The Disconnect Between Underwriting and Claims Handling Revisited

March 11, 2016 by Matthew L. Jacobs

Almost three years ago, Carrier Management published an article titled “The Underwriting-Claims ‘Disconnect’ in Casualty Insurance: An ERM Issue?” The article reported on one of the sessions of Advisen’s March 2013 Casualty Insights Conference involving claims-handling practices.

Executive Summary

Unmoved by the argument that ERM practices prevent insurance underwriters from sharing the original intent of policy language and exclusions with carrier claims professionals who ultimately handle claims from policyholders, Jenner & Block's Matthew Jacobs explains the policyholder's viewpoint—that financial interests must be motivating the enormous organizations that refuse to engage in internal communications to serve their customers. This is the second part of a two-part series. Part 1, "The Disconnect Between Underwriting and Claims Handling: A Policyholder Perspective," is available here.
Executive SummaryUnmoved by the argument that ERM practices prevent insurance underwriters from sharing the original intent of policy language and exclusions with carrier claims professionals who ultimately handle claims from policyholders, Jenner & Block’s Matthew Jacobs explains the policyholder’s viewpoint—that financial interests must be motivating the enormous organizations that refuse to engage in internal communications to serve their customers.

This is the second part of a two-part series. Part 1, “The Disconnect Between Underwriting and Claims Handling: A Policyholder Perspective,” is available here.

Three years later, the problems discussed in that article still exist. As described in Part 1 of this two-part article series, when a claim is submitted for coverage, the policyholder expects all of the information it provided to the underwriter at the time of placement will be considered, analyzed and given weight by the claims department. But that rarely happens.