Group4 Claims Management

The Group4 claims management team provides the following services:

Receive first notices of claims by phone, fax, email and regular mail
Confirm coverage
Immediately confirm receipt of claims with a claim number & handler
Promptly contact policy holders, third party claimants and witnesses
Analyze policy coverage provisions and make recommendations to carriers
Take recorded statements; assign field investigators and appraisers
Review, adjust and issue expense payments to vendors
Provide loss data to policy holders and brokers-of-record as required
Monitor for and report fraudulent claims
Issue reservations of rights letters and issue coverage denial letters
Promptly set loss & expense reserves
Select and assign defense counsel
Establish and supervise the agreed-to plans of defense
Make interim progress reports to clients
Report to reinsurers
Report to excess carriers
Report monthly statistical data - Incurred/Paid/Outstanding & Recoveries
Collect deductibles and subrogate
Manage claim payment trust accounts; manage exposure to escheat
Reconcile monthly bank data and Group4 statistical data
Negotiate settlements (this is never delegated to lawyers or other outside vendors)
Obtain settlement releases
Issue settlement checks
Enable carrier access to electronic claim file notes
Interface with carrier data systems
Conduct claim audits
Consult with carrier underwriters on proposed forms and endorsements
Consult with carrier actuaries
Consult with insurance regulators
Comply with Department of Insurance regulations
Archive closed claims for statutory periods