Prime Efficient has been established as a service provider to offer end-to-end Insurance Claims Consultancy and Management Services that include claim preparation, quantification, presentation and negotiation of claims between parties in dispute to ensure a fair and successful settlement.
We are an exclusive and dedicated Claims Management & Consultancy firm with senior qualified insurance professionals having a wealth of experience of over 25 years in insurance claims. The experience is rich and varied and encompasses ALL classes of insurance, having worked in senior management positions in reputed insurance companies in UAE and India for over 25 years. Having seen and dealt with all kinds of large and complex losses/ claims over the years, we have gained exceptional skills to interpret policy wordings and manage such claims.
Specializing in Insurance Claims, the role of Prime Efficient is to:
- Study the circumstances leading to losses/ claims and study the insurance coverage afforded under the insurance contracts.
- Technically analyze the cases based on the insurance experience including but not limited to principles of insurance, terms and conditions of relevant policy wordings, definitions of various insurance terms, domestic and global insurance market practices and the laws of the UAE.
- Legally and technically prepare insurance claims for insured and uninsured parties.
- Negotiate on behalf of the claimant to ensure he is not treated unfairly.
- Skillfully negotiate issues of liability and quantum with insurance companies, their appointed Loss Adjusters/ Lawyers and Reinsurers as relevant.
- Help achieve satisfactory and best possible claim settlements and avoid unnecessary delays and unreasonable reductions in payments.
- We take up even declined insurance claims and achieve exceptional recovery if the grounds of rejection are found unreasonable or weak, for these cases, we work on 'no cure no pay' basis.
- We can be involved in large claims for claim preparation, quantification and evidence gathering where insurance policy provides for our Fee under 'claims preparation clause'.
- Assist clients in litigation cases with required technical insurance support and legal arguments.