K.Robi offers customized Best Practices, Compliance, Due Diligence and Functional assessment services for all property and casualty insurance companies and associated operations. Assessments can be conducted for the entire operation, individual locations, specific departments, single business line and/or unique services.
 
 Claims
 
 Claim Standards and State Claim Unfair Trade Practice: An analysis that the required notices and forms of documentation are complete, properly worded and issued timely is provided. Compliance with insurance department guidelines, adjuster licensing and continuing education is included.
 
 Claims Best Practice: By focusing on four areas of Claims Management: Operational, Process, Knowledge and Administrative; the level at which the claim department is currently functioning as measured against established standards, goals and contractual obligations are determined.
 
 Claims Case Reserve: Reserves will be evaluated for proper adequacy at each stage of the file’s development. Analysis of the reserve trends and patterns while identifying areas/opportunities for improvement is provided.
 
 Claims Resource Utilization: Proper allocation of resources is reviewed to assist in the development of actualized cost savings programs. This can include evaluations of internal processing vs. source provider processing.
 
 MGA/TPA Claims Quality Assurance: An onsite analysis of workflow,
 compliance with company standards, State Claims Fair Trade Practices, adjusting licenses, adjuster continuing education, vendor utilization, reserves and security procedures is conducted and documented.