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To evaluate the processing of claims, it is important to establish a mechanism for reviewing the degree to which expected results are being achieved. This will be accomplished by establishing service standards. They are as follows:
- All claims are assigned for handling the same day they are received.
- Confirm Coverage.
- Contact with insured within 24 hours from the date of assignment.
- Contact with claimants within 24 hours from the date of assignment.
- First party claims less than $10,000 will be settled within 30 days from the date of notice.
- For all claims over 30 days old, the file must contain sufficient information to evaluate the exposure for the purpose of establishing a reserve.
- All reserved claims will be placed on a diary system. Progress reports will be placed in the file prior to the file being re-diaried.
- Payment information and claim denial letters will be sent to the agent producing the business and the client or insured.
- All mail will be processed within 72 hours of receipt.
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