This is an excerpt from CaseGlide’s Definitive Guide to Transformational Improvement in the Insurer LegalDepartment which you can download here.
Issues in Insurer Legal Departments:
- Background on Insurance Claims Litigation Case Management Software Systems:
The issues in insurer legal departments stem from one simple truth that is rarely uttered – the legal system is not an effective place to adjust insurance claims. Although insurers have a duty to pay covered claims and deny those for which there is no coverage, the truth is that lawyers, judges, and juries are more likely to make matters worse than uphold a policy provision. Long ago, intelligent insurers acknowledged that they owed a duty to their shareholders and policyholders to prevent the courtroom from unnecessarily draining more money out of the policyholders’ reserves.
With that acknowledgment came the responsibility to try to control the litigation process as much as possible internally, rather than delegate claims to lawyers. Unfortunately, most insurers would agree that their legal departments have not made enough progress in managing litigation to solve the fundamental problems. In this article, we discuss the evolution of the insurer legal department and what the leading insurers are doing today to manage litigation with technology.
This article on claims litigation management software was originally published in Insurance Innovation Reporter.
Insurance claims organizations are among the most astute users of information technology when it comes to fraud: just as insurers’ IT departments are in a constant competition with hackers, claims departments and their special investigations units (SIUs) are applying the latest technologies to stay a step ahead of the fraudsters. And yet when it comes to claims litigation, insurers are typically employing legacy technologies and procedures that are causing significant losses.
Just as technology is providing new ways of detecting fraudulent claims activity, analysis of prior claims litigation can yield valuable insights into present cases. Here are three ways to determine whether your claims litigation teams lacks the technology and tools to optimize case management and improve bottom line results …