Claims & Risk Management

Risk Management & Claims Department

Our Risk Management and Claims Department provides superior services to our clients. We focus on working with our clients to create comprehensive safety programs to meet compliance guidelines and minimize claims activity. While our goal is to keep all claims from happening we know some claims activity cannot be prevented. Once a claim takes place, our focus is to process and close the claim as quickly as possible. We look to minimize the time and effort spent by our clients in claim situations.

 

Risk Control

Our risk control functions are designed to meet several goals. We help our clients stay in compliance with all safety requirements. We also want to make our clients as attractive as possible to prospective insurance carriers. By demonstrating that a client employs a comprehensive and effective risk control program, we can do a better job of minimizing insurance costs and broadening insurance coverage. While we invest significant time and effort in managing claims on behalf of our clients, we invest even more time and energy in loss prevention. We actively participate in our clients' safety committees and in the risk control activities of our clients and their insurance carriers.

We also provide inspection and appraisal services to our clients. This includes plot plans, pictures and valuations of facilities. It also features operational reviews and recommendations. These services are designed to help our clients stay current on regulatory guidelines and identify problem areas.

All of these activities support our overall goal of providing a safe working environment for our clients and their employees. While compliance issues and cost reduction are important, our primary focus is to help our clients create facilities that are free of serious injuries.

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Risk Manager:
Lupe Hernandez

Risk Management Specialist:

 


 

Workers' Compensation Claims Department

Our agency has long specialized in assisting our clients with the handling of Workers' Compensation claims. Throughout the claims process, we serve as an advocate for our clients, facilitating and coordinating the efforts of all involved parties. Our Workers' Compensation claims staff utilizes a claims management system called EZER Comp. With this step-by-step system, Winn & Co. participates in the claims handling process along with the client and the insurance company. This adds a level of expertise and assistance not available through many insurance brokers.

Our services include:

1. Management

The management process begins with identifying and placing Workers' Compensation and Employers' Liability Insurance with the most appropriate insurance company for each client.

The EZER Comp system helps our in house specialists to track and challenge the position taken by the insurance company when it appears that the insurance company is protecting its own financial interests at the client's expense. Our primary goals are to ensure the interests of each client are served and to minimize their Workers' Compensation costs.

2. Communication

Our system is programmed to automatically provide our clients with updates and reports at specific intervals. This proactive correspondence triggers the action required by each party involved to move the claim forward. We also provide additional detailed communication when appropriate on specific claims.

3. Education

We continually provide our clients with information regarding pending and new legislation that impacts their business and their industry. We also assist clients in developing and administering an internal Workers' Compensation monitoring program to help ensure that claims are properly processed, that fraud is uncovered, and that fraudulent claims are denied.

4. Agency Commitment

We review, analyze and aggressively seek closure on all Workers' Compensation claims, focusing on the annual statistical filing date to reduce costs within the first year.

We provide an overall plan that, when implemented by the client, can dramatically lower insurance costs.

We survey facility locations for safety, make recommendations for claims prevention and assist management in bringing safety to the attention of employees through safety recognition programs. This can not only save jobs, but it can also help improve the quality of work life.

Please click on a name below to
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Senior Workers' Compensation Claims Specialist:
Veronica Harrington
 


 

Property, General Liability And Auto Claims Department

We work with our clients on all property, general liability and auto claims following specific approaches for different types of claims.

Our approach with our client's claims involving insured equipment, property or auto, is to resolve the claim as quickly as possible in order to maximize cash flow. We do not sit back and wait for the insurance company to settle a claim. We present the insurance company with an analysis of coverage in order to create cash flow to the client as soon as possible. In the event of a major claim, we structure interim payments from the insurance company prior to the final settlement. Our goal is to help policyholders receive the maximum benefit from their policies.

We take a different approach to third-party claims. When a third party makes a claim against one of our clients, we seek to minimize our client's exposure whenever possible. If the claim is well-defined and our client is clearly liable, we seek a quick and fair settlement. However, when the third-party claim is questionable and/or the claim amount is unreasonable, we take every action possible to help the insurer minimize the cost to our client and to have the policy pay only what is reasonable.

Please click on a name below to
view a brief professional bio:

Senior Property/Casualty Claims Specialist:
Bonnie Banta
 

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