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: 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 […]
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 key function of a claims executive’s role is to ensure that the claims department is adequately staffed and trained not only to investigate and negotiate incoming losses, but to reclaim monies paid by pursuing responsible third parties. The executive’s challenge is to maintain a high level of quality in the technical claims process, monitoring […]