Module 6: Professional Liability Insurance Claims

The purpose of this module is to cover the basic concepts involved in the claims process across all disciplines of Professional Liability Insurance (PLI). Correct claims notification and recognition of potential claims are important aspects. The module describes important facets of the process, including managing policyholder relationships, communicating potential coverage issues, the reserving process, including how and when, for both the indemnity and expense portions of the claim. The module addresses litigation management issues, such as litigation management investigation and the use of monitoring and/or coverage counsel in the course of the litigation process. This module concludes with information on how to settle PLI claims – case management strategies, objectives in claims settlements, settlement and negotiation techniques, and settlement agreement components.

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