In this paper Ross Macpherson ACII FCILA FUEDI-ELAE, Director at QuestGates, reflects on the varied skills and capabilities that are required of a modern third party administration (TPA) company and its claims handlers.
Special Interest Group:
Claims Management
The CILA Claims Management SIG represents those members who predominantly handle claims at a desk. These individuals often play a critical role in the early stages of a claim, providing essential advice to policyholders and taking vital action to minimise or prevent further loss. It takes considerable skill to progress and settle a claim without the opportunity to meet parties in person or view the loss. The CILA Claims Management SIG committee appreciate the knowledge and talents that are required and provide relevant input into the CILA examinations and other activities to ensure the needs of these members are met.
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SIG Committee
Chairman
Paul Sturges - Crawford & Company
Members
- Ruth Delacour - RiskSTOP
- Tamara Hamilton-Thomas
- Ross Macpherson - QuestGates
- Alan Walker - Arthur J Gallagher
- Helen Walker - McLarens
Latest Updates
In this paper Tamara Hamilton-Thomas of Price Forbes shares her thoughts on how technology is changing the nature of insurance risk, along with the expectations of policyholders. She also reflects on how claims may evolve in the future and the potential influence of data on insurance solutions of the future.
This section provides advice and tips on how to handle building claims when working on a desktop basis. Information is provided under 4 headings: Initial Triage, Evidencing Desktop Claims, Fraud Issues and Options for Settlement.
Searching for SIG material?
Have a look in the CILA Technical library. Papers and presentations that were previously produced by our SIGs are often filed there for the benefit of members.
Claims Management SIG in association with:
