Client Services

Claims Advocate

KMRD's claims advocate's goal is to reduce premiums and the overall cost of risk by:

  • Maximizing coverage on first party coverages such as Property.
  • Reducing your average liability and workers compensation losses through aggressive management.

Our claims advocates increase communication and produce results by:

Submitting claims to the carrier in a manner that is designed to trigger coverage when it is not clear.  Lawsuits often include many allegations, some of which are not covered by an insurance policy.  We focus on the allegations that obligate the carrier to defend you and provide coverage.

  1. Preparing Claims Follow-ups to the carriers and Status Updates for you.  We challenge the carrier in several fundamental but key areas:
    1. Description of circumstances that gave rise to the claim.
    2. The current paid, reserves and expenses.
    3. Rationale behind Reserves. We challenge the rationale if it we do not believe it to be valid.
    4. Strategy for resolution. Our advocates coach your claims service providers to change strategies if we believe they are not going to achieve the results you desire.
    5. Estimated Time Frame for resolution. We always push for resolution.
    6. Requests for input from our client on strategies to assist in positioning the claim.
    7. Suggested Risk Control Initiatives to prevent this type of claim from happening again.
  2. Preparing Management Loss Reports for better decision making.
  3. Communicating Loss Trends that assist in establishing risk control initiatives.
  4. Following up on large and red flag losses to ensure the proper attention is being paid by all accountable parties.

We hold our claims advocates accountable for the big picture which is reducing your overall loss picture. 

Claims Success Stories

Claim to Excellence by Mellissa Hilldebrand & Bryant Rousseau of PropertyCasualty360.com

   A success story about the impact of our claims and coverage support. 

Claims Advocacy by Mellissa Hilldebrand & Bryant Rousseau of PropertyCasualty360.com

   A story about our success in running off workers compensation claims quickly, efficiently and effectively!

Jenean Meier Publishes Article: Widespread Heat Wave Calls for Stress Policy

Gerry Sorge Publishes Case Study: When Losses Rise, It's Time to Take Action

Aggressive Claims Management, Collaboration and Contractual Risk Transfer Reduces Premium
   Learn about how our claim management process reduces the cost of risk.

KMRD's Workers Compensation Claims Advocacy Improves Balance Sheet and Generates a Significant Return on Investment

Fire Destroys Key Facility at a Boarding School
   KMRD's Process including Coverage Structure, Claims, and Emergency Procedures Makes a Significant Difference in the Outcome.

KMRD's Property Claims Services Helps Client "Find" Money in Claims While Re-designing Processes for Efficiency

Our Divisions are Frustrated with our Risk Management Department's Ability to Process Claims!
   KMRD assists 2 fragmented organizations structure and organize an efficient claims reporting and processing system.

Claims Announcements

Gerry Sorge Publishes Case Study: When Losses Rise, It's Time to Take Action

From Gerry's Desk - Pennsylvania Rejects Insurer's Right of Reimbursement of Defense Costs

From Gerry's Desk - The Gulf Oil Spill - An Explosion of Claims Expected

From Gerry's Desk - PA Supreme Court declines to hear appeal in Miller's Insurance vs. Gambone Brothers

From Gerry's Desk - An End to Continuous Trigger Coverage in New Jersey

From Gerry's Desk - New Ruling in Pennsylvania Impacts the Implications of the Late Reporting of Claims to Claims Made Policies

Testimonials

"I have never seen follow-up on our claims like they have seen from Gerry."
Owner of a sprinkler construction firm

"Jenean is doing a great job…she is aggressive and on the ball! I did not understand the mess that she has been working with, these people were so negligent and paid no attention to detail….Jenean has been awesome…I catch her working late into the night on occasion and yell at her via e-mail to go to bed…very good find with her Bob!"
Director of Risk and Loss Control commenting on KMRD’s effort in assisting him in handling $8 Million of difficult workers compensation claims

"I have to tell you I was impressed with KMRD today on the call with SUNZ. They were all over the reserve limits and getting everything addressed. With this and the detail workflows, policies, training they have done for us they are worth every penny we may pay them. I bet they can assist us in closing out all of our prior carrier claims."
Chief Administrative Officer  of a publicly held firm with over $200M of payroll, commenting on KMRD’s claims management services

"Putting aside all the other issues which plagued this claim, we did recover $702,120 due in large part to your efforts."
Risk Manager of a NY City University commenting on our efforts in managing a property claim.  This University manages over $6Billion of real estate in the New York City

CLIENT SERVICES:
Sales and Relationship Manager
Risk Manager
Account Manager
Claims Advocate
Risk Control Coordinator