelines for Self-Insured Joint Property and Liability Pool [19669]
Part of the local government self-insurance program implemented in the state of Washington
Part of the local government self-insurance program implemented in the state of Washington
Insurance Fraud State Requirements [13016]
State requirements on insurers to conduct certain anti-fraud activitie
State requirements on insurers to conduct certain anti-fraud activitie
Insured's Claims Management Expectations [30125]
Key fundamental points to aligning claims practices with risk managers' expectations
Key fundamental points to aligning claims practices with risk managers' expectations
Late Claims Reserves in Reinsurance ![[pdf]](graphics/file_pdf.gif)
[17677]
Late reported claims, especially on liability insurance, continue to be a problem for insurers
[17677] Late reported claims, especially on liability insurance, continue to be a problem for insurers
Liability Insurance: Reserving for Severe Bodily Injury [17339]
A practical aid to liability claims reserving practice
A practical aid to liability claims reserving practice
Litigation Management Guidance [24394]
Discusses litigation mismanagement and provides guidance on properly handling litigation management
Discusses litigation mismanagement and provides guidance on properly handling litigation management
NFIP Adjuster Certification [25750]
Information on how to become certified to adjust National Flood Insurance Program claims
Information on how to become certified to adjust National Flood Insurance Program claims
OECD Guidelines for Good Practice for Insurance Claim Management [23257]
Text of the guidelines for OECD countries
[23257] Text of the guidelines for OECD countries
P&C Claims Management [25250]
A series of articles related to property and casualty insurance claims management
A series of articles related to property and casualty insurance claims management
Pre-Tender Defense Costs [30131]
A discussion of defense costs incurred by the insured before the insured tenders the claim to the insurer
A discussion of defense costs incurred by the insured before the insured tenders the claim to the insurer
Procedures for Self-Insurance Reimbursements for Property Claims [26561]
Example of forms and procedures for reimbursement for missing or stolen property
Example of forms and procedures for reimbursement for missing or stolen property
Property Adjuster's Desktop [5766]
Calculates depreciation, salvage value, actual cash value, or replacement cost of personal property
Calculates depreciation, salvage value, actual cash value, or replacement cost of personal property
Reservation of Rights Letter [24593]
They buy the insurer time to investigate further and make a final decision regarding denying claims
They buy the insurer time to investigate further and make a final decision regarding denying claims
Restorative Drying [13020]
Know relationships among insured, contractors, adjusters and insurance companies for better restoration
Know relationships among insured, contractors, adjusters and insurance companies for better restoration
Self-Insured Joint Property and Liability Pool Claims Reserving [15590]
Guidelines in use by the state of Washington
Guidelines in use by the state of Washington
Spoilation of Evidence [18440]
Avoiding Bad Faith and Civil Liability in Handling Suspicious Claims (pdf)
[18440] Avoiding Bad Faith and Civil Liability in Handling Suspicious Claims (pdf)
State Personal Injury Statute of Limitations [24677]
Time periods within which you can bring a lawsuit for personal injuries in each state
Time periods within which you can bring a lawsuit for personal injuries in each state
Using National and Regional Counsel to Manage Litigation [24686]
An insurer's litigation management program to help control insurance claim costs
An insurer's litigation management program to help control insurance claim costs
When an Insurer Must Pay a Claim [31649]
Not all policyholders have the ability to finance repairs themselves while they wait for the adjustment process
Not all policyholders have the ability to finance repairs themselves while they wait for the adjustment process
When Is It a Claim for Reinsurance Purposes? [20889]
Is a claim for insurance purposes a claim for reinsurance purposes?
Is a claim for insurance purposes a claim for reinsurance purposes?
Structured Settlements
Structured Settlements - Basics [1129] Explanation of structured settlements including advice on when to consider a settlement
Related Categories within rmLibrary
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Ergonomics / Medicine
Clinical practice guidelines, patient handouts on low back pain, CTS, etc.
Legal / Insurance Law
Case developments, articles, resources related to insurance law
Legal / Litigation
Legal case mgt, use of computer-generated evidence, attorney-client priviledge
Managed Care / Liability
Guidelines to physicians about liability in managed care
Managed Care / Medical Costs
Average cost for medical care per DRG code, medical procedures & costs, etc.
Medicine / Brain Injuries
Traumatic brain injury reference materials
Medicine / Occupational Medicine
Large number of reference materials on occupational medicine
Property / Restoration
Cleaning and restoration of interiors & furnishings due to smoke & water damage
Workers Comp / Claims Management
Managing the costs of workers compensation claims
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