A claim for
expertise and service
A treaty with Munich Re provides much more than reinsurance protection.
Claims management services is one key value added benefit.
We know what
our clients expect when it comes to claims management: expert advice
and timely service. To deliver on that expectation, Munich Re provides
a full range of expert claims services, including Claim Reviews,
Special Consultations and Training.
professional claims services department is comprised of seasoned
claims consultants with many years of successful experience in the
direct insurance and reinsurance industry, all well qualified to
assess claims department operations and offer advice on best practices.
Our consultants also hold positions on the claims executive committees
of both the CLHIA and the LIIC. Whether expertise is needed on individual
or group life and disability, individual or group critical illness,
or long-term care, Munich Re is there to provide innovative, professional
claims management solutions.
Effective claims management is a critical aspect of an insurer's
overall success, and one that must be diligently monitored to ensure
the proper utilization of current best practices. This is a core
service for our clients. Munich Re's Annual Review service provides
a thorough, regularly scheduled assessment of the effectiveness
of your company's claims management practices.
are also conducted based upon requests from clients who are in need
of a periodic extensive assessment. Munich Re's experienced consultants
can also be counted on to lead claims purges; an in-depth review
of a specific block of claims that produces recommendations for
better case resolutions.
and purges are also available to non-clients on a fee for service
basis and for clients, in the case of non-reinsured blocks of claims.
Focused reviews for the following may also be performed: rehabilitation, surveillance, transition from "short-term to long-term" disability, internal audits, medical consultant assessment, etc. The specific goals of focused reviews are outlined below:
- To measure and detail level of activity per file
- To evaluate the quality of intervention and report provided
- To assess the appropriateness of referrals for intervention
- To assess the effectiveness and cost of intervention per file
- To establish criteria for the seamless transition of claims
For complex or challenging claims, our claims professionals can
provide Special Consultations, offering guidance and a fresh perspective.
In many cases, this type of consultation is required for resolution
of specific claims. Individual case resolution may not always be
the only consultation required. Difficulty resolving some cases
may be the result of a procedural or structural issue, which can
be identified by our experienced claims professionals.
on departmental operations provide companies with advice on how
to most efficiently structure their claims departments and how to
most effectively partner with other claims service providers, such
as rehabilitation firms. Munich Re clients also have access to professional
consultation on litigation issues with a focus on the best approaches
to litigated claims, to optimize claims settlement costs.