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Claims Services

 

 

Claims are generally handled by commercial insurers or third-party administrators.  Nevertheless, RRGs/Group Captives often rely on a vendor to oversee the claim process and coordinate activities with the outside claim company and defense counsel.  Also, the claims coordinator provides appropriate management reports to RRG/Group Captive members, with analysis such as trends, problem policyholders, and the like.  This process takes time, and the quality added can range from a basic paper-pusher to high value.

 

ART/FDL believes that one claims manager can oversee appropriately 200 claims.

 

The best way to compensate a program claims manager is on a “FEE FOR LIFE OF THE CLAIM”.  The world is a percentage of incurred claims, because “that leads to raising the claims level to increase the claim managers’ income”.

 

The net effect may be equal to 5% of the Gross Premium for a Group Program, where the average premium is $5,000 or less, depending on the Industry the group represents.

 

 

 

 

 

F. Darrell Lindsey

State Approved Captive/RRG Manager

U.S. State Licensed Agent/Broker

 

 

 

 

 

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