Opinion

Use of Claim Reporting Disclaimers: Impartial, Disinterested, and Without Prejudice

April 23, 2012
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Use of disclaimers such as "impartial", "disinterested", and "without prejudice" can often be misconstrued or have no valid basis for use in claim service documentation and reporting. This article shows where a fault in using those types of statements exist and what steps can be taken to resolve such a concern.

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Claim Investigation: For the Perspective Plaintiff

April 4, 2012
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This article discusses the use of claim service professionals (investigators, surveyors, adjusters) at the juncture between denial of indemnity and litigation, and the cost saving benefits for parties who wish to proceed with recovery on denied indemnity. This begs the question: Do damaged parties who are denied indemnity have an unfair disadvantage against insurers who are able to collect "fresh" evidence close to the date of loss?

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An Empirical Basis for Post-Claim Analytics: Examining closed files

February 13, 2012
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The majority of independent adjusters, claim professionals and claim service vendors have little access to information about post-claim activity. This article summarizes an empirical basis for providing independent claim professionals and other vendors with post-claim data under property coverages such as wind, hail, and other perils involving structures.

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Claim Ethics Question – Deteriorating Trees & Property Damage

March 11, 2011
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Claim Ethics Question - Deteriorating Trees & Property Damage - A deteriorating tree caused damage to an automobile. The facts are laid out but as a claim representative, do you pay or deny?

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