Outstanding Claim Service from ProMutual Group

The true test of an insurance company happens when a claim is filed. With so much at stake, you want the best possible claim service from the best claim staff.

ProMutual Group is known throughout the industry for its superior claims handling staff, comprised of experienced nurses, attorneys and industry professionals.

The claim process begins when you are formally notified by a patient or his/her family or legal representative that something you did or did not do caused harm.

• If the notification is by letter, the case is a claim
• If the notification is by court summons and complaint, the case is a lawsuit

Once ProMutual Group's Claim Department is notified and we have verified coverage, the investigation begins. The allegations are investigated through statements, expert reviews, research and other appropriate means. After the investigation is complete, a strategy for resolution, either through settlement or defense, is then determined.

Recognizing the potential emotional and professional impact of a claim, we keep you involved and informed throughout the process. We also provide a range of expertise and services to help you in your defense.

We have a strong record of success, with nearly three decades of experience defending and winning cases for our policyholders. ProMutual Group has long had solid relationships with both medical experts and the region's top medical malpractice law firms. They have a track record of competency in the field of medical malpractice defense and have had outstanding success defending doctors.

To download and fill out a claim loss history and coverage verification form, please click here. For an interactive form, click here.

2006 Highlights

In 2006, we continued our commitment to aggressively defend good medicine. In fact, we closed 77% of claims without an indemnity payment and we won more than 90% of the cases that went to a verdict at trial. Along with our success in defending claims during the past year, we also actively sought and continued the use of strategies to control costs associated with defending claims.

• When appropriate, we continued to make use of alternative dispute resolution (ADR) on behalf of our policyholders. These “outside the courtroom” alternatives, such as binding arbitration and mediation, offer the ability to facilitate a trial or settlement of a claim.
• We expanded our Online Legal Expert (OLE) database to support defense counsel in more effective and efficient ways to cross-examine plaintiff experts. The database now offers more than 80,000 pages of documents including depositions and transcripts of past testimony.
• Our defense counsel evaluation and selection process continued to be rigorous in 2006. An in-depth screening and interview process ensures we offer our policyholders superior defense counsel with expertise in defending healthcare providers. In preparation for the future, our mentoring program enables less-experienced attorneys to gain the necessary experience needed to lead a malpractice defense.
• We continued to survey our policyholders who experienced a claim asking them to evaluate defense counsel performance in terms of communication skills, representation at scheduled events and at trial. We achieved a response rate of 25% and an average score of 4.6 / 5.0 which translates to a rating of “excellent.”

For additional information, see our Claim FAQs.