What do you do when you have reached an impasse or claim progress has stalled?
What are your options when a decision is being challenged by the claimant representatives or there have been allegations of partiality on the part of your adjusters/handlers?
Is it inevitable that positions become polarised, communications break down and the subsequent dispute runs headlong to litigation and becomes a “hospitalisation” case?
You will always be looking to ensure that Customers are treated fairly but that policy indemnity is not exceeded, that the claim in not prolonged and that costs are not allowed to escalate disproportionately.
One option is a “Second Look” or “Peer Review” by a truly independent party.
This can encompass:
- Re-examination of facts and causation
- Re-appraisal of policy application
- Detailed quantum examination
- A comparison with Best Market Practice
- A relational “fresh start” – with a change of representative
- Claim strategy revision
- Solutions on a more enterprising /innovative basis
At Adjusting Solutions we have experience in dealing with the most taxing of insurance claims and disputes. With backgrounds in commercial business, IT, finance and accountancy as well as insurance underwriting and claims we are well placed to quickly gain an in depth understanding of all aspects of a claim and insured business.
Thereafter we can raise and discuss the “thorny issues” succinctly with the key decision makers and pave the way to a commercial conclusion or, if that is not possible, a position that will stand court scrutiny.
The potential benefits are:
- Reinforced support to all correct handling and decisions
- An opportunity to reassess “grey” or dispute aspects
- A kick start to stalled negotiations and a new impetus to closure
- Revised strategy to closure without the stigma of unsatisfactory past performance
- An Insured who believes that they have been “fairly treated” even if the decision is still negative
- Compliance with Law Reform ADR expectations and FSA requirements
- Closure, on an accelerated time scale
