5 Early Case Assessment Strategies That Will Lower Your Litigation and Outcome Costs

Is your claims department losing money on unnecessary litigation? If you’re not employing robust Early Resolution Strategies (ERA), the answer is probably a resounding “yes.” But don’t worry, savvy claims leader – we’re about to turn that ship around.

In my years of working with insurance companies, I’ve seen far too many claims spiral into costly legal battles that could have been avoided with proper ERA. Today, we’re diving into five game-changing strategies that will help you minimize litigation costs and keep your CEO smiling when they review those quarterly reports.

Why Early Case Assessment Matters

Before we jump into the strategies, let’s remind ourselves why ERA is so crucial. Early case assessment is your claims department’s crystal ball – it helps you predict the likely outcome of a case, estimate potential costs, and decide on the best course of action early in the process. Go review some recently settled claims and ask could the decision to settle have been made sooner? Would that have changed the approach to litigation spend? Faster resolutions, lower costs, and happier policyholders is certainly a desirable outcome. Now, let’s get to those strategies!

5 “Must-Implement” ERA Strategies

  1. Embrace Data Analytics – If you’re not using data analytics in your ERA process, you’re flying blind. Modern claims systems are treasure troves of historical data. Use this data to identify patterns, predict outcomes, and make informed decisions.
  2. Implement a Standardized ERA Checklist – Don’t leave ERA to chance or individual discretion. Develop a comprehensive checklist that covers all aspects of early case assessment. This should include liability analysis, damage evaluation, potential defenses, settlement value estimation, and litigation cost projection. A standardized approach ensures consistency and helps less experienced adjusters spot potential issues early.
  3. Leverage Technology for Document Review – Gone are the days of manually sifting through mountains of documents. Invest in technology that can quickly analyze large volumes of data. AI-powered document review tools can identify key information, flag potential issues, and even suggest similar past cases – all in a fraction of the time it would take a human.
  4. Collaborate with Legal Early and Often – Your legal team shouldn’t be an afterthought in the claims process. Involve them early in complex or high-value claims. Their expertise can help identify potential legal issues, assess the strength of the case, and develop effective strategies. Keep everyone on track and the outcomes will improve.
  5. Train Your Team in ERA Best Practices – The best ERA tools in the world won’t help if your team doesn’t know how to use them effectively. Invest in regular training sessions on ERA best practices. This should cover not just the technical aspects of assessment, but also soft skills like negotiation and communication. A well-trained team can turn your ERA process into a powerful cost-saving machine.

Putting It All Together

Implementing these strategies isn’t a one-and-done deal. It requires ongoing commitment, regular evaluation, and a willingness to adapt as you learn what works best for your organization. But trust me, the payoff is worth it. I’ve seen companies reduce their litigation costs by up to 30% through effective ERA strategies.

Remember, every dollar saved in unnecessary litigation is a dollar that goes straight to your bottom line. And in today’s competitive insurance landscape, that’s an advantage you can’t afford to ignore.

The ERA Challenge

Here’s a challenge for you: take a look at your last 10 litigated claims. How many of them could have been resolved earlier with a more robust ERA process? If the answer makes you uncomfortable, it’s time to take action.

What ERA strategies have worked well in your claims department? Or what challenges are you facing in implementing ERA? Share your experiences in the comments below – let’s learn from each other!

Negotiation Strategy: Going to the Balcony

The balcony in negotiation is where to go to see the big pictureTake In The View From The Side Line

Lawyers and claims professionals evaluate a case and expect it to settle in a certain range.  They also expect the other side will act in a certain way on.  When the negotiation does not go as expected, we react.  The reaction is instinctive and emotional.  Hey, we’re human.

One of your strategies when the other side attacks you or your client or your case evaluation, can be to go to the balcony.

Bill Ury, in Getting Past No, expounded upon this strategy.  If you assume the negotiation is taking place on a theater stage, going to the balcony of the theater can give you a broader perspective of what’s really going on.  It has the following salutary effects:

  • It distances you from the fray.
  • It calms your reactive mind.
  • It allows you to slow down the negotiation.
  • It affords you time to name the game the other side is playing and decide how to react logically, as opposed to emotionally.

When negative emotions come up, and they will, take a deep breath.  Take a time out, either literally or figuratively.  Think it through.  As Ury says, “Keep your eye on the prize.”

Be proactive about emotions in negotiation.  They always surface—your client’s as well as yours.

We all know the slogan, “Don’t get angry, get even.”  In negotiation, it’s not about getting angry or getting even.  It’s about getting what your client wants, which is the most value from the negotiation.

Getting More in Your Negotiations

Negotiate to get more

Getting More by Stuart Diamond

I just read a fabulous new book by Stuart Diamond, negotiation expert and professor at The Wharton Business School, called:  Getting More.  If you want to get more out of your negotiations, get Getting More today!

Professor Diamond outlines, and then explains, 12 negotiation strategies.  His rationales are likely to make “hard” bargainers second-guess strategies that may (or may not) have worked for them in the past.  At a minimum, adding these strategies to your skill set will broaden your negotiation worldview.

To give you a flavor of Professor Diamond’s thinking, here are the strategies in summary form:

  1. Goals are paramount.
  2. It’s about them.
  3. Make emotional payments.
  4. Every situation is different.
  5. Incremental is best.
  6. Trade things you value unequally.
  7. Find their standards.
  8. Be transparent and constructive, not manipulative.
  9. Always communicate, state the obvious, frame the vision.
  10. Find the real problem and make it an opportunity.
  11. Embrace differences.
  12. Prepare—make a list and practice with it.

Diamond uses a simple comparison to recommend his strategies:  “It’s the difference between saying ‘I play football’ and ‘I play professional football.’”

If you want to negotiate like a pro, buy the book.  Read the book.  Improve your negotiated outcomes.  And, be sure to let me know how it worked for you!