We
can work with companies and their underwriters to review existing
claim procedures. Where an insured is dealing with customer complaints
we can work with them to design an effective claim process, one
that ensures claims are handled correctly and consistently from
first notification through to settlement. We can also review a combination
of your systems, staffing and procedures to provide recommendations
for future claim handling.
The fundamental problem facing companies with large
numbers of claims, particularly third party claims, is loss development.
Unless losses are handled correctly from the moment they arise -
which includes having a working reserving process - companies will
continue to see losses escalate well after the policy period may
have expired. As part of our consulting services we offer solutions
to minimise adverse loss development, which can lead to significant
savings in claims and future premiums.
Here are some examples of the types of consulting projects we have undertaken:
- Designing a claim management concept of operation for a large event
- Designing a claim review process for a high frequency low value claim scenario
- Incident and claim management training for staff who deal with customer issues
- Audit of files for reserving adequacy
- Audit of claim process and recommendations on improvements
- Health check of performance of corporate claim unit
- Review of runoff portfolios for reserves and strategy recommendations
- Contract reviews of insurance indemnity clauses for claims issues
- Designing a claim review process that meets corporate objectives and satisfies insurer requirements
- Coverholder or underwriting agent claim review – process, reserves, reporting.
© 2007 Proclaim Management Solutions
Pty. Ltd. ACN 087 666 484
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