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  2. Accident management - Wikipedia

    en.wikipedia.org/wiki/Accident_management

    Accident management is the centralised handling of a motorist’s claim following a road traffic collision or other damages or mishaps that happen to a vehicle while on or off road. It is a cost-effective intermediary service which assists drivers in getting back on the road quickly and in managing the claims process alone. [ 1 ]

  3. Third-party administrator - Wikipedia

    en.wikipedia.org/wiki/Third-party_administrator

    This term is also now commonly used in commercial general liability (CGL) policies or so called "casualty" business. In these instances, the liability policies are written with a large (in excess of $50,000) self-insured retention (SIR) that operates somewhat like a deductible, but rather than being paid at the end of a claim (when a loss payment is made to a claimant), the money is paid up ...

  4. Delay, Deny, Defend - Wikipedia

    en.wikipedia.org/wiki/Delay,_Deny,_Defend

    Delay, Deny, Defend is a critical exploration of the property and casualty insurance industry, examining how its practices affect policyholders.Feinman, a law professor specializing in consumer rights and insurance law, argues that the industry prioritizes profits over policyholders' needs, often using tactics like delaying or denying legitimate claims to bolster financial performance.

  5. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    A medical biller then takes the coded information, combined with the patient's insurance details, and forms a claim that is submitted to the payors. [2] Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [4]

  6. Property & Casualty Management Systems - Wikipedia

    en.wikipedia.org/wiki/Property_&_Casualty...

    PCMS’ software, Atlas, was launched in 1999 and re-architected in 2020. Atlas is a cloud-based platform designed to handle all core processing needs for small to mid-size property & casualty insurance carriers from; underwriting, claims adjudication, billing & accounting, reporting, along with maintaining communication between key insurance stakeholders via a flexible portal. [5]

  7. Claims management company - Wikipedia

    en.wikipedia.org/wiki/Claims_management_company

    In England and Wales, a claims management company is a business that offers claims management services to the public. Claims management services consist of advice or services in respect of claims for compensation, restitution, repayment or any other remedy for loss or damage, or in respect of some other obligation. Claims management services ...

  8. Workers' compensation (United States) - Wikipedia

    en.wikipedia.org/wiki/Workers'_compensation_...

    Workers' compensation (which formerly was known as workmen's compensation until the name was changed to make it gender neutral) in the United States is a primarily state-based [1] system of workers' compensation.

  9. Self-funded health care - Wikipedia

    en.wikipedia.org/wiki/Self-funded_health_care

    Stop-loss insurance reimbursements are made if the claims costs exceed the catastrophic claims levels in the policy, but if a stop-loss carrier became defunct or simply breached the contract, there would be nothing alleviating the self-funded plan from responsibility for the full amount of claims.

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