The uncertainties in life are what led to the invention of insurance companies. They are necessary when you have suffered a loss in terms of property and limb. When the insured incident happens, there shall be investigations to determine the cause and thus the responsible party. In some cases, the investigation can lead to payments that the client is not happy with, and the company is not willing to budge. The difference shall arise when the client feels they were not paid enough, while the insurer feels they have done the best under the circumstances. This is where a forensic services provider comes in. They rely on their expertise to find out the true cause of the incident and present these facts clearly.
There is no shortage of case where their services are applicable. They help to clear the air when clients start assaying you acted in bad faith. There is the expectation that the clients will have lawyers, hired to show that the claim was unfairly denied, that you were not awarded as per the signed contract provisions unfairly, or any other way to show that your treatment was unfair when compared to a similar one that was reasonable.
A lack of proper investigation on your (art makes it easy for their lawyer to win. When it appears that you have unreasonably denied or delayed a claim, or failed to take the proper steps to investigate a claim, there shall be case against your company. The same shall happen if it can be argued that you interpreted the contractual wording in such a narrow manner as to come out unfair on the client’s part. It gets worse if they argue that you refused to settle a claim for a client in full as per the contract, with no adequate justification.
There are many incidences of the clients attempting to get a settlement where it is not due. Such efforts have led to so many losses for insurance companies. They are the reason why you need to have such services around, to safeguard the interests of all concerned parties.
Each client under your policies has certain rights that need to be protected. The insurance firm also has to safeguard its rights in such an agreement. IT is when there is a poor investigation job done that these rights will be in jeopardy. This does not mean that there are no good actors in the industry, as there are many cases that go off without such hitches. But there are other cases where it is necessary to seek third party intervention to ensure fairness.