Line dossierLine 05 — Accident & Health
05

Sports medical and foreign travel, around the clock.

These claims arrive wherever the insured is, in whatever language they speak, often outside office hours. The operating model is the service.

A person answers, the right medical or travel support starts, and the file is moving before your office opens.

Operating brief

Specialist from the first assignment.

A&H programme managers · travel MGAs · collegiate and club schemes · Lloyd’s coverholders

  • Accident & health claims
  • Sports medical & athletic injury
  • Foreign travel & travel medical
  • Repatriation coordination
  • Multilingual intake, any hour
  • Collegiate & club schemes

Line-specific operating procedure

The file starts moving before the office opens.

  1. 01

    Section 01 · Intake

    Receive anywhere

    Capture the insured, location, event, medical or travel need and immediate communication requirements through a 24/7 multilingual front door.

    Output
    Acknowledged assistance file

    Control
    Identity and escalation script

  2. 02

    Section 02 · Coordinator

    Coordinate support

    Bring together medical assistance, travel support and repatriation activity around the needs of the event.

    Output
    Documented assistance plan

    Control
    Authority and service boundary

  3. 03

    Section 03 · Service

    Maintain contact

    Keep the insured and programme updated while documents, providers and changing circumstances are recorded.

    Output
    Current chronology and actions

    Control
    Contact and escalation diary

  4. 04

    Section 04 · Examiner

    Resolve & learn

    Complete the claim record, outcome and reporting so a varied international book remains visible and reviewable.

    Output
    Closure and programme data

    Control
    Completeness review

Operating lanes

Assistance and claim control move together.

A time-sensitive event can involve a distressed insured, providers and programme stakeholders in different locations. One record keeps those conversations aligned.

L01

Medical coordination

Medical-assistance activity and provider communication are organised around the event and agreed instructions.

Returns: current need, action, provider and status

L02

Travel support

Travel disruption and practical assistance are coordinated alongside the claim record.

Returns: arrangements, documents and next contact

L03

Repatriation

Where required, repatriation activity is coordinated with clear ownership and communication.

Returns: plan, approval and progress record

L04

Programme reporting

Structured capture makes varied incidents across locations and languages reviewable as one book.

Returns: consistent outcome and service data

Quality architecture

Control is designed into the file.

Reviewable at every handoff

Protocol 01

Human escalation

The intake path recognises when a live person and immediate coordination are required.

Protocol 02

Clear ownership

Every open action has an owner and the insured has a consistent point of communication.

Protocol 03

Authority boundary

Assistance activity and claim decisions follow the programme’s agreed roles and escalation path.

Protocol 04

Communication record

Contacts, documents, approvals and changes remain visible in a single chronology.

Illustrative file view

Account / claim

Live operating record

Status

In review

01

Event summary

Insured, location, event facts and immediate need.

02

Assistance plan

Providers, arrangements, responsibilities and approvals.

03

Contact chronology

Insured, programme and provider communications in sequence.

04

Outcome data

Resolution, documents, service activity and closure status.

The deliverable

A calm, current record for a high-stress event.

The programme sees what the insured needs, what has been arranged, what requires authority and when the next contact will happen.

Structured around the client’s instructions and review needs.

Who we work for · Accounts we serve on a&h. · Approved vendor & trusted partner

  • K&K InsuranceK&K InsuranceSports & entertainment GL
  • Star CasualtyStar CasualtyFNOL · customer service
  • Nonprofits Insurance AllianceNonprofits Insurance AllianceLiability investigations
  • National GeneralNational GeneralIntegon · The General

Relationships are held across the Global Group Claims Corp. portfolio of companies.

Flexible by design

Use one front door, one claim team, or both.

Path 01

End-to-end programme

Always-on intake, coordination, examination, communication and reporting under one procedure.

Path 02

Front-door service

Add multilingual capture, acknowledgement and routing to an established assistance or claim operation.

Path 03

Specialist assignment

Bring in focused coordination or claim handling for a defined event or book.

Start here

Put a&h claims in motion.

Tell us the line, the states and the volume. We will map the right operating model and show you how the first file moves.