Stage 01
Notice & set-up
Receive the loss from the front door or client system, check coverage, establish the file and acknowledge the required parties.
- Owner
- Examiner
- Output
- Live file and first action plan
- Control
- Procedure and authority grid
Module 01 · Full delegated authority
The whole claim, owned end to end.
We operate the claims function on your paper: one examiner, agreed authority, documented controls and a live audit trail from notice to final recovery.
One agreement can cover the front door, desk, field bench, specialists, reporting and recovery — without stitching together separate vendors.
Operating procedure
One examiner owns the file from notice to close.
Stage 02
Investigate & reserve
Develop coverage, liability and quantum; assign field or specialist work; set and explain the first reasoned reserve.
- Owner
- Examiner
- Output
- Interim position and reserve
- Control
- Escalation and reserve review
Stage 03
Negotiate & pay
Move the claim within delegated authority, document approvals and maintain correspondence, diary and complaints handling.
- Owner
- Desk
- Output
- Approved outcome and payment
- Control
- Settlement and payment authority
Stage 04
Close & recover
Complete reporting, bordereau, salvage, subrogation and the final audit trail before the file closes.
- Owner
- Desk
- Output
- Closure report and recovery status
- Control
- Completeness check
Module responsibilities
The desk stays accountable while capability moves around it.
A full TPA appointment connects the front door, examiner, field bench, specialists and reporting rather than making the client reconcile separate vendors.
Lane 01
Front door
Dedicated channels capture, acknowledge and route against the programme procedure.
Returns: structured notice and complete first record
Lane 02
The desk
Coverage, reserve, negotiation, payment, complaint and reporting activity remains with the named examiner.
Returns: one accountable decision record
Lane 03
Field & specialists
Inspection, appraisal, investigation and retained expertise answer defined questions for the desk.
Returns: evidence and recommendations to the same file
Lane 04
Reporting & recovery
Loss runs, bordereaux, audit material, salvage and subrogation remain connected through closure.
Returns: client-format reporting and recoveries
Service controls
Service standards that travel with the module.
Reviewable at every handoff
Authority by design
Settlement limits, escalation points and required approvals are written into the operating procedure.
Reasoned reserves
Reserve movement follows evidence and exposure, with senior review where the programme requires it.
Visible audit trail
Correspondence, decisions, authority, payments and diary are reviewable against the client standard.
Reporting cadence
Bordereaux, loss runs and review packs are delivered in the agreed format and timetable.
What you receive
The whole claim, visible as one operating record.
The client sees the current position, why it changed, which authority was used and what action remains.
01
Coverage & liability
Current analysis, open questions and supporting evidence.
02
Reserve & payment
Reasoning, movement, authority and transaction record.
03
Diary & correspondence
Actions, contacts, complaints and escalation history.
04
Reporting & recovery
Bordereau fields, closure data, salvage and subrogation.
Who we work for · Accounts served through tpa. · Approved vendor & trusted partner
KinsaleCAT property claims
Hudson Insurance GroupSubrogation
Lloyd'sSpecialty claims
National Flood Insurance ProgramFlood
North American Risk ServicesThird-party administration
Liberty MutualVPD & equipment
Relationships are held across the Global Group Claims Corp. portfolio of companies.
Flexible by design
Start with a file, a line or the whole programme.
Path 01
Programme appointment
One operating model across intake, desk, field, specialists, reporting and recovery.
Path 02
Overflow desk
Add named examination capacity under your authority and reporting procedure.
Path 03
Phased transition
Begin with one line or cohort, review the first files together, then expand without rebuilding the model.
Across the line card
Start here
Start with one claim. Or hand us the book.
Tell us the line, the states and the volume. We will map the right operating model and show you how the first file moves.