Loss adjusting

CJSC Industrial Risk offers a package of services on claims settlement to insurance companies.

The package consists of the services as follows:

• Claim settlement (loss adjuster services)
• Damaged property examination
• Loss investigation (average commissioner services)
• Loss amount estimation (independent appraisal services)
• Loss documentation examination

1. How should Insurer act upon receipt of a loss notice concerning property insurance contract with having a qualified claims specialist on vacation or ill? What if Insurer does not have any qualified claim settlement employee, because these types of losses come to pass very seldom, and having claims specialist employee is uneconomic? And what if it is supposed that the loss amounts are going to be estimated according to Insured’s cost sheets and there is no possibility of correct examination of these documents to exclude unreasonable costs and surplus payment?

The order of service “Claim settlement” not only makes possible for insurance company to fulfill all obligations before the insured, connected with the declared loss, excluding directly insurance payment, but also it guarantees validity and optimality of the insurance payment.

Within the framework of “Claim settlement” service the following works are carried out:

• Identification of the declared claim, according to the information submitted by the Insured in loss notice, to the correspondence of information in loss notice to of insurance policy conditions.
• Preparation of the list of the documents, which must be submitted to customer for settling the declared claim, and direction of this enumeration to Insured.
• Collection of claim supporting documentation including making necessary contacts and document turnover with the Insured and competent organizations ending on claim dossier formation.
• Claim supporting documentation analysis and examination including:
  1. Defining if the declared claim is covered by policy provision being an insured event.
  2. Defining if there any reasons on partial or full denial for payment of insurance indemnity.
  3. Defining if there are any possibilities of subrogation.
  4. Examination of the cost sheets of reinstatement works submitted by Insured on correspondence to extent and nature of damages done to property insured and policy limits and expenditure provisions.
  5. Agreement of the amounts of insurance compensation with Insured, on the basis of insurance policy conditions and obligations of Insurer on it.
  6. Loss adjuster report conclusion or insurance report issuing.

2. Have to fixate the scene of loss, moreover to make fixation fast and qualified?

“Damaged property examination” service is what you need. Within this service the following works are carried out:

• Damaged property examination and photographing on behalf of the Insurer in the presence of Insured’s representatives.
• AKT of examination conclusion in accordance with Insurer forms for these documents with photographs or survey report enclosure.

3. There was a large in amount and difficult claim reported to Insurer, which came to pass on an insured enterprise. In this case the Insurer may need not only claim settlement services, but engineer’s attention for loss causes investigation, lists of deficiencies reconciliation, damaged property reinstatement projects analysis. The very thing you need in this case is “Loss investigation” service. The service consists of the following works:

• Loss causes and circumstances investigation with assignment to the place of loss including loss investigation commission participation on behalf Insurer.
• Place of loss examination and photographing.
• Reconciliation of the documentation concerning the causes, nature and consequences of loss with Insured on behalf of Insurer.
• Expert conclusion issuing concerning the causes, nature, extent and consequence of loss.

4. The reinstatement works taking to much time, and the Insured wants to receive insurance indemnity before these works are finished. Or reinstatement works are fully completed, but Insured can not support his expenses with documents. This problem could be easily solved with the help of independent appraisal specialist. This is where CJSC Industrial Risk is offering its “Loss amount estimation” service. Under “loss amount estimation” the following works are carried out:

• Preparation and direction to the Insured the demand on receiving of documents and data about the damaged property, necessary for the calculation of loss amount as a result declared loss.
• Loss amount calculation based on the documents and data submitted by Insured and AKT of examination of damaged property, if such examination took place.
• Appraisal report conclusion in accordance with Russian Federation legislation on appraisal activities.

5. Insurer collected all necessary claims supporting documentation and formed claim dossier. But there is a hard decision making process on acknowledgement of the fact the event was covered by insurance policy provisions or on the amount of insurance indemnity. It is the right time to use CJSC Industrial Risk’s offer of “Loss documentation examination” service. This service consists of the following works:

• Analysis of the obtained by Insurer loss documentation to the extent of:
  1. Loss dossier completeness
  2. Presence of deficiencies in formulation or affirmativeness of the documents forming loss dossier.
  3. Confirmation of the fact that the declared loss is an insured event, or the presence of sufficient arguments for no recognition of the declared loss as insured event.
  4. Confirmation of the amount of loss.
  5. Presence of sufficient arguments for partial payment of insurance indemnity, or full denial for insurance indemnity.
  6. Subrogation possibility.
• Expert conclusion issuing.

CJSC Industrial Risk specializes on claim settlement on legal entities property and third party liability insurance policies. The most valuable experience accumulated by our employees is in claims of Russian oil and electrical energy enterprises settlement. Moreover this experience is also related to the services of our average commissioners, appraisals and claim settlement.

Our services are utilized by the largest Russian insurance companies like Ingosstrakh, Rosgosstrakh, Kapital Insurance, AlphaStrakhovanie Group.

In spite of specialization CJSC Industrial Risk is ready to provide services on individual property insurance, excluding automobile insurance.

Our company has developed a complex service contract on claims settlement. Within the framework of this contract conditions the Client has an opportunity of easy and fast choice of needed services utilizing standard proposal form and submitting it to our company via e-mail, or facsimile. The coordination between the sides of the contract with the rendering of each type of service provided is developed to maximal possible comfort for the Client and described in details in the service contract wording.

With a very high quality of our company “Claim settlement” product, our prices are oriented to the level below mid-market prices.