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Lanzko Insights/The Claims SPOT
  • Coverage

    4 Key Areas For Claims Handlers To Review When Dealing With Follow Form Policies

    ByMarc Lanzkowsky April 15, 2010April 20, 2010

    A follow form excess or umbrella policies is a type of policy were the terms and conditions of an underlying layer of coverage are adopted and incorporated into the “following” layer. While these policies may still have independent provisions and exclusions, they will nonetheless relate back to the underlying, “followed” policy, for most of the terms. In many situations this way of handling excess coverage prevents inconsistencies and ensures there are no gaps in coverage. However, in complex matters involving multiple layers of coverage, or when the language conflicts with the underlying layer, many problems can occur. In claims involving these types of policies, claims handlers must fully analyze all the terms and conditions of all the policy provisions to truly understand the coverage applicable. This weeks post give 4 key areas for claims handlers to consider when dealing with follow form policies.

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  • Claims Technology

    New Claims Technologies To Help Companies Drive Revenue And Differentiate Themselves

    ByMarc Lanzkowsky April 12, 2010April 12, 2010

    New Study By The Gartner Group Shows 10 Technologies With The Greatest Impact For The Property/ Casualty Industry To Drive Revenue. In this post I comment on 4 solutions that can have a dramatic impact on claims and improve bottom lines. Failing to adopt new technology will put companies at a competitive disadvantage. Every company should look to evaluate their current systems and offerings and create a strategic plan to keep up-to-date with software and solutions. Staying ahead of the curve is a sure way to help drive costs down and stand out from those who don’t.

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  • SPOT on Costs

    Cutting Costs Without Overloading The Claims Handler – Part 2 Of The Series

    ByMarc Lanzkowsky April 6, 2010April 6, 2010

    In part 2 of this series on cutting cost without overloading claim handlers I given an example of hiring a part-time employee to review legal bills. As noted, sometimes specific types of work, such as legal bill review, subrogation and anti-fraud, can best be handled by dedicated resources. Hiring a part-time employee that can focus on an area of claims is sometimes the best way to get results. Overworking claims handlers with additional tasks not part of their core job function – to evaluate and settle claims – can result in some aspect of their job suffering. Key cost cutting initiatives, such as Anti-Fraud and subrogation recovery, get put aside by the handler and never get the fullest attention needed to be successful. Take a look at the latest example of solutions that work.

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  • SPOT on Costs

    2 Cost-Cutting Solutions To Get Work Done Without Overloading Claims Handlers

    ByMarc Lanzkowsky March 31, 2010

    Too Many Tasks, And Hiring New Staff Is Not An Option? (Part One of Two) Not every company can afford to hire dedicated teams to focus on cost-saving initiatives such as subrogation or Anti-Fraud. Sometimes there is simply not enough work to justify a full-time position internally. Regardless, failing to focus on cost-saving programs can…

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  • Medicare Secondary Payer | SPOT on Ops

    Medicare Secondary Payer Enhancement Act Being Introduced in Congress Could Address Many Concerns of Section 111 Reporting

    ByMarc Lanzkowsky March 23, 2010June 1, 2010

    Dealing with MSP Can Feel Like Walking Into a Maze The Medicare Secondary Payer Enhancement Act of 2010 (HR 4796) is a new piece of bi-partisan legislation introduced on March 9, 2010. It is designed to streamline Medicare Secondary Payer reporting and provide some finality for insurers required to reimburse Medicare for “conditional payments” of…

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  • Commentary | My SPOT | SPOT on Costs

    The 5 Essential Components of Defense Attorney Reports That Can Improve Claims Costs and Outcomes

    ByMarc Lanzkowsky March 14, 2010March 17, 2010

    Why are Attorney Evaluation Reports sometimes so light? I was recently conducting an audit of claim files and had the opportunity to review a significant number of Attorney Evaluation reports from a variety of law firms. Like many other things in life, some were better than others. What seemed to be most glaringly consistent was the inability of counsel to truly provide an assessment of exposure and what the case is worth. Every counsel evaluation report should contain 5 basic components that I outline and attorneys should be required to provide their actual valuable opinion. [More…]

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  • SPOT on Ops

    Considering Forming a Captive? Maximize Your Claims Benefits In 3 Steps

    ByMarc Lanzkowsky March 10, 2010March 16, 2010

    The Benefits Of Forming A Captive Are Great – IF – You Set It Up And Manage It Correctly The use of captives as an alternative means for managing risk is growing rapidly  (read a nice overview of captives at the Captive Counsel Law Group). Changes in laws, increasing tax benefits and control over assets…

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  • Commentary | Medical Malpractice | My SPOT | SPOT on Costs

    Saying “I’m Sorry” Can Reduce Exposure to New Claims

    ByMarc Lanzkowsky March 5, 2010September 6, 2011

    It may seem counter intuitive, but with the right technique a heartfelt apology can help lower claims costs and exposures There is a wave of civility sweeping through the world of risk management as a way to lower exposure and reduce costs: Apologize. Maybe mom was right when she stood there and said “now say you’re sorry.” In fact, there are some very impressive statistics in the area of medical malpractice around the simple use of an apology. Regardless, there is a proper way to apologize while protecting rights and some policy considerations to consider.

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  • Best Practices | Compliance | SPOT on Issues | SPOT on Ops

    7 Considerations When Drafting Claims Guidelines

    ByMarc Lanzkowsky March 1, 2010May 9, 2012

    Claims departments employ professionals that want to do a good job for policy holders as well as the company, and claims guidelines should help foster those goals. Before drafting guidelines there are a few things that should be considered and we, along with our fellow blogger Phil Loree, suggest 7 things a company should consider when drafting claims guidelines.

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  • Litigation Management | SPOT on Costs

    Thinking Outside The Box: Litigation management program initiatives can substantially lower costs

    ByMarc Lanzkowsky February 25, 2010January 24, 2013

    Managing litigation is an easy way to save extra expense costs on claims files. A strong litigation management program designed to help foster improved communication, and streamline defense of insureds, benefits all parties involved. As I wrote about the cost savings benefits of out-of-the-box claims handling, using new and forward thinking strategies for litigation management is an excellent way to save money. Using specialized vendors, claim handlers can further control legal costs as well as enhance their defense.

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