Gain the Competitive Edge by Strengthening Your WC Subrogation Results By Kathleen Smith CSRP & Donna Geraghty The degree of difficulty for many Workers’ Compensation claims adjusters to focus on the subrogation aspects of the claims assigned to them is rather high. Subrogation recognition and Third-Party recovery are definitely areas often missed by over-burdened Workers’ […]
The Challenge: The underlying WC claim arose out of two separate accidents which both occurred in February of 2006. The first loss occurred on the 10th and the second on the 19th. In both accidents the claimant’s vehicle was rear-ended and she sustained neck-related injuries as well as thoracic strain and a litany of low […]
The Challenge: This workers’ compensation claim was identified by Spartan via a closed file review and involved a Claimant who suffered an injury to his right ear/hearing due to an explosion while working on property owned by a subcontractor in North Carolina. The Worker’s Compensation carrier paid $20,815.88 in medical and indemnity payments. The carrier […]
The Facts: This case involved a $1,077,562 property damage loss for a commercial insurance client. The risk was a grocery store that suffered a large fire loss in June 2009 when it was alleged the adverse party technician left combustible material near the burner assembly of the hot water heater causing a subsequent fire. […]
The Challenge: This Property Claim was identified during our FNOL review and involved an electrical fire loss where payment was made to the policyholder in the amount of $153,569. The fire allegedly started due to a light fixture being installed improperly by the electrical contractor. Unfortunately, the light fixture was not preserved after the fire […]
The Challenge: Claim identified via our First Notice of Loss Program and involved a large fire loss to the insured’s home caused by a fire originating from a neighbor’s home during Hurricane Sandy. The Total Loss of insured’s home brought the paid claim value to $627,629. The property where the fire originated was completely destroyed […]
The Challenge: This claim was identified via our First Notice of Loss Review Program for one of our property clients. The claim involved a loss in which the client insured had placed his neighbor on notice that their tree was a hazard prior to Hurricane Sandy.. The storm caused the tree to fall onto the […]
The Challenge: This claim was identified during our First Notice of Loss Review Program for one of our property clients involving a water damage claim due to a finishing nail which penetrated a pipe in the insured residence during renovations when the plumber failed to install nail guards on two studs where the hot water […]
The Challenge: This automobile PIP Loss Transfer claim involved the insured vehicle traveling on a main roadway near the train station when the adverse vehicle pulled from a stop sign from the train station parking lot directly into the right side of the passing insured vehicle causing extensive property damages as well as significant injuries […]
The Challenge: This claim was referred to us by our transportation client to pursue an uninsured motorist who had caused substantial damages to the client vehicle. All efforts to confirm third party insurance coverage were exhausted by the client prompting referral to Spartan Recoveries. The Outcome: Upon receipt of the claim further investigation and […]
The Challenge: Our client had closed their file noting no potential for recovery in this venue in Manitoba, Canada. The police report had blacked out private information making it difficult to review and identify the adverse party and carrier. We researched further and were able to obtain a report which identified the needed information to […]
How many Workers’ Compensation adjusters, in addition to focusing on the loss evaluation and adjustment process are able to also focus on the recovery aspects of the claims assigned to them? Subrogation and Third-Party recovery is definitely an area often missed by over-burdened Workers’ Compensation claim handlers working tirelessly to make sure statutory medical bills […]
Subrogation professionals are never pleased when a case they are handling reaches an impasse and needs to be shut down, especially after investing a significant amount of time and effort reviewing the claim facts, gathering missing evidence and developing a theory of negligence. But sometimes ceasing recovery efforts is a prudent decision even when the […]
Damages resulting from water are one of the most common homeowner claims and are often very costly. High paid claim dollars can result if the leak is not detected early. Because plumbing is often hidden (running behind walls, in attics and in many instances encased in cement below the floor) water can be running for […]
Workers’ Compensation Direct Action claims are definitely an area often missed by over-burdened workers’ compensation claim handlers working tirelessly to make sure statutory medical bills and indemnity payments are made timely, or argued in front of the WCB. Workers’ Comp Adjusters are also challenged with time management relative to determining ANCR (Accident, Notice and Causal […]
Approximately 15% of claims are closed without identifying subrogation opportunities. Read More
Snow covered roofs contribute to the beauty of the winter season but melting and re-freezing snow can result in mixed success when subrogating on paid snow-removal claims. Read more here
A common reason for failure to obtain a recovery from a municipality is the initial failure to file the required Notice of Claim against the state, county, local government or municipality, inclusive of school districts, incorporated villages, towns, and police departments within the required timeframe. It is always a sad day when a case is […]
After a loss, the first person to be in contact with a policyholder is the first report taker who is trained to listen carefully to the details of the loss being reported and records it accordingly, but who has no knowledge of the ultimate severity of the loss. The carrier field insurance adjuster or an […]
Successful subrogation programs require a strong foundation, strengthened with proven recovery processes and refined with strategies relevant to each line of business. Read more here http://www.propertycasualty360.com/2017/11/17/building-a-successful-property-subrogation-program?slreturn=1517934198
Achieving subrogation success requires a team that understands the concept and the financial impact a good subrogation program can have on the organization. Read more here http://www.rmmagazine.com/2016/03/14/the-benefits-of-a-subrogation-program/
Imagine you are the person accountable for subrogation results within your organization. You believe you have a good subrogation program in place. The claims team is a good mix of seasoned and new adjusters with varying degrees of “subro awareness”. It is the end of the year and the last recovery dollar has been posted. […]
To achieve client loyalty, Spartan Recoveries LLC, a leading provider of subrogation services, has created a client-focused culture for both internal and external customers. Our investment in improving the client experience and consistency in providing top-notch service has instilled trust and created our brand promise. Becoming a trusted partner with a deep understanding of our client’s […]
Many companies and self-insureds frequently leave large quantities of revenue unrecovered each year by failing to properly pursue subrogation interests. read more here
Very often an insurance carrier or self-insured may not have the resources to develop a top-notch internal subrogation team and thus outsources the recovery process to a vendor specializing in subrogation recoveries. In other instances the subrogation vendor acts in the capacity of support to an internal subrogation team by handling overflow or providing special […]
Most subrogation professionals will agree property losses can pose unique challenges for a successful recovery. Very often, expeditious claims handling can have a negative impact on a subrogation opportunity if the adjuster is moving quickly to bring the loss to a conclusion and forgetting about potential recovery opportunities. read more here
Most insurance carriers have long ago recognized the importance of subrogation. Some have developed dedicated departments staffed with highly trained specialists who may work in conjunction with the claims department to handle this function. Others are supported by outside resources to reach their recovery goals. But oftentimes the subrogation process is underutilized or neglected entirely […]
Subrogation on property losses can present a number of challenges for the Property Adjuster who has to balance expeditious claims handling with a thorough investigation in to the cause of the loss. Here are 5 practices that can lead to success in the pursuit of a recovery: Have an Eye for Recovery – Make it a point to […]
The use of technology can help an insurer select the claims with the greatest recovery potential. read more here
Experienced subrogation professionals are usually quite adept at pursuing subrogation opportunities. Most property and casualty claims with recovery potential involve automobile accidents with vehicle damage or more challenging homeowner losses involving a faulty product, improper installations or vehicle damage to a structure. Here are 5 recovery opportunities that should not be missed. read more here
Subrogation programs are often handled in-house, while others are fully or partially outsourced. Each company needs to make a decision on which model will be the most cost-effective and efficient for their organization. read more here