Comments for The Claims SPOT

Comment on Why Don’t Claims Organizations Track Claims Through The Process The Way UPS Tracks A Package? by Dan Williams

Dan Williams — Tue, 31 Jan 2012 17:29:36 +0000

Same here, most of our carriers allow us to track every step of the claim with the ability to email or phone anyone involved.

Comment on Why Don’t Claims Organizations Track Claims Through The Process The Way UPS Tracks A Package? by Cathryn Nellans

Cathryn Nellans — Wed, 28 Dec 2011 19:35:20 +0000

This is basically what my company does. We are a small firm in Ocean City, Maryland and when claims are called into our office, the procedure basically goes as follows:

-Insured calls in claim
- Claims Representative takes info, and submits to the appropriate carrier where it is assigned & adjuster makes first contact with the insured.
- Our office collects adjuster information and follows up with said adjuster & our insured 3 days after claim is filed to be sure that the appropriate parties have been contacted and inspection has been scheduled.
- Every week to 2 weeks (depending on the severity of the claim) our office follows up with both the adjuster & the insured to make sure all parties are on the same page and the claim is moving to resolution in a timely manner.

By our office doing this, we get rid of any need for the insured to make inquiries themselves as we are giving them a “tracking status” during the entire duration of the claim.

One less chore for the insured = happier clients in our eyes.

Comment on 2 Company Types And Their Approach To Claim Audits: The Have To’s And The Wants To’s by Peter

Peter — Sat, 17 Dec 2011 15:59:54 +0000

My company is definitely a Have To.

Comment on 2 Approaches To Early Resolution And Cost Savings For Litigation Guidelines by jatmiko

jatmiko — Wed, 16 Nov 2011 08:56:41 +0000

Why my lawyer always buying time when mediation still in progress ( almost 1 year ) it seems the the lawyer trying to litigation ways , can anybody help me ???

Comment on 2 Approaches To Early Resolution And Cost Savings For Litigation Guidelines by Nancy Hudgins

Nancy Hudgins — Mon, 19 Sep 2011 18:32:48 +0000

Hi, Christian!
Thanks for stopping by.
It’s a mind set to develop, not only for your claims department, but also as an expectation for your panel counsel.
Good luck!
Best,
Nancy

Comment on 2 Approaches To Early Resolution And Cost Savings For Litigation Guidelines by Christian Stegmaier

Christian Stegmaier — Mon, 19 Sep 2011 15:45:15 +0000

Right now, there are a ton of client risk managers applauding this entry.

I very much like the idea of putting mediation on the calendar right off the bat. The author suggests 6 months. I’ve been working on a 270 day timeframe. Either way, getting the mediation scheduled up on the front end give the defense counsel something tangible to be working towards rather than just letting the case float along until it gets on a trial calendar or it hits an ADR deadline.

Comment on Shakespeare & Claims: Looking Inward by dan @ maryland health insurance

dan @ maryland health insurance — Sun, 18 Sep 2011 21:27:04 +0000

so many people do not take responsibility for their actions that is dispacable to our race as humans. Don’t these people have parents that raised them correctly.

If you don’t take responsibilty for yourself who are you going to take responsibilty for. it it quite ridiculous.

I was raised to know that whatever action i took i would be responsible for the outcome

Comment on 100 Posts And Counting by Nancy Hudgins

Nancy Hudgins — Sat, 10 Sep 2011 18:26:20 +0000

Congratulations, Marc!
Enjoy the cake.
Best,
Nancy

Comment on “Summer’s Here And I’m For That” With 2 Ideas To Improve Your Claims Operations by Mark Daoust

Mark Daoust — Tue, 23 Aug 2011 17:09:57 +0000

Very interesting article … as W. Edwards Deming would note, the claim review process is where you “gather your data”. A review is retrospective in nature and in its basic application is a form of inspection … To achieve “excellence in operational management” we must take that retrospective data, analyze it and successfully use it to improve our systems, processes and outcomes … How you analyze the data is the key … The Deming Method provides a road map to move from compliance auditing to “excellence in operational management”.

For an introduction to the Deming Method see: http://en.wikipedia.org/wiki/W._Edwards_Deming

Comment on How Plaintiff’s Lawyers Make Settlement Difficult and What You Can Do About It by Tina

Tina — Sat, 30 Jul 2011 21:56:28 +0000

Ain’t this the friggin truth. We are dealing with a Plaintiff’s attorney that has done nothing but waste time. With the trial date less than 4 week away, he is starting to come out of his cave.