Understanding the process of subrogation recovery is not as difficult as actually performing the task. What separates the best from good or average collectors is an understanding of the value of the intangibles that truly affect overall costs to the corporate fleet client. Once (or if) collectors understand the value of the intangibles along with the true costs, they must be up for the challenge — as well as the abuse — that goes hand-in-hand with negotiating with an adverse party.

The adverse party, whether it is an insurance company, a self-insured corporate account, or the actual third-party driver, weighs heavily in the collection process. Breaking down the parties separately reveals similarities as well as differences.

Insurance companies know all relevant case laws, legalities, statutes and/or regulations. Unfortunately, armed with this knowledge, they use it to their advantage almost to the point of violating many regulations that exist for the protection of all parties.

Beware of Initial Low Payment Offers
In years past, second- or third-tier insurance providers were the most flagrant abusers. This is no longer the case, especially since Sept. 11,  2001, because most major insurance providers take full advantage of claimants. Every claimant, if not at fault, is entitled to 100 percent of the loss, regardless of whether they decide to fix the vehicle.

Too often, insurance companies demand a copy of the shop invoice to verify the loss, rather than send their own adjuster. This practice results in the following:

  • Insurance companies do not incur the expense of an actual vehicle inspection by their own appraiser.
  • Claimants are subjected to unnecessary inconvenience.
  • Claimants, who typically do not know the value of an actual loss, are offered a reduced settlement.

The reductions can include betterments, used or aftermarket parts, alleged lower labor rates from phantom shops, or just flat-out lower offers non-negotiable by the average consumer.

Many insurers consider claims a nuisance. They provide coverage simply as an adjunct to securing bigger-ticket items for which they can charge significant premiums and fees to earn profits. Following that thought, many claims administrators  assigned to handle losses have little to no experience in the collision industry, nor do they know how to estimate damages. Thus, when they review claims for settlements, if they do not have an experienced adjuster available for advice or guidance, one of a few events occur. The inexperienced administrator ignores the claim until it is pursued for payment. He or she cuts out a percentage citing various reasons — no proof needed. Finally, in some instances, the administrator pays the demand as is.

The most prevalent practice is to either offer or pay a short amount, usually in the 50- to 75-percent range, and wait for the claimant to call for the rest. If the claimant calls, the administrator begins to negotiate, still trying to NOT pay 100 percent. If there is no call from the claimant, the administrator just saved the insurance company money it now keeps as profit.

This practice is condoned by every major, second-, and third-tier insurer, as well as the insurance commissions in each state. The claimant has very little power because the insurance commission only recommends legal recourse, rather than stepping in and taking action. Thus, the claimant is back to square one with few options: fight like heck to obtain a fair share, find an attorney for help, or just take less money. In most situations, inexperienced claimants will take less money because they feel that some money is better than no money. Insurance companies depend on this reaction and almost defiantly dare the claimant to challenge them. This practice is absolutely unconscionable.

Consider Arbitration Carefully
Some insurers still have a conscience. If there are no injuries, many offer arbitration — while typically still taking a firmer stance against paying full reimbursement — as if it were a concession of good faith on their part. Often, while offering arbitration and holding firm with a lower reimbursement figure, insurers force the claimant to make the difficult decision of taking less money or preparing an argument in writing to support the claim.

Obviously, the other choice is legal action. However, depending on the loss amount, this option may not be costeffective. Needless to say, without experience in claims management and negotiations, the claimant is at a disadvantage.

Self-insured companies that submit claims to an insurance company only when losses are excessive also may abuse the laws. Insurance companies such as those just discussed have provided a great example. Self-insured companies may treat claimants in the same abusive manner as they had been treated as claimants themselves. Once again, inexperienced collectors or claimants settle for less rather than fight for their entitled payment.
[PAGEBREAK]

Persist in Collection Efforts
Underinsured or uninsured motorists pose a set of problems that can be challenging as well. Underinsured motorists can legally obtain insurance at a state’s minimum requirement. These motorists can insure for as little as $5,000 of coverage, cause $20,000 in damage, and if their insurance company offers to pay the $5,000, the insurance company will do so as  long the claimant releases their insured party from further liability.

Uninsured situations create the most work because persistence is required to collect; claimants start with zero and work up.

What do all of these problems mean to the self-insured corporate client without the staffing or knowledge to begin the process? Corporate management shouldn’t fool itself into believing that just because it was successful in less difficult claims, the process is easy. One answer is to find a person or a company well-versed in subrogation and with a proven track record in collections.

Professional subrogation experts understand the true cost of an accident. Many factors come into play: actual physical damage loss, rental expenses, lease payments, downtime, loss of use, product loss, diminished value, and much more. Insurers know what they are responsible to pay; however, they will not pay a dime more than they are asked. Nor will they volunteer free advice. Like a good attorney going to court, corporate claimant representatives need good preparation, case law, strong nerves, and “thick skin” to stand up and fight for every dollar. Anything less than a 100-percent commitment results in poor recoveries.

Dealing with adversity is standard operating procedure when subrogating. Many individuals are either up for the challenge every day or they are not. Competent collectors find ways to stand their ground against unprofessional insurers or the company insurance manager who does not want to pay because the company was shorted on the last claim. Effective collectors also communicate directly with underinsured or uninsured motorists to let them know their negligence won’t compromise the claimant demand or integrity.

While arbitration is a choice over litigation, other options exist. Good collectors know them and use them;  others simply take the easy way out, all at the cost of the claimant.

Originally posted on Fleet Financials

0 Comments