Can
An Independent P&C Claims Adjuster Help You?
By
William J. Kramer, President, Kramer & Associates,
LLC |
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Storms
blew part of the roof off an appliance company’s 300,000
square foot warehouse in Holland. Several thousand refrigerators
sat in two inches of water. The good news was that the boxes
were damaged but the refrigerators weren’t. The bad
news was that the facility was just a distribution point
for goods manufactured in Italy. With no facility to re-box
the refrigerators, the company faced a very costly business
interruption period.
But,
an independent property and casualty claims adjuster devised
a plan. With the appliance maker’s approval, the independent
adjuster rented a spare warehouse about 25 miles away in
Germany. The independent hired work crews and salvage companies.
Working from 5 p.m. to 2 a.m., the crews transported 6,000
refrigerators to the German facility and re-boxed them.
When the storms first hit, the company estimated the damage,
including business interruption, would top $12 million.
By keeping the refrigerators moving to market and avoiding
business interruption, the independent claim adjuster settled
the loss for $2 million. Both the appliance company and
the insurance company were elated.
Who
May Need An Independent P&C Adjuster
The
case above illustrates one of the main reasons some companies
rely on independent property and casualty claims adjusters.
Independents excel at larger, complex losses. They often
handle property and business interruption losses caused
by natural and man-made disasters, other catastrophic losses,
and environmental contamination. These cases demand a high
level of expertise and great blocks of time. Independent
p&c adjusters tend to have at least 20 years of experience.
They also carry a relatively small number of clients so
they can dedicate more time to the companies they represent.
And, independents tend to specialize.
But,
what exactly is a complex claim? Complex claims, like the
one the appliance warehouse in Holland suffered, usually
involve business interruption. The bulk of the cost in these
claims is in the lost stream of revenue the company suffers.
The company in Holland anticipated xxxx weeks in which they
would not be able to ship any refrigerators from their damaged
warehouse. Each week represented $xxxx in lost revenue.
After just xxxx days, the independent claims adjuster got
the warehouse back on track and the revenue stream continued.
Industries
and manufacturing plants tend to work with independent adjusters.
Industrial claims are more technical than professional business
claims. An investment company with real estate holdings
across the country has risk exposure to fire and natural
disasters, but that exposure is fairly easy to define. However,
a chemical plant that deals with hazardous or dangerous
materials and processes represents a much higher, more complicated
risk. An accident could close the chemical plant down and
cut off its revenue for as long as the plant stays closed.
Having an adjuster who is knowledgeable about the chemical
business in general, knowledgeable about that particular
plant’s operation, and knowledgeable about the facility
and location oftentimes proves invaluable. Such a plant
needs a plan in place to keep capital flowing through any
shut down and to get the claim and damage taken care of
quickly. An independent adjuster is much more likely to
have the experience and the time necessary to work closely
with such a company.
Companies
with significant liability such as school bus companies
or major environmental concerns (oil, gas, mining, etc.)
often turn to independent p&c claims adjusters. For
example, a utility company in Indiana uses an independent
adjuster. Just one of their transformers costs $5 million
to replace. Knowing how to investigate the loss of costly
electrical equipment and get the pertinent information is
critical to the financial viability of this utility.
Companies
who have frequent claims, perhaps 20-30 a year, may also
benefit from using an independent property and casualty
claims adjuster. In such cases, the insurance company often
nominates an independent as the adjuster of record in the
insurance policy. The frequency and magnitude of projected
claims may be more than the insurer wants to handle.
Companies
that feel a need to evaluate their claim procedures, seek
efficiencies, or build a more proactive relationship with
their claims adjuster, often call on an independent. Independents
can help tailor-make the kind of claims procedures and services
a particular company needs or wants. They frequently develop
claim programs directly with the company’s risk manager
covering all the potential areas of concern (what will our
reporting procedures be? what happens if we have a loss
on New Year’s Eve? etc.)
Many
independents sit down with the risk manager and the company’s
insurance broker to discuss where they’re likely to
have their larger losses and how to devote the appropriate
resources to those areas. The independent will usually appoint
an account coordinator who will be available to the company
virtually 24 hours a day. Companies develop more of a personal
relationship with the claims adjuster this way.
Good
Independents Work Well With Insurers
Although
insurance companies have claim staffs, there is little overlap
or conflict between those internal staffs and independents.
Internal staffs excel at handling routine claims. Sometimes
they go beyond the routine and offer some specialized claims
services. However, insurance company claims adjusters have
much larger case loads than independents and usually get
involved only when a claim has been submitted. In special
circumstances, outside the realm of their own claims adjusters,
insurance companies rely on and recommend independents.
Independents
are fiduciary agents of the insurer. They help protect the
rights of the insurer. They also depend on insurers for
recommendations and must establish good working relationships
with insurers so they can provide good service to their
client companies.
How
To Hire Independents
If
you think your company should consider an independent, ask
your p&c insurance broker for a short list that will
pass muster with the insurer. Your insurance company may
or may not be in the selection process, but the insurer
always has the first right of refusal if they feel the independent
is not right for the situation.
Call
in several independents for face-to-face interviews. One
important criteria is the relationship. Your company should
feel comfortable with and communicate easily with the independent.
If you talk with a large independent, find out who your
claims adjuster will be. You don’t want to choose
an independent based on the experience and the demeanor
of one person in the firm and later discover that person
will not be involved in the day-to-day activities of your
account.
Interviewing
Independent Adjusters
What To Ask What You Want To Hear
Tell us about your experience adjusting claims Many years
of experience
Experience in your industry or a related industry
What do you know about our industry Basic knowledge of
your industry
and our company? Evidence that the independent did
some research before meeting you
If we hired you, who would be the The lead adjuster should
be present
lead adjuster for our company?
How many other accounts does he or she handle? Evidence
that the adjuster will have adequate time to work with
you
How will our claims be processed? A well-planned, easy-to-use
system
Tell us about some of your current clients Names of companies
you can call for
assurance of the quality of the independent’s work
Independent should speak positively
about clients and know their needs
What insurance companies do you deal with? Make sure independent
has good working relationships with insurers,
especially your own
When
An Independent Is Not A Good Choice
For
many companies the insurer’s internal claims adjuster
is the best choice. Insurance company adjusters know their
company’s claims procedures, they may have readily
access to training, and can get things done quickly because
they are part of the insurer’s internal staff. If
a business has infrequent claims, has no special needs and
receives good service from the insurer’s claims adjuster
there’s probably no need to involve an independent.
Multi-location
clients are not good clients for an independent. No independent
can handle a company like McDonalds well. Such companies,
with hundreds or thousands of outlets distributed over a
wide geographic area, are best left with the large insurers
who have offices throughout the country.
Professional
businesses -- a law firm, a real estate company, a medical
care organization -- often have few claims and those they
do have are relatively standard. The chances a professional
business needs an independent claims adjuster are slim.
Independent
p&c claims adjusters work well with companies that have
complex claims, frequent claims or special needs. They can
provide a high level of expertise and accessibility to companies
that desire a close working relationship. Ask your insurer
or your insurance broker about independents and whether
one might be right for you..
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