TNRMT Claims Management
Perhaps insurance coverage is the only commodity we ever purchase, and hope we never need to use, but when you must report a claim, you need confidence in the ability of the individual managing your claim. While most insurance companies have a claims staff who process large numbers and differing type of claims, the TNRMT has in-house claim professionals who are dedicated to the specific needs of Tennessee public entity claims.
The TNRMT adjuster follows a standard process for each incident that is reported. The TNRMT adjuster will acknowledge receipt of the report by phone and begin the investigative process contacting all involved parties to verify the details of the incident and determine the financial exposure to the Trust. Prompt, accurate reporting of every claim is essential to our continued success. Industry studies have demonstrated that a timely response by the adjuster, in most instances, can aid in mitigating the cost of the claim by removing anger and frustration of the injured party.
After obtaining all relevant facts, our adjusters attempt resolution of the claim based upon previous experiences taking into account not only the financial impact the claim may have, but also what the final disposition may have on established policies of the member with regard to future claims.
If the adjuster is unable to resolve the claim, and a lawsuit is filed, the case is then assigned to an attorney from the TNRMT defense network who has extensive experience in public entity claims, and who is familiar with the TNRMT defense strategy. The adjuster does not abandon the claim to the attorney, but rather remains involved to assure the most satisfactory result for the Trust and its member.
The Trust operates under a deductible program and while most claim payments come from the Trust's Loss Fund, please refrain from making any commitment regarding payment or denial of a claim. The Trust has purchased reinsurance from third party reinsurers, who require certain investigation and reporting from the TNRMT. Failure to observe these requirements could result in a coverage declination leaving the TNRMT or its member responsible for damages for violating the reinsurance contract. Therefore, decisions regarding disposition of claims must be left to the well-trained professional.