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Third Party Administration

Marc Dubois

I have utilized my years of adjusting, examining and managing claims to ensure a convergence of expectations for the stakeholders to the claims process within the property and casualty arenas. Throughout the course of my multi year career as an independent adjuster, adjusting firm owner and manager as well as insurance company examiner and finally…

Chantal M. Roberts

I am recognized by colleagues as a subject matter expert in claims management best practices. I am a highly experienced executive and provide a record of expertise and accomplishments in insurance claims management, bad faith claims management, insurance adjustment strategies, third party management and collaboration, attorney collaboration, and public speaking.   I served as the…

Damian J. Arguello

Risk management & insurance thought leader & influencer, law professor, coverage counsel, & insurance expert witness.

Technical Aspects Of Professional Liability Claims

“To the uninformed, “a claim is a claim is a claim.” To some extent this is true. Any type of liability claim requires proof that the insured owed a duty to another person or entity, that the insured breached this duty, and that the breach was the proximate cause of quantitatively measurable damages suffered by the person or entity to whom the duty was owed. Thereafter, it becomes a matter of determining whether or not there are any defenses such as comparative or contributory negligence on the part of the claimant. Finally, there is the question of coverage—the issue of whether or not the policy will respond to the claim. ….

There are significant differences between managing professional liability claims, compared to those arising out of more standardized coverages. …”

“Ten Claim-Handling Lessons from `The Game of Thrones'”

Kevin extracts insights from HBO’s popular series and sees implications for how claim professionals approach the challenges in their work.

Mark L. Pollack

Mark Pollack is an accomplished entrepreneur, industry instructor, and subject matter expert offering at 30+ year in the insurance industry and extensive credentials and licenses. Leveraged knowledge of property and casualty claims, claim management, breach of contract, and bad faith claim handling to serve as an expert witness for both plaintiff and defendant attorneys.  Mr.…

Olie R. Jolstad

Olie Jolstad is an insurance expert with over 40 years of professional insurance experience in commercial and personal lines insurance claims handling, coverage analysis, managing general agent, and agent/broker procurement of insurance. Mr. Jolstad holds the Senior Claims Law Associate (SCLA) designation, as well as being a Fellow in the American College of Forensic Examiners…

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James J Moore

James founded a Workers’ Compensation consulting firm, J&L Risk Mgmt Consultants, Inc. in 1996. J&L’s mission is to reduce our clients’ Workers Compensation premiums by using time-tested techniques. J&L’s claims, premium, reserve and Experience Mod reviews have saved employers over $9.8 million in earned premiums over the last three years. J&L has saved numerous companies…

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