CalTIP - Claims Administration

Claims Administration

In keeping with its philosophy of increased member control over programs, CalTIP offers a claims administration service to all members. This service includes:

accident investigation
claims administration
oversight of legal services
subrogation
settlement
reporting back to CalTIP member on all of the above services

However, members have the option of providing their own claims administrator or using a third party administrator, in which case their annual administrative deposit is reduced.

On an annual basis, CalTIP performs audits of both the claims of its members and the services of the claims administrator. This practices ensures that CalTIP has an accurate accounting of claims filed against all members, members are maintaining appropriate reserves, and claims administration procedures are being followed.

Following is a brief description of the two claims administration programs available to members:

CalTIP Adjusted - Program I

This program is for all members that have selected the $0/first-dollar (pre-funded) deductible and for members with self-insured retentions that choose to utilize CalTIP's claims administrator.

Independently Adjusted - Program II

This program is for all members with self-insured retentions that have chosen not to utilize CalTIP's claims administrator. Claims administration services necessary for the proper funding and adjustment of claims are performed at the discretion of the member, subject to specified guidelines which insure proper adjusting procedures and reserving practices. Members must also provide loss information to CalTIP's claims administrator on a monthly basis.

A list of CalTIP's contractors, including the claims administrator, is available in the consultants section of the Contact page.

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