Combating Insurance Claims Fraud

whitePaper | December 2, 2019

Professional liability insurance can be an awkward topic for brokers, as it sometimes entails reminding accomplished professionals that they need protection from their mistakes. However, law firms understand the value of specialized expertise – especially when it comes to the coverage afforded by their own Lawyers Professional Liability Insurance.

whitePaper | January 4, 2020

A self-insured lender assumes all risk and absorbs any losses that occur. The greatest disadvantage of self-insurance is that risk is not transferred. To minimize uninsured losses, some self-insured lenders add follow up procedures such as: Requiring evidence of physical damage insurance at the time of loan closing.

whitePaper | November 20, 2019

In fact, the Coalition Against Insurance Fraud indicates $80 billion of insurance fraud occurs in the U.S. every year.1 But given the often-intangible nature of insurance fraud, this is hardly a firm figure and doesn’t precisely identify operational costs incurred. With many forms of insurance fraud going unchecked, the actual amount of fraud loss insurers is dealing with — both in the U.S. and abroad — is often an educated guess at best.

whitePaper | January 14, 2020

After months of strategy and budget meetings, you’ve got the green light – it’s time to begin building your company’s quality assurance program. But are you prepared for the realities of the creation process? Can you address the inevitable questions and setbacks as they appear?

whitePaper | November 12, 2019

A carrier’s quality assurance process is the backbone of its success. While not as well-known as underwriting or claims adjusting, QA is a vital part of insurance operations. QA auditors assess open, denied and paid claims to determine if avoidable errors occurred during processing, adjusting or settlement. Their reviews track performance against business standards and help improve internal operations and claim quality. QA gives employees vital information with teachable

whitePaper | November 29, 2019

Insurance carriers have invested a great deal in digital capabilities in recent years. While these initiatives reflect a genuine need to be more efficient and profitable, it can be difficult for management to maintain a clear perspective on strategy in the face of what amounts to generational change. Accordingly, whether you’re embarking on a digital transformation or just making targeted improvements, there are a few important things to keep in mind.