Claims management
HELPSINISTRE, our specialist claims management unit, is there to support you, whatever your problem. We understand the unique challenges that businesses face, whether it’s a conflicting or non-conflicting claim, a sensitive or standard claim. We understand that every business is unique, with its own specific challenges, which is why our expertise goes beyond simple claims management.
We know that many of our customers are unfamiliar with the complex world of insurance, with its own rules and nuances. Unfortunately, this lack of knowledge is sometimes exploited by insurance companies. They may try to reduce benefits in the hope that the customer does not have the knowledge or confidence to challenge the decisions taken.
What we offer is much more than simple administrative claims management
What we offer is much more than simple administrative claims management
Nous offrons une bouée de sauvetage pour les clients qui se sentent souvent isolés dans ce processus. Notre équipe ne se contente pas de traiter des documents ; nous nous positionnons comme des défenseurs de vos droits, en vous offrant une voix forte lorsque vous pourriez hésiter à contester une décision injuste de votre assurance
All our services have a clear action plan
Stage 1
Initial assessment of the file
Objective: To understand the nature of the claim, the circumstances and to examine all relevant documents provided by the customer. Actions: Gather details of the claim, analyse insurance, legal and supporting documents. Establishing a complete basis of understanding.
Stage 2
Review of the insurer’s decision (if any)
Objective: Where the insurer has already refused or reduced benefits, to examine the underlying reasons and determine the viability of an appeal or challenge. Actions: Analysis of the reasons for the denial or reduction, identification of disputable points, collection of additional evidence to support the request for review.
Stage 3:
Development of the strategy to be adopted
Objective: To develop a claims management strategy, defining the actions to be taken to maximise the chances of success, whether through negotiation with the insurer or legal recourse. Actions: Consultation with relevant experts (lawyers, medical experts), identification of weaknesses in the insurer’s position, and development of a detailed action plan.
Stage 4
Strategy implementation and monitoring
Objective: To implement the strategy developed, whether this involves negotiation, mediation, appeals or legal action. Ensure rigorous follow-up to guarantee proactive and effective claims management. Actions: Initiate communications with the insurer, prepare legal documents where appropriate, participate in appeal hearings where necessary, and ensure ongoing communication with the client to keep them informed at every stage.
Look to other our services for companies
Insurance’s portfolio analysis
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Analysis of your needs
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Insurance adaptation and optimisation
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Administrative management
Global offer
We will happy to see you on our office and talk with you offline
Any questions? Need information? Contact us.