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What is Insured !

Deductibles Exclusions Warranties

The Self-Insured

The Un-insurable

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• Obtain feedback from audience

• Report to Management the findings (If Any)

• To Think “As if we are not Insured”

• Presentation to highlight the main points

Retained Risk

Deductibles/Main

Exclusions/Warranties

Maintenance or insurable

claim ? Measurable ?

The Claim Process &

Procedures

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One: We will review the policy and advise if the claim is payable

or not and why not

Two: If payable we will assist by reviewing every request from the

loss adjuster and assist in preparing suitable answers

Three: Typical situations always require negotiations, and will assist with the negotiations to

reach a suitable conclusion

Four: Normally the difficult claim identifies a gap in the cover, and

will assist in closing the gap in the policy document

The Difficult or Rejected Claims

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Scope of work – Risk Assessment & Policies Review. Bidding & Market Presentation. Negotiations & Final Placement. Annual

Service & Difficult Claims Negotiations

Number of Plants to visits, Number of policies to be reviewed, claims Review & Insurance

Manual & Claims Procedure

Case by case or annual basis

Hourly Rate or

Flat fee

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