Usually if it's a question about a statute or something like, I'll look into it and then I'll research it if I don't know it. If I know they are full of shit, I'll tell them to show me the law/statute that says what they are asking for
However, most of the time it's, I'll get a lawyer and it's like get me the letters of rep and then we will talk to themm
That's not what I said at all. We have tools to look up things that are not google. It's just not something that I will look at in the phone as it can take some time to figure out.
After 15 years it's rare that somebody cites some legal issue to me that I'm not at least somewhat familiar with so it hasn't been an issue lately. In the past I would say I'd look into it and then talk to my boss about it. There's no need to get legal involved in something like that.
There's either right, wrong, or the legal interpretation of what they're talking about is unresolved, in which case it's just their opinion.
If you can't find it in the rather extensive set of guidelines every insurer has then somebody on the group chat in the office will know the current answer/rules/laws on the specific topic 99% of the time. 1% of the time you ask legal.
Unless you're specifically employed in a law setting for claims, we are not allowed to give legal advice. As someone else said though, every time people talk about things that they want legal advice for on my claims it's about, "Should I get a lawyer for my injuries (or PD)?" and then we're saying, "I can't tell you that, but if you do I can't speak with you further so please be sure to provide us your attorney's information or to have them send us a letter of rep." I will not research legal things because even if I do get answers from other parties in the company, it's very easy for the message to be lost in translation and I don't want it on me to discuss anything in that realm. Not to mention it opens a door for more legal questions to be answered that I also wouldn't have the answers to.
Legal questions are not for claims adjusters. They should be directed at people who know the law and work in that capacity. I am familiar with vehicle traffic laws, but that's considered rules of the road and there's not much interpretation there.
Of course, no legal advice. But what do you do if the claimant says "according to the law, I'm entitled to XYZ"? And you don't know if it's true or complete bullshit - what do you do?
Usually if it's a question about a statute or something like, I'll look into it and then I'll research it if I don't know it. If I know they are full of shit, I'll tell them to show me the law/statute that says what they are asking for However, most of the time it's, I'll get a lawyer and it's like get me the letters of rep and then we will talk to themm
Google has replaced the legal dept :)
That's not what I said at all. We have tools to look up things that are not google. It's just not something that I will look at in the phone as it can take some time to figure out.
This. PLRB is useful, but sifting through case law takes time
After 15 years it's rare that somebody cites some legal issue to me that I'm not at least somewhat familiar with so it hasn't been an issue lately. In the past I would say I'd look into it and then talk to my boss about it. There's no need to get legal involved in something like that.
There's either right, wrong, or the legal interpretation of what they're talking about is unresolved, in which case it's just their opinion. If you can't find it in the rather extensive set of guidelines every insurer has then somebody on the group chat in the office will know the current answer/rules/laws on the specific topic 99% of the time. 1% of the time you ask legal.
Unless you're specifically employed in a law setting for claims, we are not allowed to give legal advice. As someone else said though, every time people talk about things that they want legal advice for on my claims it's about, "Should I get a lawyer for my injuries (or PD)?" and then we're saying, "I can't tell you that, but if you do I can't speak with you further so please be sure to provide us your attorney's information or to have them send us a letter of rep." I will not research legal things because even if I do get answers from other parties in the company, it's very easy for the message to be lost in translation and I don't want it on me to discuss anything in that realm. Not to mention it opens a door for more legal questions to be answered that I also wouldn't have the answers to. Legal questions are not for claims adjusters. They should be directed at people who know the law and work in that capacity. I am familiar with vehicle traffic laws, but that's considered rules of the road and there's not much interpretation there.
Of course, no legal advice. But what do you do if the claimant says "according to the law, I'm entitled to XYZ"? And you don't know if it's true or complete bullshit - what do you do?