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Claims

1 min read

The Claim Signal That Never Gets Filed

Every claims organization has two systems of record. One is the claim system. The other is an inbox. The first is governed, audited, and reportable....

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2 min read

The Loss Ratio Is Decided in the Inbox...Before the Adjuster Opens It

The most consequential moments in a claim happen before the claim is ever opened. A demand letter lands in an adjuster's inbox at 4:47 PM on a...

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2 min read

Understanding Policy Voids: Essential Insights for Insurance Claims Handling

Executive Summary In the insurance sector, the integrity of information provided by policyholders is paramount. When an insured party breaches a...

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3 min read

Managing Claims Entropy: Applying Thermodynamic Principles to Enhance Insurance Operations

Executive Summary In the insurance industry, the concepts underpinning thermodynamics offer a compelling framework to understand and manage the...

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1 min read

AI in Insurance Claims: Balancing Innovation with Legal Obligations

Concise summary of the key elements from "When Algorithms Deny: AI and the New Frontier of Bad Faith" (originally published on JDSupra by Cozen...

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4 min read

From Sequential to Simultaneous:A Claims Expert's AI Reality Check

This guest article from Friendly first appeared HERE Like many claims professionals, I had developed a trusted process over the years—structured,...

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2 min read

Delivering Claims Results — Part 1: Exposing Hidden Claim Errors

This guest article from Elysian first appeared HERE Welcome to Part 1 of Delivering Claims Results. This series examines how traditional QA misses...

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4 min read

When Claims Go Viral: The Rise of Adjusters on SocialMedia

Not long ago, the work of a claims adjuster occurred quietly behind the scenes, often in cubicles, over the phone, or via email. Consumers had a...

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4 min read

Guest Post: Litigation Finance (Litigation Funding) 101

This article first appeared HERE There has been significant press surrounding litigation finance as of late. Particularly, litigation finance has...

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2 min read

The (First Five) Days After A Hurricane: Preparing for Hurricane Season

As the calendar turns to June 1st, a date that marks the official start of hurricane season, insurance professionals find themselves at a critical...

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