Troubled Claims
This means those claims which are in trouble due to-
- Rejections/repudiations
- Disputes in claim amount
- Interpretation of the policy conditions & warranties
- Requisite information which you are not able to comply
- Delay in claims process
Since these claims have already travelled a considerable claims journey and we are engaged in between a detailed scrutiny of such claim is required to be done to arrive at the complications and/or merits of the case. The same will decide on
- Whether the rejected claim is worth pursuing
- What approach should be pursued to conclude to pursue with a complicated or slow moving claim.
Claims Handling on Case basis
Here the policyholder want us to handle a particular claim from the day one. This would involve-
- Coordination with surveyor
- Guidance on Claim Bill & Claims Paper Submission
- Drafting of letter
- Review of claim papers before submission
- Pursuing with Insurers/surveyor for Interim payment if applicable
- Liasoning with insurers & surveyors for assessment
- Review of assessment
- Discussion with surveyor and/or surveyor on assessment before conclusion
- Liason with surveyor for early submission of their final Survey Report.
Claims Handling on Retainer Basis for a Policyholder
This is applicable in cases where the policy holder wants to outsource their claim function on a monthly retainer fees basis. Our advisory will be available a call away. This would involve activities like-
- Reviewing existing Claim process
- Coordination with surveyor
- Guidance on Claim Bill & Claims Paper Submission
- Drafting of letter
- Review of claim papers before submission
- Pursuing with Insurers/surveyor for Interim payment if applicable
- Liasoning with insurers & surveyors for assessment
- Review of assessment
- Discussion with surveyor and/or surveyor on assessment before conclusion
- Liason with surveyor for early submission of their final Survey Report.
Claims Handling on Retainer Basis for an Intermediary
This is applicable in cases where the intermediary wants to outsource their claim function on a monthly retainer fees basis. This would involve activities like-
- Reviewing existing Claim process
- Coordination with surveyor
- Guidance on Claim Bill & Claims Paper Submission
- Drafting of letter
- Review of claim papers before submission
- Pursuing with Insurers/surveyor for Interim payment if applicable
- Liasoning with insurers & surveyors for assessment
- Review of assessment
- Discussion with surveyor and/or surveyor on assessment before conclusion
- Liason with surveyor for early submission of their final Survey Report.
Policy Coverage Gap & Term Analysis
The world is dynamic and hence the business. Owing to ongoing stages of Globalization, the rapidly happening urbanization, newer technologies, laws bring newer challenges and risk exposures in the business. In light of the same, the existing policies need a review. We review commercial insurance policies from perspective of the Coverage opted, Clauses/warranties/special conditions attached to it and provide an independent assessment of the coverage we find and any gaps we observe.