Claims
The Claims administration and advocacy practice at The Plexus Groupe provides clients with a single, readily available point of access to carriers in all lines of business. As part of our commitment to service, we assure that all necessary claims resources are made available and coordinated to help you through any claim or potential claim situation. We have the claims and legal expertise to address the diverse types of losses you may encounter and the industry relationships to work with underwriters, adjusters, TPAs, attorneys and others to make certain that claims are handled timely, efficiently and in your best interest under the terms of coverage.
Moreover, prior to a claim, the Plexus claims team will invest the time to understand your internal policies, procedures and programs to assist in best positioning you to deal with anticipated risk. We can help guide you through the various coverage options and wordings available in order to prioritize insurers and fashion an approach to overall claims management tailored to specific objectives. Plexus claims services include:
- Review of emerging case law and other trends impacting claims
incidence and severity
- Explanation of policy provisions and advocacy of appropriate alternatives
- Guidance through the complex legalities of Directors’ & Officers’ and other management liability or specialty insurance contracts
- Advice on carriers’ coverage positions
- Intervention to resolve areas of disagreement, including coverage denials
- Discussion with underwriters, senior management, claims staff and outside claims counsel
- Evaluation of choice of counsel, conflict issues, claims strategy, scope of work and costs
- Communication on significant claims developments
- Monitoring of liability, reserve and payment issues
- Management of the entire claims process, including negotiation of claims resolution
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