claims administration

Solutions that work, Results that Last

Third Party Property and Casualty claims administration services are available for a broad range of clients and programs covering an extensive variety of risks. Cost savings are a top priority for our clients and other responsible parties. JUSTCLAIMS’s objective is to provide thorough, consistent and conscientious management and administration from the first report of a claim through its successful resolution. Services are available for self insureds, self insured retention organizations, captives, MGAs, public and private entities and associations.

The JUSTCLAIMS team develops customized programs for each client to ensure their particular needs and goals are met. These programs consist of short and long term objectives with a supporting program structure, including specific claims handling procedures, resource allocation and performance measures. The result of this process is a planned method that ensures strategies are turned into actions, accountabilities and positive results. JUSTCLAIMS combines high value risk administration and management services with proven solutions to deliver superior results.

Effective claims handling is critical to ensure cost control over both indemnity payments and loss adjusting expenses. Our experienced staff is committed to the successful and intelligent resolution of claims. Most claims can be handled in house, however, we also utilize only the best performing experts in their field when the need arises. We actively manage and review the performance of our approved professionals and vendors to guarantee first rate service and work product. We have developed litigation and vendor management guidelines which set clear expectations for the standards and performance we seek, while helping to control costs.

As a member of your team we understand the importance of maintaining effective channels of communication. We always keep you and other interested parties advised of new developments as they occur. We pride ourselves in providing timely and accurate notification of claims and meeting scheduled reporting requirements. Internal Claim audits are performed regularly and in conjunction with clients, carriers, defense counsel and other interested parties to ensure open lines of communication, strategic claim handling and accurate reserving. 

JUSTCLAIMS is a strong proponent of technology and has invested in the latest leading edge software, systems, services and training to effectively and efficiently manage the claims lifecycle. Claims handling is only the beginning of a successful administration program. The information that is gathered contributes to a vast warehouse of data and creation of an extremely valuable knowledge base. When properly mined through the use of sophisticated reporting tools and then analyzed, this information can assist you with the development of proactive loss prevention and control techniques and allows us to assist you, your broker and/or the carrier in the creation of alternative risk programs and/or a better suited policy structure.

Services include:

Centralized claim set up, bordereau and loss run reporting, claim acknowledgments, immediate claim contact, field investigation, formal file reporting, scheduled claim reviews, review of first reports for problematic claims, escrow fund management, maintenance of check registers, procedural set-up, customized management reports, management of outside claims investigations, litigation management and other administrative services customized for each client.

In addition, JUSTCLAIMS provides consulting for the analytical needs of clients in the areas of claims management, claims administration, reserve review, auditing and risk program purchasing.