Self-Insured Entities

What sets AUTEN CLAIMS MANAGEMENT apart from other claims adjusting firms?

AUTEN CLAIMS MANAGEMENT (ACM) specializes in bodily injury and property damage liability, with a keen focus on reviewing medical records, conducting injury evaluations, and providing thorough assessments. This niche expertise allows us to offer comprehensive understanding and meticulous analysis of these critical areas, distinguishing us from other firms that might not always prioritize such specialized attention.

How does ACM ensure the accuracy and thoroughness of its claim investigations?

Our firm employs standard operating procedures (SOPs) tailored for seventeen distinct claim types, emphasizing our commitment to methodical and personalized investigation processes. The detailed nature of these SOPs enhances the accuracy and efficiency of our investigations, ensuring that each claim receives the specialized attention it warrants. This structured approach elevates the quality of our services and guarantees consistency and reliability.

Can you describe ACM's experience with handling complex liability claims?

ACM has extensive experience in managing a wide range of complex liability claims, including but not limited to:

  • Injury claims involving accidents, maiming injuries, fractures, food poisoning, dog bites, fall-down incidents, internal soft-tissue injuries, communicable disease allegations, and assault claims.
  • Property damage liability claims, including subrogation claims (fire, explosion, flood, inventory, business interruption), and direct claims against self-insured entities (chemical spills, cargo claims, utility service damages).
  • Miscellaneous claims such as restaurant liability, tenant injuries, UTV/ATV incidents, automotive and trucking liability, farm and factory-related injuries, Labor Law 240(1) claims, and habitation issues.

What is ACM's approach to managing high-volume claims during peak periods?

We maintain a network of staff and certified 1099 adjusters to assist in times of high volume. This strategic approach ensures we can effectively manage and respond to high-volume claims without compromising the quality of our investigations.

How does ACM keep its clients informed about the progress of claim investigations?

ACM is committed to transparency and regular communication. We provide a first report within 10 days and subsequent reports every 30 days thereafter, unless otherwise directed by our clients. This consistent reporting ensures our clients are always informed about the status and progress of their claims.

What types of training and qualifications do ACM adjusters have?

Our team boasts a comprehensive background in claims management, with our owner, William Auten, bringing nearly 30 years of experience, including a decade as Vice President of Claims at an insurance company. All our adjusters are licensed and members of local claims associations. Additionally, we host a bi-weekly podcast with claims expert witness Chantal Roberts and offer an internal training program that requires certification, supplementing the adjusting education received through the licensing process.

How does ACM handle claims requiring specialized knowledge, such as medical malpractice or product liability?
ACM taps into a vast network of expert witnesses to secure relevant experts for any specific topic. This extensive network ensures we can bring in specialized knowledge for complex claims, enhancing the accuracy and efficacy of our investigations.
Can ACM provide examples of cost savings or efficiency improvements for its clients?

Our specialized expertise, thorough investigations, and strategic use of expert witnesses contribute to more accurate claims resolutions, preventing overpayments and reducing the risk of litigation. Our streamlined processes and regular communication shorten the lifecycle of claims, reducing administrative costs for our clients.

What is ACM's process for determining liability and assessing damages?

ACM adopts a comprehensive approach to determine liability and assess damages, gathering information from all parties involved, including disinterested parties such as independent witnesses, neighbors, law enforcement, emergency personnel, municipal records, and more. This balanced approach ensures a fair and accurate assessment of each claim.

How does ACM ensure compliance with state and federal regulations during the claim process?

We maintain a deep knowledge and understanding of laws and regulations affecting claims handling, including unfair claims practices, information security, HIPAA compliance, and insurance laws. This ensures all our processes are compliant and uphold the highest standards of ethical conduct.

What technologies does ACM utilize to streamline the claims handling process?

ACM leverages various technologies, including cloud-based storage (HIPAA compliant), claims management software, artificial intelligence, telematics, mobile apps, data analytics, digital imaging, CRM systems, and remote sensing technologies. These tools enable us to manage claims more efficiently and effectively, ensuring quick and accurate resolutions.

Can ACM customize its services to meet specific client needs or requirements?

Absolutely. Our main goal is to foster an environment of trust with our clients, tailoring our services to meet their specific needs and expectations. We are committed to delivering what our clients expect, maximizing satisfaction and trust.

For more details on our services or to inquire about specific claim handling capabilities, please reach out to AUTEN CLAIMS MANAGEMENT. We're here to assist you with excellence in claims management.