Do I have to pay a claims management company?

Do I have to pay a claims management company?

Types of claims

We meet with you and, based on all the information you give us, we determine the risks you face. We study with you which ones you can assume and transfer the rest to an insurance program.

We keep you informed of any news or changes in the clauses of your insurance policies. From recommended extensions to your coverage or capital, reforms, changes in laws and new risks you may face. In addition, you can check the status of your policies at any time in the ECliente area.

We always receive a personalized, qualified and, of course, friendly service. We highly value their human team, it is priceless to call on the phone and have a person on the phone and not a machine.

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Likewise, the provisions of Law No. 29571, which approved the Code for the Protection and Defense of the Consumer, shall be applied supplementarily to insurance contracts in cases where the contracting party or insured party is a consumer or user.

IMPORTANT: It is worth mentioning that in the case of compulsory insurance, the application of the Insurance Contract Law and its regulations is supplementary; that is to say, it applies as long as it does not oppose the provisions contained in the special rules that regulate each of these insurances.

When the text of the policy differs from the content of the proposal or offer, the difference is considered tacitly accepted by the contracting party if he does not claim within thirty (30) days of having received the policy.

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This acceptance is presumed only when the insurer warns the contracting party, in detail and by means of a document additional and different from the policy, that such differences exist and that he has thirty (30) days to reject them. If the referred warning is omitted by the insurer, the differences shall be considered as unwritten unless they are more beneficial to the insured.

What is an auto accident

Trust is key in claims management. The greater the trust between the parties involved, the more satisfactory the resolution will be. Providing an agile and efficient response undoubtedly contributes to strengthening that trust, but it is no less important to make the process as transparent and rigorous as possible. These two aspects increase credibility and therefore trust.

The final objective is that all the parameters in play – quality in contracting, transparency and agility – contribute to generating confidence in the insured and guarantee that what he has contracted is what he is going to receive. This is where professionalism and excellence lie.

In essence, quality of service. A quick and professional response in primary care and an efficient processing from the very moment of the occurrence of the claim until its final resolution. Without detracting from the efficiency indicated above, it is essential to provide the process with the greatest possible degree of rigor and transparency, which will undoubtedly increase mutual trust, an essential issue to facilitate processing.

Claims Management and Payment Rules and Regulations

Experiencing any type of claim such as a natural disaster, cyber-attack, product recall or injury can become overwhelming for even the most experienced risk manager or business leader.

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Proactively managing and resolving a claim is essential to recovering from a loss and improving revenue. However, this can be time-consuming, especially if your organization does not have the infrastructure and resources to manage the process.

We can help you simplify the process by advising you on how best to minimize the cost, impact and frequency of your claims and advocating on your behalf to achieve a successful recovery.

We offer industry-leading data-driven claims management and analytics that can help you reduce your current and future losses and risks, whether you need help preparing, presenting and resolving complex claims, or improving claims program strategy and performance.