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Thus, the employer is acting as an insurance company and underwrites the risk. The risk of loss remains with the employer, and not with the TPA. An insurance company may also use a TPA to manage its claims processing, provider networks, utilization review, or membership functions. While some third-party administrators may operate as units of ...
Insurance Claims Expert / Insurance Claims Expert Prof./ Practitioner: ICE; ICEP Litigation Specialist / Litigation Consultant: LS-LC Legal Principles Claims Specialist: LPCS Master General Adjuster: MGA Master Public Adjuster: MPA Property Claims Law Associate: PCLA Property General Adjuster: PGA Registered General Adjuster: RGA
Western Mutual was incorporated under the laws of California on March 7, 1942, as a county mutual fire insurer with the title Coast Mutual Fire Insurance Company of Los Angeles County. It commenced business on April 30, 1942. Residence Mutual Insurance Company was founded in 1949.
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Insurance-company claims departments employ a large number of claims adjusters, supported by a staff of records management and data entry clerks. Incoming claims are classified based on severity and are assigned to adjusters, whose settlement authority varies with their knowledge and experience.
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