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ADMIRAL’S CLAIMS PROCESS: A CASE STUDY FOR DESIGN PROFESSIONALS AUGUST 17, 2010

ADMIRAL’S CLAIMS PROCESS: A CASE STUDY FOR DESIGN PROFESSIONALS AUGUST 17, 2010. Presented by: Admiral Insurance Company Hosted by: OmniSure Consulting Group. HOST. Michelle Foster w/OmniSure Consulting Group. PANELISTS. John Snively w/Admiral Insurance.

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ADMIRAL’S CLAIMS PROCESS: A CASE STUDY FOR DESIGN PROFESSIONALS AUGUST 17, 2010

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  1. ADMIRAL’S CLAIMS PROCESS:A CASE STUDY FOR DESIGN PROFESSIONALSAUGUST 17, 2010 Presented by: Admiral Insurance Company Hosted by: OmniSure Consulting Group

  2. HOST Michelle Foster w/OmniSure Consulting Group

  3. PANELISTS John Snively w/Admiral Insurance John Schietinger Design Professional Consultant

  4. Admiral’s Claims Process: A Case Study for Design Professionals Webinar mechanics / instructions Webinar Goals Poll Fundamental Risk Management Mock Claim Scenario Claim Response Plan & Best Practices Q&A Conclusion

  5. WEBINAR GOALS Understand “Best Practices” for dealing with a claim Understand Admiral’s Claims Response Plan

  6. WEBINAR GOALS Understand “Best Practices” for dealing with a claim Understand Admiral’s Claims Response Plan

  7. WEBINAR GOALS Understand “Best Practices” for dealing with a claim Understand Admiral’s Claims Response Plan

  8. POLL NO. 1

  9. FUNDAMENTAL RISK MANAGEMENT C.L.A.I.M.S.

  10. FUNDAMENTAL RISK MANAGEMENT • Contract Language Contract Management is the process of systematically and efficiently managing contract creation, execution, and monitoring to maximize profit / performance and minimize risk.

  11. FUNDAMENTAL RISK MANAGEMENT • Contract Language • Liability Insurance Professional Liability Insurance protects design professionals from design errors and omissions.

  12. FUNDAMENTAL RISK MANAGEMENT • Contract Language • Liability Insurance • Assign Risk Manager and/or Risk Management Committee Risk Management Committee to review contract, develop checklists, publish QA/QC plan – another set of eyes. Utilize all departments for diverse perspective and teamwork.

  13. FUNDAMENTAL RISK MANAGEMENT • Contract Language • Liability Insurance • Assign Risk Manager and/or Risk Management Committee • Internal Training Train all employees about risk management.

  14. FUNDAMENTAL RISK MANAGEMENT • Contract Language • Liability Insurance • Assign Risk Manager and/or Risk Management Committee • Internal Training • More proactive than reactive As you will see in this webinar, documentation is a key component in the Claims Response Plan / Process.

  15. FUNDAMENTAL RISK MANAGEMENT • Contract Language • Liability Insurance • Assign Risk Manager and/or Risk Management Committee • Internal Training • More Proactive than Reactive • Save Time – Document As you will see in this webinar, documentation is a key component in the Claims Response Plan / Process.

  16. FUNDAMENTAL RISK MANAGEMENT • Contract Language • Liability Insurance • Assign Risk Manager and/or Risk Management Committee • Internal Training • More proactive than reactive • Save Time – Document

  17. MOCK CLAIM SCENARIO Insured: Specializes in structural engineering (roof truss systems and machinery computer aided engineering). Customer: Lumber company. Contract: Insured provides truss software and Engineer service to seal design for customer. Owner: Restaurant owner. Project: 2nd floor restaurant addition. Claim: Software error and lost business.

  18. Risk management support provided by OmniSure Consulting Group, Inc. is not intended nor should be construed as the rendition of legal advice, nor intended to replace legal advice.  Information or documents provided are for illustrative purposes only and are not intended to dictate or replace company policy.  OmniSure is a separate risk management consulting firm only, not the insurance company.  Reporting or discussing events with OmniSure will not constitute the reporting of an incident to your carrier, and will not meet the reporting requirements of your policy. DISCLAIMER

  19. CLAIMS RESPONSE PLAN Step 1 Speak with your agent regarding any potential incident or claim for advice how to proceed.

  20. CLAIMS RESPONSE PLAN CONTINUED Step 2 Report claim to provider per policy terms.

  21. CLAIMS RESPONSE PLAN CONTINUED Step 3 Assemble internal project team.

  22. CLAIMS RESPONSE PLAN CONTINUED Step 4 Gather information and document – Carrier and Insured.

  23. CLAIMS RESPONSE PLAN CONTINUED Step 5 Wait for contact from legal counsel (appointed by Carrier).

  24. CLAIMS RESPONSE PLAN CONTINUED Step 6 Organize your defense.

  25. CLAIMS RESPONSE PLAN RECAP Speak with your agent regarding any potential incident or claim for advice how to proceed. Report claim to provider per policy terms. Assemble internal project team. Gather information and document. Wait for contact from legal counsel (appointed by Carrier). Organize your defense.

  26. Q & A

  27. Admiral Insurance Architect & Engineer Risk Management Website: http://www.omnisure.com/admiralins.html • Self Assessment • Downloadable Tools: Checklists, PM & RM Tips, Performance Improvement Aids, Templates, and Helpful Links • Newsletters • Webinars • Recommended Resources • e-News Alerts / Breaking News • Help: 800.942.4140, Live Chat, or Contact Us Conclusion

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