FRT’s Operational Excellence: Rejected claim from administrator corrected to increase client recovery
After submitting a claim on behalf of a client, FRT received a rejection letter from the claims administrator stating the submission had no recognized loss. When comparing the claim admin’s rejections to FRT’s internal recognized loss calculations, we found a discrepancy. This promoted our Case Specialist Team to take a deep dive into the data and plan of allocation for this client’s specific claim. FRT’s analysis confirmed our original recognized loss calculation of $591,666.78 where we went back to the claims administrator to challenge its assertion. Following the administrator’s analysis of our findings and the claim, they conceded the error with our findings and validated the claims.