Claims Magazine-January 2015

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  • Claims Ethics

    Gary Jennings

    Recently, I was in the office of our family orthopedist and saw the group's mission statement on a poster. As I read the commitments listed there, it occurred to me that all of these could also apply to claims management, but two of them were especially applicable

  • The Mechanics of Coinsurance

    Barry Zalma, Esq., CFE

    Coinsurance is an often misunderstood term and one that causes frequent dissatisfaction with insureds over claim settlements

  • The Five Pillars of a Provider Network Program

    propertycasualty360

    A strong provider network program is critical to a property and casualty (P&C) insurers cost containment, benefit extension and customer retention strategies. Both in the workers compensation and auto casualty markets, one tremendous opportunity to retain customers and maintain a competitive edge comes from the lower claims costs associated with...

  • Claims against automobile repair shops

    Charles C. Roberts, Jr., Ph.D., P.E.

    Allegations of automobile malfunctions having caused an accident are often the basis for a claim against an automotive repair facility. The scenario usually develops as follows. An automotive repair facility works on a vehicle and releases it to the owner after the repair has been completed. Shortly afterward, the vehicle...

  • Editor's Note

    Patricia Harman

    Welcome to 2015. We get a fresh slate to work smarter, possibly harder, and to continue to make a difference in the lives of all who come in contact with us. Im not a big believer in New Year's resolutions, since theyre usually broken as fast as they are made....

  • Understanding Litigation and Court Decisions — Part 1

    Ken Brownlee, CPCU

    America is the most litigious nation on earth. American jurisprudence is patterned on British common law and follows much the same rules as in our colonial days. Concepts such as innocent until proven guilty, right to a jury trial of one's peers, right of appeal, and the difference between civil...

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