Denise Miles

Looking for a Claims Management System and facing the Build vs. Buy decision?🤔 Should you struggle with the complexities and costs of building in-house and getting exactly what you need, or should you leverage a CMS that’s available out-of-the-box? Our latest blog explores the various considerations of Building vs. Buying a claims management system, and ends with a clear, resonated answer. https://lnkd.in/eZ6bV3ai #ClaimsManagement #InsurTech #Innovation #CMS #BuildVsBuy

8

[What'sNew] After 7 years of ongoing #FraudulentClaims totaling $10.7 million since 2010, justice is finally served this year. How did a senior executive at Chubb Insurance Singapore flee detection for so long? Dive into the details of this prolonged oversight: https://buff.ly/4bhNvrv Looking for prevention? Enable real-time detection with over 50% reduction in false alarms compared to traditional fraud detection systems at https://lnkd.in/gnsdz5G4 #KewMann #PredictInfluence #InsuranceFraud #FraudDetection #AIDetection #KewDetect

4

Cadence Insurance specializes in helping clients proactively reduce controllable loss exposures, improve their risk profile, experience fewer claims, and control the cost of risk. Our ultimate focus is on the direct and indirect costs of risk and insulating organizational assets. Loss analytics and a comprehensive risk assessment of your operations and safety programs are starting points. We then tailor loss control programs to your unique needs. Let one of our experienced risk advisors help improve your organization’s performance and safeguard your assets. Learn more at https://lnkd.in/g__bwTTz.

32

📢 Okay #insurance professionals, here's what no one is telling you: Your current #RiskAdjustment program probably can't support independent #BulkRecord upload requests if you manage a large member network. 🌐 Fortunately, you can personalize and simplify your release of information (#ROI) process with help from a qualified ROI vendor. Don't know where to start? Read the article below to see how ChartRequest reinforces health information exchange (#HIE) with compliant transfers, quality reporting, and remote white-glove support! 🌟🌟🌟 We answer 12 questions you might have about streamlining your #RiskManagement workflow. https://hubs.li/Q02xZTyF0

7

Always try to maintain excellent cycle times for: • First contact • Submitting the estimate after inspection • Any file revisions requested by a file reviewer • Overall timeframe of claim ownership Cycle times are arguably the most important part of the claims process. IA firms and carriers monitor them religiously on a daily basis. Although IA firms offer ample support to help adjusters in this area, they typically will not allow repeatedly poor cycle times to persist. Adjusters who have difficulty maintaining proper cycle times may simply need training or better understanding of their importance in the claims process. If training doesn’t remedy the problem, the company will usually administer warnings and if the problem continues to persist…they may discontinue using the adjuster for claims work. #pacesetterclaims #setthepace #tipsandtricks #tips #adjusters #fieldadjusters #catadjusters #catseason #stormseason #adjustertips #adjustertipsandtricks

21

The Different Insurance Adjuster Jobs and Roles for Licensed Independent Adjusters by Chris Stanley, IA Path There are many different adjuster jobs and roles in the insurance industry. The world of claims adjusting is a world of many opportunities. When I first got started I had no idea how many different types of adjusters there actually were. I was unaware of the different roles and work someone with an adjuster license could actually do. In this article, I’m going to be giving an overview of the different insurance adjuster jobs and roles that a licensed independent insurance adjuster can do. To begin, we need to review what an independent adjuster is and how it is different from other types of adjusters. READ THE FULL ARTICLE HERE: https://lnkd.in/egmia4SS

9

Even though you can't prevent a claim, you can still prepare for it. Understanding who is involved and how to prepare for the claims process will help ensure that you can solve the issue quickly and get back to business. https://ow.ly/OHYM50RrggW #ClaimsProcess #ClaimsManagement #Insurance

35

Almost every organization faces commercial liability exposures. These exposures stem from the kind of work an organization performs and where that work is executed. #LiablityInsurance #MDP

11

Adjusters Share Realities of High-Stress Claims Industry on Reddit: Claims adjusters on Reddit reveal that there are no stress-free positions in the industry, highlighting the pressures and challenges across various types of claims.

10

7 Comments

Why Underwriters Take Screenshots of Secretary of State Websites The underwriter likely takes a screenshot of the Secretary of State's website when doing a business search for a few key reasons: https://lnkd.in/gjzk7wEf

1

The National Council on Compensation Insurance, Inc. (NCCI) assigns experience modification ratings based on how your company's safety and loss prevention metrics compared to companies of similar classification. Our average member ex mod rating is .80. #exmod #services #safety #prevent #injury #claim #management #alabamaemployers #workerscomp #selfinsured #alabama #thefund

4

Reduce your cycle times and create a seamless workflow from inspection to estimate to desk. Hancock Claims Consultants provides fast and accurate estimates that have big benefits for you and your policyholders: ➡️Lower Costs: The powerful combination of our large field network and our leverage of technology enables us to provide this service at a fraction of the cost of traditional field methods. ➡️Days vs. Weeks: Our estimating service delivers estimates to an adjuster’s desk in days rather than weeks, enabling faster claims adjustment, closure, and a much-improved policyholder experience. ➡️Scale When You Need It: Our estimating service is performed by Hancock’s large national team of highly trained field inspectors, which allows us to respond quickly to carriers whenever demands arise. Schedule your estimates with Hancock Claims, the largest network of property inspectors nationwide: https://hubs.ly/Q02qMH0N0 #HancockEstimating #RapidEstimates #AdjusterEfficiency #ClaimsAcceleration

8

1 Comment

As cyber risks proliferate, #CyberInsurance claims are rising in frequency and severity. Help your clients understand how a #CyberPolicy can help protect them. Download our free eBook today: https://hubs.li/Q02vFnMH0

3

Florida Supreme Court Rules on PIP Insurance Reimbursements: The Florida Supreme Court clarifies the reimbursement policies under personal injury protection (PIP) insurance, upholding insurers’ rights to limit payments in Allstate vs. Revival Chiropractic. #Auto #Liability #Legislation #Regulation #InsuranceIndustry

2