Dynamic Claims

Dynamic Claims’ independent adjusting services provide professional support for Property and Casualty claims, ensuring accurate assessments, timely communication, and adherence to industry standards.

• Appraisal Network & Photo Estimating – Access to a nationwide network of appraisers and remote estimating services for reliable damage assessments.
• Direct Repair Program Coordination – Facilitating efficient claim resolutions by streamlining repair processes.
• Desk Reviews & Diminished Value Assessments – Providing structured file reviews for consistent and fair evaluations.
• Overflow Handling & CAT Response – Scalable solutions to manage claim volume surges, ensuring prompt service during peak periods.
• Subrogation Demand Review & Salvage Quotes – Expert evaluations to support cost recovery and maximize returns.
• Collision Impact Studies – Conducting impact analysis studies for accurate claim settlements.
• Recorded Statements – Capturing accurate claim information through comprehensive recorded statements.

Dynamic Claims offers specialized consulting services to help clients navigate complex regulatory and risk management challenges in environmental, construction defect, and workers’ compensation claims.
 

• Exposure Management – Developing strategies to identify and mitigate risks.
• Coverage Analysis & Allocation – Offering claims evaluations to assist with coverage determinations.
• Bad Faith Resolution – Supporting clients in claims disputes and allegations to achieve favorable resolutions.
• Loss Review & Aggregate Monitoring – Evaluating loss trends to assist with long-term claims management strategies.

Our consulting services empower clients to address complex claims and compliance needs with confidence and clarity.

Dynamic Claims provides comprehensive litigation support, assisting clients with settlement conferences, arbitration, mediation, and trial preparation.

• Expert Testimony & Trial Preparation – Providing case support with expert analysis and industry insights.
• Vendor Management & Best Practices – Assisting in vendor oversight and cost control measures.
• Internal Audits – Conducting process reviews to support operational efficiency and compliance.

Dynamic Claims’ auditing and inspection services ensure accuracy, efficiency, and cost management within claims processes, financial integrity, and regulatory compliance.

• Primary, Excess, MGA, & Self-Insured Audits – Conducting structured audits to assess financial and operational integrity.
• Underwriting, Accounting, & Claims Audits – Evaluating financial and underwriting processes for compliance and best practices.
• Environmental & Construction Defect Audits – Offering specialized audits for environmental and construction exposures.
• Reinsurance Audits & Contract Interpretation – Assisting with contract language interpretation and reinsurance coverage reviews.
• Aggregate Stop Loss & Medical/Legal Bill Auditing – Identifying billing errors to reduce excess costs and ensure compliance.

DCS’s auditing services offer clients peace of mind, knowing that claims expenses are minimized and billing practices are thoroughly reviewed.

Dynamic Claims’ Special Investigations Unit (SIU) provides fraud prevention and investigative services to protect claim integrity and minimize financial risk.

• Medical Equipment Verification & Billing Review – Verifying medical equipment invoices for accuracy and legitimacy.
• Credential Investigation & Background Checks – Conducting background research to confirm professional credentials.
• Social Media Investigations & Witness Location – Utilizing digital tools to validate claims and locate witnesses.
• Police Report Verification & Motor Vehicle Searches – Cross-referencing claims data with official records.
• Surveillance, Asset Searches, & Bankruptcy Screening – Conducting field investigations to identify fraud risks.
• Clinic Inspections & License Verification – Ensuring medical facilities and professionals meet compliance standards.
• Handwriting Analysis – Analyzing documents for authenticity in fraud detection efforts.
• Recorded Statements for Investigative Purposes – Capturing key claim details through structured recorded interview

Compliance Services:

• Fraud Plan Development & Filing – Creating customized fraud prevention plans in compliance with state regulations.
• Annual Reports & Mandatory Filings – Managing fraud-related reports and regulatory filings.
• SIU Compliance Audit Support – Preparing and assisting with state and regulatory audits.
• Fraud Manuals – Developing up-to-date fraud prevention guidelines for internal use and compliance.

Our SIU team works diligently to protect clients from fraudulent claims, combining digital and field investigation techniques.

Dynamic Claims provides customized claims solutions for public and private sector organizations to help them improve operational efficiency and compliance.

• Public Entities – Programs designed to support government agencies in claims handling and compliance.
• Private Entity Services – Offering claims solutions tailored to businesses, insurers, and self-insured organizations.

Dynamic Claims Services offers tailored training solutions to help clients meet compliance and operational requirements across various states and industries. Training is designed to be interactive, relevant, and engaging, with content customized to fit each client’s specific needs.

Training Services Include:

• Fraud Detection and Prevention Training Focused on fraud detection techniques, red flags, and case examples to help employees identify and prevent fraud effectively.
• Customized Compliance Training Training sessions are developed to meet the specific compliance requirements of each client, ensuring that employees are equipped with knowledge relevant to their roles.
• Conflicts of Interest and Ethics Specialized training on ethical standards, conflicts of interest, and professional integrity in claim handling and compliance.
• Flexible Training Formats Offered via pre-recorded presentations, in-person sessions, or live WebEx seminars to provide convenience and accessibility.
• Progress Monitoring and Reporting DCS monitors employee participation and training progress, providing regular reports to ensure that your team remains compliant with state and business-specific training mandates.

With training formats tailored to company requirements and industry standards, our sessions bring compliance to life, ensuring employees are engaged and informed.

At Dynamic Claims, we provide structured claims solutions to help clients enhance efficiency, accuracy, and regulatory compliance.

• Optimized Cycle Times – Streamlined workflows that accelerate claims resolution.
• Client-Centered Support – Customized workflows and technology solutions for efficient claims processing.
• Actionable Reporting & Insights – Data-driven dashboards and analytics for strategic decision-making.
• Efficient FNOL Process – Structured First Notice of Loss (FNOL) systems to expedite claim initiation.
• Advanced Risk Management Technology – RMIS tools for claims tracking and structured insights.
• Industry-Informed Claims Insight – Perspectives from professionals with carrier experience to refine claims strategies.
• Robust Quality Assurance – Subject matter experts engaged as needed to ensure accuracy and consistency in complex claims.
• Coordinated Dispatch Team – Efficient resource deployment to support claim handling.
• Regional & Market-Specific Expertise – Tailored claims solutions with nationwide reach.
• Strategic Partnerships – Collaborating with carriers, MGAs, and self-insured organizations.
• Expert Talent Network – Access to top-tier industry specialists for scalable, adaptable claims handling.

• National Association of Professional Surplus Lines Offices
• California Conference of Arson Investigators
• Environmental Claims Manager Association
• Excess/Surplus Lines Claims Association
• Professional Liability Underwriting Society