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Salvage Committee:
Charter/Mission
Background
The purpose of this report is to begin committee work on
the formats needed to allow electronic subrogation
messages in the property casualty insurance industry.
We are asking for responses and feedback from insurance
carriers, subrogation vendors, subrogation
investigators, subrogation attorneys, third party
intermediaries, and software companies regarding all
communications needed to complete the subrogation
business within the property and casualty industry.
The objective will be to establish
communication framework by identifying relationships to
existing data elements, data flows, and connection
points. This information will then be assembled to
develop transmission formats that will enable the many
facets and messages the systems need for electronic
resolution of subrogation claims.
Mission
Develop standard formatting that will
enable electronic subrogation communication for the
property and casualty insurance industry and all related
stakeholders. This development will create the tools for
participants to enable bi-directional communication of
data and messaging capability between all parties.
Scope & Objectives
The Subrogation Committee will focus on:
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Providing transmission formats for the assignment
for subrogation investigation and resolution,.
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Providing Industry definitions for all entities
involved in this process.
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Providing Industry definitions for formats and
messaging elements.
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Establishing relationships to existing data
elements.
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Determining the benefits to all industry segments.
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Developing a standard formatting for data
communications.
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Providing a format to facilitate the resolution of
subrogation claims.
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Developing the tools and formats for completing the
resolution of subrogation claims and surrounding
efforts to complete the research.
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Establishing Subrogation Implementation Guide(s).
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Developing new message types, code lists and/or
fields (as needed) to facilitate subrogation
processing and claims.
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Messages will include the full spectrum of the
subrogation assignment for investigation,
subrogation resolution assignment, status requesting
and reporting, and settlement resolution.
Operating Guidelines
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To
incorporate all potential business entities in the
business processes
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To
work within the Committee to establish goals and
timelines
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To
provide an open working relationship with the
Committee within the antitrust guidelines.
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To
work with X12 and their membership to ensure the
messages developed meet the needs of all parties.
Industry Segments Affected
Insurance Carriers – Property and Casualty insurers
in one or multiple lines of business
Subrogation Investigators – Businesses that
investigate potential claims and provide their findings
and assessments to the insurer.
Third Party Administrators – Businesses that
handle the claim administration from first notice of
loss through subrogation.
Subrogation Attorneys – Entities that provide
legal services relating to subrogation resolution.
Alternative Dispute Resolution Companies –
Businesses that facilitate subrogation settlements
through other than the traditional legal process.
Subrogation Vendors – Businesses that provide
collection services.
Third Party Intermediaries (includes Software
Companies) – Any company that develops software,
databases and/or services related to the subrogation
settlement process, subrogation data communications
and/or subrogation data consolidation.
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