Claims Auditing 101: Part 4

Auditing Files in LitigationBy Ken Brownlee, CPCU
March 29, 2012

Claims files end up in litigation for a variety of reasons. Unless the reason for the litigation was intentional on the part of the insurance company or self-funding entity, the litigation may indicate unsatisfactory service by the claims department or an individual adjuster. Litigation is an extra expense on top of the value of the claim, unless the basis for the dispute was legitimate and unavoidable.  read more..