Faulty Work & Claims Reporting

Posted by Albert Sica on Mar 6, 2019 10:22:10 AM

I came across an interesting case that illustrates how critical it is to properly notice a “downstream party” of a claim (or potential claim) and require proof that notice was filed with their insurer.

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Topics: Claim Reporting, Claims Handling, Claims Management, Claims Management Process, Risk Management Assessment, Total Cost of Risk, Total Cost of Risk (TCoR), what is total cost of risk, total cost of risk definition

Premises Liability

Posted by Albert Sica on Sep 27, 2013 1:17:37 PM

The-ALS-GROUP-PROPERTY-LIABILITY.jpeg

Jury verdicts for premises liability against those who own or manage land, stores, taverns, shopping malls and apartment complexes just keep climbing. A few California verdicts include a $7.5 million judgment after a chiropractor slipped and fell in a Starbucks and a $55 million verdict for a gang-related shooting against a security company that oversaw on-site safety at an apartment complex.

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Topics: Claim Reporting, Claims Handling, Claims Management, Construction, Limit of Liability, Property Risk, Real Estate, Risk Management Blog, Strategic Risk Management, Total Cost of Risk (TCoR)

The Value of the Incident Report

Posted by Albert Sica on Sep 12, 2013 2:17:32 PM

Even when no injury occurs, after any workplace incident or accident, a written incident report allows a timely investigation. Some incidents are minor and need only slight fixes to prevent their recurrence. However, in more serious situations where a serious injury or property damage could have or did occur, a subsequent failure analysis allows management to determine how to best prevent similar occurrences.

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Topics: Claims Handling, Claims Management, Claims Management Process, Construction Accidents, HCP, Human Capital, Risk Management Blog, The ALS Group, Total Cost of Risk, Worker's Compensation

Construction and Certificates of Insurance - Are You Covered?

Posted by Albert Sica on Jun 6, 2013 2:30:38 PM

One of the most commonly found clauses in any construction contract is the requirement of one party to name another party as an additional insured. It is found in The American Institute of Architects (AIA) documents, the Consensus DOCS, and was inserted in almost all manuscript agreements.

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Topics: Claim Reporting, Claims Handling, Claims Management, Claims Management Process, Construction, Construction Accidents, Healthcare, Human Capital, Real Estate, Risk Management Blog, Strategic Risk Management, Total Cost of Risk, Total Cost of Risk (TCoR), Worker's Compensation

ACA-Related Whistleblower Claims

Posted by The ALS Group on Jun 5, 2013 12:19:18 PM

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Topics: Claim Reporting, Claims Handling, Claims Management, HCP, Healthcare, Human Capital, Human Capital Practice, Risk Management Blog, Worker's Compensation

Can You Identify Red Flags in the Life of a Workers' Injury?

Posted by The ALS Group on May 15, 2013 12:51:26 PM

Certain indicators early in the life of a workers’ injury are red flags — a strong possibility your employee’s healing will be delayed or that the claim may be fraudulent. If you notice any of the following signs, discuss the claim with your adjuster as soon as possible. Once the management of a workers’ compensation injury goes astray, it is usually difficult to bring it back to center.

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Topics: Claims Handling, Claims Management, Claims Management Process, HCP, Human Capital, Human Capital Practice, Risk Management Blog, TCoR, Total Cost of Risk (TCoR), Worker's Compensation

How Good is Your Insurer at Handling Claims – Know Before You Buy

Posted by Albert Sica on Mar 12, 2013 11:38:09 AM

When business owners shop commercial insurance coverage, the solvency rating of the proposed insurance company is one critical factor they consider. However, savvy commercial insurance buyers should consider another vital factor — how will the proposed insurer handle your claims?

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Topics: Claim Reporting, Claims Handling, Claims Management, Claims Management Process, Strategic Risk Management, Worker's Compensation

Claim Letter Templates - OK In Theory, But Not In Practice

Posted by Albert Sica on Feb 20, 2013 10:28:22 AM

I read an interesting article in this month’s Claims Management magazine about claim letter templates. The article was fairly lengthy and discussed how to improve and organize templates to add to claims efficiency (for the carrier). Makes sense, right? Well, maybe...

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Topics: Claims Handling, Claims Management, Claims Management Process

Tough Mudder & Risk Transfer

Posted by The ALS Group on Oct 19, 2012 10:41:35 AM

Everyone has heard of the Tough Mudder event, and if you haven't, check out their website here. This Saturday I will be participating in this torturous event. Why am I doing this? I’m not entirely sure, but I know it is probably bad personal risk management to do so.

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Topics: Claims Handling, Claims Management, Claims Management Process, Risk Management Blog, Strategic Risk Management, The ALS Group

Claims – “How to turn lemons into lemonade”

Posted by Albert Sica on Jul 1, 2011 1:07:00 PM

One of the most misunderstood areas of the insurance business is claims handling. Often mishandled, this function is the reason companies buy insurance. To be certain the following four key elements are being managed effectively, there are several points to remember when evaluating your claims management program:

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Topics: Claim Reporting, Claims Handling, Claims Management, Claims Management Process

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