Best Practices
SCS performs the following services, for existing clients, subject to periodic review
and audit by the client, or their authorized representatives:
- Review each claim submitted to determine if such claim is a “qualified claim”.
- Conduct an investigation of each “qualified claim” to the extent deemed necessary
by SCS or client.
- Maintain a electronic file for each claim that shall be available for review by
client, their representative, or their insurers.
- Adjust, settle or resist any “qualified claim”:
- within the “authority limit”; or
- with specific approval of the client if above the “authority limit”; and
- with specific approval of the insurer(s) where required.
- Perform necessary and customary administrative and clerical work in connection with
each claim, including but not limited to the preparation of checks or vouchers,
releases, agreement or other documents needed to finalize a claim.
- Establish and update claim reserves, as needed, on a most probable outcome basis.
- Assist client in establishing a banking arrangement for loss and expense payments.
- Notify client’s insurers or reinsurers of any claim as required and provide
information on the status of such “qualified claim” as required by the client’s
insurance policies or as requested.
- Coordinate investigations on any litigated “qualified claim” with attorneys
representing the client and with representatives of any insurers.
- Maintain an automated loss and information system.
|