Claims Advocacy & Consulting

During the pre-loss phase, we:

• Create the service plan, outlining how we will streamline the claims management process.
• Analyze your past losses and provide recommendations for reducing them going forward.
• Prepare claims special handling agreements and establish financial reporting thresholds with insurance carriers.
• Establish online access to the carrier and third-party administrator website.

If you sustain a loss or are involved in a claim, you can count on your SterlingRisk team to expedite its resolution. Moreover, we will help you understand how to avoid similar losses in the future.

During the post-loss phase of the claims management process, we:

• Advocate for coverage, early intervention, and resolution of claims.
• Negotiate on your behalf for the best possible outcomes.
• Conduct carrier claims reviews and strategy sessions.

The SterlingRisk Complex Claims Team intervenes in any situation where we feel that the insurance company is not fulfilling obligations according to policy terms and conditions. This team, comprised of the company’s most senior executives, offers unparalleled expertise and:

• Aggressively works to maximize first-party benefits and minimize third-party payouts.
• Enlists assistance of actuarial resources to challenge the findings of the insurance carriers’ actuaries on loss payments and loss development factors.

The team successfully has resolved complex claims for many clients, including many of our insureds affected by Superstorm Sandy, to ensure maximum benefits afforded by their insurance policies.