Streamlined Claims Management for Healthcare Providers
Optima claims staff responds quickly, believing that early intervention will reduce costs, and that a proactive, strong, defense-minded approach to the resolution of claims will produce the best results for CHI owners. Optima is equitable to claimants (in terms of settlement) when liability is present and is strongly defense-minded when liability/causation is not present, and settlement is not warranted.
Reporting an incident or potential claim?
An early report of circumstances likely to become a claim, may allow us to assist in helping to prevent the matter from developing into a claim. To find out more or to submit a report, click the link below.
Proactive claims handling
CHI works hard to defend its owners, which includes involving each owner throughout the claims process. This proactive approach has historically achieved claims results that have proven superior to the traditional market.
Expert team defense
We believe in developing strong relationships with owners and defense counsel partners to enhance a team approach in the resolution or defense of reported claims. We believe that the best outcomes are achieved by working with defense attorneys who are superior, as demonstrated by their experience and success, and who are right for the specific case.
How we produce outstanding claim results:
Look for ways to find coverage rather than ways to decline coverage
Maintain reasonable caseloads to ensure adequate time to address each case
Maintain an experienced claims staff that specializes in liability claims
Promptly investigate, evaluate and recommend the appropriate course of action for the resolution or defense of each reported claim
Assist in the selection of superior defense counsel to defend the owner in a particular case
Effectively manage and control litigation costs by ensuring compliance with Optima’s Litigation Reporting and Billing Guidelines
Negotiate or assist owners in the negotiation or resolution of claims where settlement is appropriate, and assist/support owners through the defense process when settlement is not warranted
Develop and maintain strong, positive relationships with owners, and keep them involved throughout the claims process
Appropriately reserve cases to reflect the financial exposure of claims
Timely report to excess partners on reported claims that fall within reporting requirements
Assist in the selection of superior defense counsel to defend the owner in a particular case
Use a collaborative approach among risk management consultants and claims specialists to implement loss prevention measures/education based on claims experience
Additional Optima Services
Dedicated Support
Personal account managers offer assistance and ongoing support, so you can leave the insurance-related distractions to us.
Risk Management
We help you identify potential hazards and implement strategies to prevent claims and enhance safety and care.
Underwriting
We analyze your data to determine premiums that are reflective of exposures and loss history.