• CLAIMS INVESTIGATION AND    ADJUSTING

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    Many Insureds both Corporate and Individual have difficulty understanding the technical language of the of the insurance policy's terms. Most people do not realise that Loss Adjusters appointed by Insurers are trained professionals who represent the interests of the Insurance Company that employs them. You will protect your interests by employing Fivaz, Ogle and Associates, whose responsibility is to serve you, the insured.

    Quotes from Ombudsman's Handbook
         - "The number of complaints reaching the          Ombudsman's office has more than doubled          in the last three years"
         - "Insurance companies appoint Loss         Adjusters to investigate on their behalf.         They are agents, solely, of the Insurance         Company"


  • CLASSES OF INSURANCE

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      - Material damage losses (fire, storm,    flooding).
      - Business Interruption (loss of profit)    claims. Advice, Policy
         Interpretation, Formulation and    Presentation.
      - Fidelity Guarantee/Commercial Crime    Investigation. Formulation
         and Presentation.
      - Directors and Officers Liability.
      - Public and Product liability including    Defective Workmanship.
      - Engineering Type Losses.
      - Contractors All Risk.
      - Project Delay.
      - Marine / Goods in transit.
      - Mining losses.
      - Personal Accident.
      - Banking / Financial Institution special    covers including Errors and Omissions Risk    Management Overview and Claims.
      - Personal Lines.
      - Motor & Heavy Commercial Vehicles.

  • WHAT WE DO

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      - Investigate losses/events and determine    the specific types of Insurance coverage    Involved and comment on the adequacy    of the portfolio of Insurance covers in    respect of the losses.
      - Co-ordinate and assist with the    investigation, formulation and    presentation of a detailed and    documented claim to Insurers.
      - Consult, advise and co-ordinate in the    engagement of the other experts, and to    effectively manage the claims process.
      - Attending any and all    meetings/discussions as necessary with    brokers, insurers, loss adjusters,    consultants and other involved parties.
      - Monitor and manage the activities and    actions of the parties Involved in the loss    and recovery process.
      - Review of insurance claim rejections and    repudiations and if required reinvestigate    and reformulate.

  • CLAIMS AUDITING

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      - Review outstanding claims and reasons for    settlement delays.
      - Review settlements and payments.
      - Determine training needs, etc.
      - Review Systems and Standards.

  • MENTORING

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      - Claims Management and Handling.
      - Claims Staff.

  • MANAGEMENT

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      - Temporary Management of Assignments.

  • POLICY WORDINGS / RISK    MANAGEMENT

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      - Review and provide comment on policy    wordings, and the application of    deductibles.
      - In conjunction with our associates    undertake detailed Risk Identification and    Risk Management projects and    Investigations.





     
    © 2004 Fivaz, Ogle & Associates
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