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Related Experiment Videos

Risk management and the claims process

M Savage1

  • 1Medical Liability Mutual Insurance Co., New York City, USA.

The New York State Dental Journal
|June 27, 1998
PubMed
Summary
This summary is machine-generated.

This article examines risk management techniques for claims investigation and evaluation. It highlights their role in assessing liability and provides insights from a medical liability insurer's claims experience.

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Area of Science:

  • Risk Management
  • Insurance Claims Analysis
  • Medical Liability

Background:

  • Effective risk management is crucial in the insurance industry.
  • Claims investigation and evaluation are core processes for insurers.
  • Understanding claims experience informs risk mitigation strategies.

Purpose of the Study:

  • To explore risk management techniques in claims handling.
  • To analyze the role of these techniques in claims investigation and evaluation.
  • To present the claims experience of a specific medical liability insurer.

Main Methods:

  • Review of risk management techniques.
  • Analysis of claims investigation elements.
  • Case study of Medical Liability Mutual Insurance Co. claims data.

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Main Results:

  • Identification of key risk management strategies applicable to claims.
  • Overview of the standard components of a thorough claims investigation.
  • Presentation of specific claims data and trends from the case study.

Conclusions:

  • Risk management techniques significantly influence claims investigation outcomes.
  • A systematic approach to claims investigation is essential for accurate evaluation.
  • Insurer claims experience provides valuable data for refining risk management practices.