Each year, Wolters Kluwer Financial Services editors review and analyze results from state market conduct exams. As part of the review process, they track market conduct issues by line of business. This year, their reviews indicated that five of the top 10 market conduct issues raised in property and casualty lines in 2009 were claim-related. To find out why, Claims' Eric Gilkey spoke with Kathy Donovan, senior compliance counsel, insurance, at Wolters Kluwer Financial Services.

Why does your annual always include so many claim-related conduct issues?

Claim-related issues have a definite recurring presence in our annual reports of market conduct issues. Insurers are required to perform many detailed, time-sensitive steps during the claim process, from acknowledging the claim and providing required forms and disclosures, all the way to final payment and file documentation. Each step in each state, multiplied by the sheer claim volume processed by property and casualty insurers, can easily become missed compliance opportunities. These "possibilities for noncompliance" frequently become the reality we see annually in market conduct exam findings.

Want to continue reading?
Become a Free PropertyCasualty360 Digital Reader

Your access to unlimited PropertyCasualty360 content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Breaking insurance news and analysis, on-site and via our newsletters and custom alerts
  • Weekly Insurance Speak podcast featuring exclusive interviews with industry leaders
  • Educational webcasts, white papers, and ebooks from industry thought leaders
  • Critical converage of the employee benefits and financial advisory markets on our other ALM sites, BenefitsPRO and ThinkAdvisor
NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.