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Blog

Tag: blog

After the Storm: Effectively Subrogating Mother Nature

Damage from a storm
Posted on April 4, 2025 by Lauren Clark

The picture you are seeing is my dock, torn from its pilings after Hurricane Ian.   Was it the result of massive waves battering it for 48 hours straight or was it the result of poor design and craftsmanship.  In today’s blog we are going to take a closer look at the various aspects of subrogating Mother Nature, including a great case study.

Hurricane Ian was one for the ages. I have probably been through thirty named storms over the years and this one was a once in a lifetime experience, and I wasn’t even close to where it made landfall.   Ian hit with 153 mph sustained winds, 2 mph shy of a CAT 5, causing extensive devastation across the Florida peninsula.    In my location on the east coast of the state, but in the path of the eyewall, the outer bands began arriving midafternoon on September 28th.   The eye went over us for six hours the following day, followed by the trailing bands that wound down on September 30th.

To put the size in perspective, the storm caused damage from Marco Island to well north of Tampa on the west coast, and from Fort Pierce to Flagler Beach on the east coast, both four-hour drives.   Most hurricanes that have hit Florida would have fit in the eye of Ian.

Hurricane Ian

It was a jaw dropping size and in addition to winds Ian dropped record amounts of rain in Central Florida before exiting the east coast over Volusia and Brevard County as a CAT 2 storm.   Of course, storm season didn’t end with Ian as we got hit by a less severe Nicole six weeks later.  But with the ground already saturated and structures already weakened from Ian, more damage was just par for the course.

Here is where we begin the investigation into potential subrogation after storms, be they hurricanes, tornadoes, nor’easters or some other weather related phenomenon.

While damage is often due to wind and rain, the reality is that there is a lot of shoddy construction.   In the most basic example, you have the aforementioned dock.   While the driving waves did separate the dock from the pilings, construction experts have said that the stringers were attached on the wrong side of the pilings.  Had they been east of the pilings the driving waves would have pushed them, versus pulling, and not been able to loosen the lags.   In addition, the hurricane clips used to attach the deck to the pilings were insufficient and had lags been properly installed through the hangars to the pilings the deck likely would have not come loose.    This is just one simple example of how poor construction can result in potential subrogation.

Unfortunately for those with decks, docks and seawalls over the water, this is all excluded by policy.  The result is that the affected homeowners will have to pursue contractors directly.   But in many instances, there may be coverage.   Improperly installed roofs, windows and doors could have failed.    As adjusters continue their investigations there will likely be covered losses making it extremely important to dig into all facets of construction.

In some instances, it is even possible that property owners and/or contractors were aware of certain conditions from prior acts of God that previously resulted in catastrophic damage.  This is why it takes a lot of digging to determine what is and is not recoverable.

Let’s take a look at a case study from an audit conducted by SubroIQ, a leader in subrogation investigation and services.

This particular case involved a commuter parking lot that was flooded during a storm.   A significant number of cars were damaged.   This would appear to be an act of God, right?

This is why digging deeper results in finding money that is often left on the table.   In this case, the parking lot was adjacent to a large river.   During the investigation it was determined that the parking lot had flooded on multiple prior occasions, all during a full moon at high tide.   The owners were aware of this, and warnings should have been posted or the parking lot closed during such events.

But it doesn’t stop there.  As the adjuster dug deeper it turns out that aerial imagery showed that the parking lot had grown year over year as owners brought in fill, encroaching on the river.   Yet no permits were ever found, indicating that the parking lot expansion was occurring without oversight from local, state or federal officials.

In this particular case the SubroIQ adjuster was able to present evidence to the carrier for the parking lot resulting in an amicable settlement.    The subrogation money was collected for the SubroIQ client and deductibles were returned to many very happy customers.

There is a reason that 15% of all claims are closed with a missed subrogation opportunity.

Basic investigations, algorithms, AI and ML can all do a decent job on subrogation ID for less complex recovery opportunities.   But as cases get more complex, it requires a lot of digging, knowledge and intuition to get to the right outcome. SubroIQ’s SubroIQ Technology takes things a step further by modeling over 600 years of collective claims experience to ID what others miss.  To date, the company has recovered over a billion dollars for clients.

Before closing out and writing off those storm related claims, consider taking a SubroIQ, utilizing a NO COST closed file audit.   You never know what you will find in those claims.

Chris Tidball is an Executive Claims Consultant with SubroIQ, a leading provider of subrogation services.   His career has spanned more than thirty years, working in adjusting, leadership and consulting roles for multiple to insurers.   He is the author of Re-Adjusted:  Taking Your Claims Organization From Ordinary to Extraordinary, fictional thrillers Swoop & Squat and Deep State, and is the creator of the TV series The Adjuster.   To learn more about how SubroIQ can deliver missed revenue to you please contact christopher.tidball@subroiq.com

Posted in BlogTagged blog, deductible, Subrogation

March Madness and Subrogation: Avoiding Costly Turnovers in Claims Recovery

march madness blog
Posted on March 26, 2025 by Lauren Clark

As March Madness takes over the sports world, it’s a great time to draw some parallels between winning strategies on the court and successful subrogation recovery. Just like in basketball, where every possession matters, in claims subrogation, every missed opportunity can cost insurers millions in lost recoveries. At SubroIQ, we specialize in helping carriers, TPAs, and self-insured organizations maximize recoveries by eliminating subrogation turnovers.

The Full-Court Press: Identifying Missed Subrogation Opportunities

In basketball, a full-court press is used to apply relentless pressure, forcing turnovers and creating scoring opportunities. In insurance subrogation, a similar aggressive approach is needed to identify and recover missed subrogation opportunities before they slip through the cracks. Studies show that up to 15% of all claims are closed with missed subrogation potential, and in some lines like workers’ compensation, that number climbs to nearly 30%.

To win the subrogation game, insurers must implement advanced analytics, closed file audits, and expert claims handling to ensure that no recovery is left on the bench.

Avoiding Fouls: Common Mistakes That Lead to Claims Leakage

In basketball, careless fouls can change the outcome of the game. In claims subrogation, common mistakes lead to significant claims leakage, resulting in millions of dollars in lost revenue. Some of the most frequent subrogation errors include:

  • Failure to assess comparative negligence – Too often, adjusters overlook shared liability scenarios where recovery is possible.
  • Overlooking evidence – Missing police reports, witness statements, or critical documentation can weaken a case.
  • Premature file closures – Pushing files to closure without a thorough subrogation review can leave substantial recoveries on the table.
  • Relying solely on AI and automation – While technology is crucial, it can only take insurers 80% of the way. Complex liability scenarios still require human expertise.

Winning the Championship: The SubroIQ Playbook for Maximizing Recoveries

At SubroIQ, we deploy a championship-level strategy to ensure subrogation success. Our proven SubroIQ Technology blends AI-driven analytics with over 600 years of combined subrogation expertise, identifying missed opportunities that traditional models overlook. Through patent-pending solutions like ReverseSubrogation™, we have helped insurers recover millions in previously lost claims.

Take Your Subrogation Game to the Next Level

March Madness is all about momentum, strategy, and execution—the same principles that drive successful claims subrogation. Don’t let missed recoveries and claims leakage put your organization on the losing end of the scoreboard. Partner with SubroIQ to implement proven strategies that maximize recoveries and keep your financials in championship form.

Are you ready to eliminate costly turnovers and boost your subrogation success? Contact SubroIQ today for a FREE closed file audit and start winning more recoveries!

Posted in BlogTagged blog, business, Subrogation

The Subrogation Cash Cow (the saga continues)

Posted on March 12, 2025 by Lauren Clark

My first “Subrogation Cash Cow” article was published back in 2010, followed by a series of educational training modules over the next few years.   But as we evaluate the state of subrogation practices today, it seems that for as much as the world has changed in the past thirteen years, many subrogation practices remain the same.

Back in 2010, carriers faced some big challenges largely driven by the crash of the housing market and the great recession.   Today, the challenges faced are related to the lingering effects of the pandemic such as inflation, the slowing economy and the “great resignation”. Claim volumes have fluctuated up and down.  There seems to be less predictability in an already unpredictable world.   Exacerbating these challenges are ongoing mergers, acquisitions, downsizing and much consolidation within our industry.

So how does this impact claims, in particular subrogation?

Increased productivity demands, fewer resources, and ever changing technology all play a role in the quality of claims investigations and outcomes.  Arguably one of the biggest opportunities in the world of claims is subrogation, as an estimated 15% of claims closed are closed with missed subrogation opportunities!

In a conversation with a longtime colleague, we discussed how it was “back in the day”.   Claims were handled with a generalist approach requiring adjusters to have their eye on the ball at all times.  Subrogation was just part of what we did and failing to pursue it often resulted in negative audit and leakage reviews.   In today’s more specialized world there are arguably more opportunities for defects in the claims handling process.   While there may be economies of scale and productivity gains, there is also a greater risk of leakage, which can offset many of the other gains.

In two recent file audits, more than ten million dollars of missed subrogation was identified.   Many of the claims were very basic auto, property and work comp scenarios.   How does this happen?  Adjusters are extremely busy, often tasked to do more with less while chasing metrics, such as disposition, that put subrogation at a greater risk of being missed.   In the world of work comp we often find scenarios where adjusters did a great job on the compensability front, but completely missed the liability situation.   Missing evidence continues to hamstring property recoveries.   Adjusters not assessing comparative negligence when it is event certainly remains a significant issue.

So how do you come out on top?

When it comes to subrogation, the key to winning the game is ID.   If you don’t ID the subrogation you are going to miss the recovery.  Vince Lombardi once said, “If winning isn’t everything, why do they keep score?”   It is a pretty simple formula.   Despite this, many opportunities do get missed as our industry leading subrogation experts often see in routine closed file audits.

In this day and age of advanced algorithms, AI and machine learning this just shouldn’t be the case.   The reality is that all of the aforementioned are good, and vitally important.   But they only get you 80% of the way there.   Certainly, technology can do a good job on the majority of claims, but when you have complex recovery scenarios, PIP nuances, convoluted workers’ compensation laws and ever-changing case law, technology simply can’t adapt fast enough.  This is why SubroIQ has deployed SubroIQ Technology, which has been shown to outperform AI due to it incorporating human adjusting behaviors in the process.

Today, we are going to focus on two key strategies to drive subrogation outcomes.   Comparative Negligence and Complex Liability Scenarios.    When looking at recoveries on collision claims, there is a wide variance, but generally it falls to a range of about 22-28%.    When evaluating Six Sigma studies of quality reviews for a variety of carriers the statistically valid samplings find a recovery range that are much higher.  The recovery gap is the variant opportunity for improvement that carriers can expect when staff fully understand and effectively apply the concepts associated with comparative negligence.

Comparative Negligence and Complex Liability Scenarios

Aside from straightforward situations such as intersection, lane change or parking lot accidents, there are a myriad of opportunities where comparative fault would apply in virtually any coverage line.   Concepts such as assumption of risk, laden versus unladen vehicle weight, bailment and last clear chance, phrases not heard since our adjuster boot camps, need to once again become part of the daily claim vernacular.

In simplest terms front line adjusters often miss comparative negligence assessments.   Audits that I have been involved with routinely show that a mere 3-5% of auto collision claims have a shared liability assessment.    This is a much different outcome than we see with juries where it is estimated that more than 50% of cases adjudicated have liability apportioned between the parties.  Other lines aren’t much better with contributing factors to the loss often being overlooked.

As the adjusting population ages and retires, there is going to become an even bigger void in experience that will likely result in even more missed subrogation.   This is further exacerbated by the outsourcing of First Notice of Loss, often overseas.   While FNOL can serve as a valuable training experience for future adjusters, the costs savings of outsourcing is what some carriers are more focused on.    When accuracy of information and data collection become problematic, it has a direct and quantifiable impact on a carrier’s bottom line.   When relying on subrogation models, the output is only as good as the data being collected.

Beyond FNOL, adjusters are often measured in terms of production versus the quality of their work, which results in critical items slipping through the cracks.   A missed witness statement here, a overlooked piece of evidence there, missing police reports, witness statements, etc., can all add up to billions of dollars in leakage across the industry.   Carriers that see the highest subrogation success rates are those that are consistently utilizing impartial auditors for closed file reviews, as well as enhancing processes to leverage business partners to augment staff and provide valuable services such as applicant and response arbitrations.

By focusing on two areas- maximizing recoveries on tough collections and developing an acute understanding of comparative negligence- carriers can battle their way out of the red ink.   These opportunities abound in our industry, and carriers, TPA’s and self-insureds that leverage expertise in these areas will have an immediate competitive advantage.    While millions of dollars may not seem like much to billion dollar companies, the reality is that ever little bit helps.   What can an extra million buy?  More adjusters?  Better programs? Newer fleets? More technology?

To wrap it all up…

In my own case, I utilized Second Look while overseeing subrogation at a multi-billion dollar company.   They recovered over $5 million dollars.   While not a lot in the grand scheme of a global enterprise, it allowed us to purchase some critical technology that improved claims results across the organization to a benefit that was at least tenfold of what was recovered.   As the old adage goes, it takes money to make money so why leave anything on the table?

A renewed focus on execution associated with effective and accurate investigations and outcomes will drive overall subrogation recognition, a key component to improving profitability.   Recognizing subrogation as an area of opportunity and focusing on continuous process improvement by leveraging expertise in the industry is what we will define the most successful carriers and companies in coming years.

 

Chris Tidball is an Executive Claims Consultant with SubroIQ, an industry leading subrogation firm with over 600 years of collective experience that has recovered over $1 billion dollars for clients. His career spans over 30 years, including adjusting, management and executive roles with multiple To 10 P&C carriers.  He is a frequent industry speaker and the author of multiple books including Re-Adjusted: Taking Your Claims Organization From Ordinary to Extraordinary!  To learn more about no cost closed file reviews to ID missed subrogation please contact christopher.tidball@subroiq.com

Posted in BlogTagged blog, newsletter, Subrogation

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