Parties to a Claim:
- First party – The policyholder
- Second party – The Insurance company
- Third party – anyone else involved in the loss event.
Handling the Third-Party claim is an extremely important part of the work of the claims department:-
a Third party – does not have a contractual relationship with the insurer and can have the following consequences:
- The Third Party must legally pursue their claim against the insured and not the insurer (which will indemnity client)
- In practice, the claim will likely be presented by the claimant or their representative
- The Third Party may already be hostile, hence their expectation of service levels will be higher that the insured’s as
they suffered a loss through the insured’s negligence, they may also view the insurers as the insured’s agent.
- The Third Party may be more prone to exaggerate their claims.
- Not much pressure can be put on the insurer to respond quickly as the insurer owes no loyalty to the claimant.
- Conversely, a well-handled Third-Party Claim may win the claimant at renewal.
- When contributary negligence is involved, compensation will not be 100%.
- A Third Party will not be liable to pay an excess or a deductible.
- A Third Party will more likely use a solicitor, hence they will need to be recovered. Unless the claim size is too small.
- Third Part claims are liability claims and are usually more complex in nature.
- Given the Third Party’s final option is litigation, they are more prone to use this option if they are not managed
fairly