Contact: Hugh Strawn
Date: July 2, 2015
Splitting Casualty Claim Files:
Handling Liability & Coverage Claims When Coverage Issues Arise
PLRB CE-Accredited Distance Learning Module
Splitting Casualty Claims Files: Handling Liability and Coverage Claims When Coverage Issues Arise, the 58th PLRB CE-accredited distance learning module, is PLRB's newest Distance Learning offerings. It's available at no cost 24/7 on the PLRB Web site to all PLRB insurer and affiliate members.
This module is designed to demonstrate what considerations should trigger a decision to split a file between liability and coverage, when the trigger arises, and the mechanics of splitting the file. The course is designed for practitioners and insurance professionals working in the area of casualty insurance coverage and litigation.
The course discusses the insurer's considerations whether or not to split a file pre-suit and post-suit whenever coverage issues arise and how to avoid the risk of coverage by estoppel and bad faith. The course also includes a hands-on discussion after the decision is made to split a file, including (1) what contents of the file go to the liability claims professional and what contents go to the coverage claims handler, (2) what the roles are for each adjuster, (3) how information received in the investigation and trial phases can be used by both adjusters, (4) what information can be shared in both files after the split occurs, and (5) who holds the settlement purse, the roles of the respective adjusters in settlement of the case, and what settlement information can be exchanged between the two.
After completing the course, the attendee will be able to:
• determine whether, when, and how a claims file should be split between liability and coverage when coverage issues arise;
• recognize and avoid bad faith potential;
• enumerate the judicial concerns for conflicts;
• explore proper procedures and handling for the liability and coverage adjusters;
• distinguish between reservation of rights and non-waiver agreements;
• define the need for panel and Cumis counsel; and
• understand defense counsel’s limitations in sharing information with the insurer when defending the insured under a reservation of rights.
This module was recorded at a recent PLRB educational conference in front of a live audience of attendees. It is presented by Edward J. (Ned) Currie, Jr., Shareholder of Currie Johnson Griffin & Myers P.A., and John M. Intondi, CPCU, then Executive Vice President and Senior Claims Officer for the U.S. operations of AXIS Capital, and now owner and President of Olympia Management Company which provides mediation, arbitration and expert witness services to the insurance and reinsurance defense industry.
Thanks to Our Sponsor
We thank our exclusive 2015 PLRB distance learning module sponsor, FRSTeam,
for its generous support of our distance learning program. If your firm would like to become a 2015 sponsor of PLRB distance learning modules, please contact our Marketing & Expo Manager, Tom O'Dowd, at firstname.lastname@example.org or 630-724-2224 for details.
The Property & Liability Resource Bureau is a not-for-profit association of property and casualty insurance companies. It is located in Downers Grove, Illinois.