Flagship engagement
Claims File Review
Line-by-line examination of open and closed claim files, with reserve commentary and documentation gaps called out for your adjusters.
Who it is for
Property & casualty insurers, reinsurers, and third-party administrators handling Vietnamese portfolios
What you receive
A structured review memorandum, reserve recommendation schedule, and priority list of files needing follow-up evidence or negotiation
Included
- Sampling plan agreed with claims leadership
- File-level notes on liability, quantum, and reserve adequacy
- Fraud-indicator flags where patterns appear
- Closing briefing with claims managers
Outside this engagement
- Court representation or legal advocacy
- Direct negotiation with claimants
- Ongoing claims adjusting day-to-day
Process
- Scope call and sample selection
- Secure file transfer or on-site reading room
- Parallel review by senior and associate reviewers
- Draft memorandum and reserve schedule
- Leadership briefing and handover notes
Preparation
Provide policy wordings, claim manuals, and access credentials or printed files for the agreed sample.
Constraints
We do not alter reserves in your core system; recommendations are advisory for your reserving committee.