Practice Area

TPA Service

We provide attorney directed TPA, claims consulting, and outsourcing at reasonable rates. Our experience in the insurance industry handling complex claims and litigation is unmatched.

Practice Area

TPA Service

We provide attorney directed TPA, claims consulting, and outsourcing at reasonable rates. Our experience in the insurance industry handling complex claims and litigation is unmatched.

Claims Approach

When litigation cannot be avoided, it is critical to find the right lawyer for your case.

Attorney and TPA claim handling evaluation and selection is an arduous process with no unique formula for success.  The foremost consideration is to find an attorney or administrator who has the same approach to the claim as the claim representative.

Our philosophy is simple.  Do a detailed analysis of contractual and tort relationships of the parties. Assess potential damages or alleged injuries.  Objectively apportion fault across potential parties. Evaluate all insurance coverages that may be available to all parties.  We then synthesize this information with an aim to reach the desired resolution as quickly and efficiently as possible.

Many factors should be weighed in defense selections.  Specific attorneys should be hired, not the law firm. One attorney should be handling the file to maintain consistency.  Low hourly rates are deceptive. Some attorneys will charge long hours for mundane work at those low rates. Experienced attorneys may charge a higher rate but their work is more focused and effective. Finally, and most importantly, does the attorney have the requisite expertise in the area to provide the proper legal advice to the client? Better to spend more dollars effectively early in the process to get a desirable result.

Our experience translates into insurance coverage counsel contacts, defense counsel contacts, and other insurance industry contacts, to locate the proper attorney or claims administrator for a file.  The same analysis is also available to evaluate an attorney that has been previously handling a case.

Services

We also offer a full range of services.

  • Random sample audit of a claim file population to selected confidence intervals to assess reporting, reserving, response time, issue identification, to measure effectiveness of claims programs.
  • One-time consulting review of an ongoing claim or claims to assess damages, other responsible parties, experts, response time, outside retained counsel handling, long term strategy and recommended actions in the future.
  • Ongoing continuous review of client selected claim files for further handling suggestions.
  • Complete handling of claim file from initial claim, or existing claim to conclusion. Services would involve coverage analysis, initial claim documentation information including contract review, indemnification agreements review, additional insured document review, damages and/or injuries documentation, claim factual investigation review, party identification, liability analysis of claim including other parties, expert witness evaluation of need and scope of review, jurisdiction review, attorney selection and review if applicable, correspondence to appropriate parties and review of responses, further factual investigation as needed, settlement, and release.
  • Attorney and/or expert review of existing claim file and suggestions for further activity, and new attorney and/or expert appointment recommendations on existing files.
  • Coverage analysis only on a claim as to whether it is an insured claim under a self-insured retention; analysis of contract documents as whether claim would fall within another party’s policy
  • Claims handling outsourcing on individual claim or account basis.