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Casualty Claims

Casualty claims stay open for years because legal documents pile up in email while reserve adequacy tracking lives in spreadsheets

General liability, professional liability, and workers compensation claims run for months or years with complex multi-party coordination: claimants, insureds, legal counsel, expert witnesses, medical providers, and regulators. Every party generates documents — demand letters, medical records, deposition transcripts, settlement agreements, court filings. Without centralized document management and workflow automation, casualty adjusters drown in paper while reserve adequacy and litigation status tracking happens in spreadsheets. Regure provides long-tail claim management with legal document processing and reserve tracking.

Casualty claims are long-tail, legally complex, and require multi-year document management

Unlike auto or property claims that settle in days or weeks, casualty claims remain open for months or years. A slip-and-fall at a retail location might settle in 6 months or litigate for 3 years. A professional liability claim against an architect could span 5+ years from initial complaint through lawsuit resolution. This extended timeline creates unique document management and workflow challenges.

Long-Tail Claim Lifecycles

Casualty claims don't close quickly. Workers compensation claims for permanent disability pay out over years or decades. Product liability claims take 3-7 years from incident through lawsuit settlement. Environmental liability claims span 10+ years as contamination remediation continues.

These multi-year lifecycles create document chaos. A workers comp claim generates 200+ documents over 5 years: initial injury report, medical treatment records, independent medical exam reports, vocational rehabilitation assessments, wage loss calculations, return-to-work plans, settlement negotiations, and lien resolutions.

Traditional claims systems weren't designed for long-tail management. Files grow too large, documents get misfiled or lost, adjusters retire or change roles (requiring file handoffs), and historical context is difficult to reconstruct years later. A new adjuster inheriting a 3-year-old liability claim spends hours reading through chronological notes trying to understand current status.

Regure provides long-tail claim management: unlimited document storage with instant search/retrieval, chronological case timelines showing all activity, automated file handoff workflows when adjusters change, and AI-generated case summaries that new adjusters can review in 10 minutes instead of reading 3 years of notes. See workflow automation capabilities.

Heavy Legal Document Management

Casualty claims involve more legal documentation than any other insurance line. Every litigated claim generates: demand letters, answers to complaints, discovery requests, interrogatories, requests for production, deposition transcripts, expert reports, mediation briefs, settlement agreements, court orders, and appeal documents.

Legal documents are time-sensitive and precedent-setting. Missing a discovery deadline creates sanctions. Losing a key expert report before trial creates liability. Failing to preserve litigation hold documents creates spoliation claims. Yet most casualty teams manage legal documents via email folders and shared drives.

Email management doesn't scale: defense counsel emails a 50-page deposition transcript, adjuster downloads to local drive, adjuster goes on vacation, supervisor needs the transcript for settlement negotiation, can't find it, emails counsel requesting re-send. This happens hundreds of times monthly across casualty teams.

Regure provides legal document management: all correspondence auto-files to claim records (emails, attachments, cover letters), legal deadlines auto-extract from court documents and calendar with alerts, litigation holds auto-preserve all documents when lawsuits filed, and document version control tracks changes to settlement agreements through multiple negotiation rounds.

Reserve Adequacy and Reserve Development

Casualty claims require reserves (estimated future claim costs) that adjust over time as new information emerges. Initial reserve on a slip-and-fall might be $25,000 (minor injury, quick settlement expected). Six months later after medical records show permanent injury: reserve increases to $250,000. Two years later during lawsuit discovery: reserve increases to $750,000.

This reserve development must be tracked and justified. Actuaries analyze reserve adequacy quarterly. CFOs monitor reserve changes for financial reporting. Regulators examine reserve methodology during examinations. Yet many carriers track reserves in spreadsheets or claims notes without structured history.

Regure provides reserve tracking with audit trails: every reserve change logged with reason, adjuster name, and supporting documentation. Reserve development reports show reserve history over claim lifetime with annotations explaining increases/decreases. Automated reserve adequacy alerts flag claims where reserves haven't changed in 6+ months despite ongoing activity (indicating potential under-reserving).

Multi-Party Coordination Complexity

Casualty claims involve more parties than other insurance lines: claimant (injured party), insured (policyholder being sued), claimant's attorney, defense counsel, plaintiff experts, defense experts, medical providers, vocational experts, mediators, and sometimes multiple defendants with multiple insurers.

Coordinating these parties via email creates confusion: Who has the latest settlement demand? Did defense counsel receive the updated medical records? Which expert report is the final version? Is the mediator available for August 15th or was that date rejected?

Regure provides secure multi-party collaboration: defense counsel uploads documents directly to claim files via secure portal (no more email attachments), settlement negotiations tracked with version history showing offer/counteroffer progression, expert witness management tracks report delivery deadlines and hearing availability, and mediation scheduling coordinates availability across all parties with automated calendar invites. Learn more about secure collaboration capabilities.

Casualty-specific documents and workflow patterns that Regure automates

Casualty claims involve legal documentation, medical records management, and multi-year workflow tracking that require specialized automation beyond standard claims processing.

Legal Demand Letters

Claimant attorney demands for settlement with injury descriptions, liability theories, medical treatment summaries, and demanded amounts. Regure extracts demand amounts, deadline dates, supporting medical records referenced, and liability allegations — routing to adjusters with settlement authority for response.

Discovery Documents

Interrogatories, requests for production, requests for admission, and responses from both plaintiff and defense. Regure classifies discovery documents by type, extracts response deadlines, tracks production status, and alerts when responses due in 10/5/2 days.

Deposition Transcripts

Witness testimony transcripts ranging from 50-500 pages. Regure indexes transcripts for searchability, extracts key admissions and statements, links to referenced exhibits, and generates summaries highlighting critical testimony for settlement evaluation.

Medical Records (Long-term Treatment)

Unlike acute injury medical records, casualty claims involve ongoing treatment over months/years: physical therapy progress notes, pain management records, surgical reports, independent medical exams. Regure organizes by provider and treatment date, extracts diagnoses and treatment plans, and flags new injuries or conditions appearing post-accident.

Expert Reports

Medical experts, vocational experts, accident reconstruction, and economic damage experts produce detailed reports. Regure classifies by expert type, extracts opinions and conclusions, flags opinions supporting claimant vs. defense, and links to underlying data sources.

Settlement Agreements & Releases

Multi-page settlement agreements with payment terms, release language, and structured settlement provisions. Regure extracts settlement amounts, payment schedules, release scope, and tracks execution status (signed by claimant, signed by insured, notarized, filed with court).

Long-tail document volume: A casualty claim open for 3 years averages 180 documents. A 1,000-claim casualty book generates 180,000 documents requiring organized storage, instant retrieval, and legal hold preservation.

Six capabilities that make Regure essential for casualty claims management

Casualty claims require long-tail document management, legal workflow automation, reserve tracking, and multi-party coordination across years. Regure delivers purpose-built casualty claims capabilities.

1. Chronological Case Timelines

Understanding a 3-year-old casualty claim requires reviewing hundreds of documents and diary notes in chronological order. New adjusters inheriting files spend days reconstructing case history. Traditional claims systems show documents in upload order or by document type, making chronological review difficult.

Regure provides automatic case timelines: every document, note, email, reserve change, and workflow action displays on a chronological timeline with dates and actors. Timelines are filterable by activity type (show only legal documents, or only reserve changes, or only settlement negotiations).

For complex claims, AI generates case summaries: "Claim filed 3/15/2023 alleging slip-and-fall at retail location. Initial reserve $25K. Claimant retained counsel 8/2023, demand letter received 11/2023 for $150K. Reserve increased to $175K. Discovery period 2024, 3 depositions completed. IME performed 6/2024 supporting defense. Current settlement demand $85K, reserve $100K, mediation scheduled 3/15/2026."

These AI summaries allow new adjusters to understand complex claims in 10 minutes instead of 2 days of reading chronological notes.

2. Legal Deadline Tracking & Alerts

Casualty claims have strict legal deadlines: answer complaint within 30 days, respond to discovery within 45 days, file expert reports 90 days before trial, submit mediation briefs 14 days before mediation. Missing deadlines creates sanctions, adverse rulings, or default judgments.

Tracking deadlines manually is error-prone. Adjusters maintain calendars, but when staff changes or workload surges, deadlines fall through cracks. A missed discovery deadline can result in $10,000+ sanctions and adverse inference instructions to jury.

Regure auto-extracts deadlines from legal documents: court orders, discovery requests, and scheduling orders. The system parses dates and deadline language ("Defendant shall respond within 45 days of service"), calculates due dates, and creates calendar entries with multi-stage alerts (30/14/7/2 days before deadline).

Alerts escalate automatically: initial alert to assigned adjuster, 7-day alert copies supervisor, 2-day alert escalates to claims director. This escalation ensures no deadline is forgotten even if individual adjusters are out of office.

3. Litigation Hold & Document Preservation

When lawsuits are filed, legal holds require preserving all relevant documents: claim files, emails, internal memos, reserve change justifications, and communications with defense counsel. Spoliation (destruction of evidence after litigation begins) creates adverse inference presumptions and sanctions.

Manual litigation holds don't work: emailing staff saying "preserve all documents related to claim #12345" doesn't prevent accidental deletion, retention policy auto-purges, or staff turnover losing institutional knowledge of which documents need preservation.

Regure automates litigation holds: when lawsuit filed, all documents associated with claim auto-flag for preservation and exempt from retention policy purges. Documents remain preserved until hold released (post-settlement, post-trial, or per retention policy after final resolution).

Hold status is visible: legal counsel can confirm via secure portal that litigation hold is active and all documents preserved. This confirmation is critical for discovery compliance and spoliation defense.

4. Reserve Development Tracking

Casualty reserves change frequently as new information emerges: medical records show worse injuries than initially reported, liability becomes clearer through discovery, settlement negotiations reveal claimant expectations, or jury verdicts in similar cases set precedents.

Each reserve change must be documented with justification. Actuaries need reserve development history for loss ratio calculations. CFOs need reserve explanations for quarterly financial reporting. Regulators examine reserve adequacy and methodology during examinations.

Regure tracks every reserve change with immutable audit trails: old reserve amount, new reserve amount, change reason (dropdown: "new medical records received", "discovery findings", "similar case verdict", "settlement negotiation"), adjuster name, supervisor approval (for increases over thresholds), and linked supporting documentation.

Reserve development reports visualize reserve history over claim lifetime with annotations. Actuaries export reserve data for IBNR calculations. Automated alerts flag claims where reserves haven't changed in 6+ months despite ongoing activity (potential under-reserving) or where reserves increased 3+ times in 12 months (potential volatile claims requiring management review).

5. Defense Counsel Portal & Collaboration

Casualty claims require constant coordination with defense attorneys: sharing claim files, receiving legal updates, reviewing discovery responses, approving litigation strategies, and negotiating settlement authority. This coordination typically happens via email creating version control chaos.

Regure provides defense counsel secure portals: attorneys upload documents directly to claim files (pleadings, discovery, expert reports, legal bills), download claim files and evidence as needed, submit litigation status updates via structured forms (discovery complete/pending, mediation scheduled/completed, trial date set), and request settlement authority with supporting justification.

Portal access is role-restricted: defense counsel sees only their assigned claims, can't access other firms' claims, and permissions expire when representation ends. All portal activity logs in audit trails (who accessed which documents when). This creates chain of custody for sensitive discovery documents. Learn more about e-signature workflows for settlement approvals.

6. Multi-Year File Handoff Workflows

Casualty claims outlive adjuster tenure. An adjuster handling a product liability claim retires before settlement. A workers comp adjuster changes roles. An adjuster goes on extended leave. File handoffs are inevitable for long-tail claims.

Manual handoffs create knowledge loss: outgoing adjuster writes transition memo, incoming adjuster reads claim notes, important context gets missed, settlement strategies are forgotten, and claim handling regresses to reactive mode.

Regure automates file handoffs: when claim reassigned, outgoing adjuster completes structured transition checklist (litigation status, settlement authority, pending deadlines, open issues, key contacts), incoming adjuster reviews AI-generated case summary and transition checklist, and system tracks handoff completion to ensure no claims fall through cracks during transition.

Historical context is never lost: all prior adjuster notes, reserve changes, and decisions remain in chronological timeline. New adjusters understand full claim history without relying on outgoing adjuster memory or incomplete transition memos.

What casualty claims teams ask about Regure

Can defense counsel access claim files securely?

Yes. Regure provides defense counsel secure portals with role-based access: attorneys see only their assigned claims, upload legal documents directly to claim files, download evidence and claim documentation as needed, and submit status updates via structured forms. Portal access expires automatically when representation ends.

All portal activity logs in immutable audit trails showing who accessed which documents when. This creates chain of custody for discovery documents and ensures attorney-client privilege is maintained through access controls.

How does litigation hold automation work?

When lawsuit filed (or reasonably anticipated), all documents associated with claim auto-flag for litigation hold and exempt from retention policy purges. Documents remain preserved until hold explicitly released post-settlement or post-trial. Hold status is visible to legal counsel via secure portal for discovery compliance confirmation.

This automation prevents spoliation (accidental document destruction after litigation begins) and ensures compliance with preservation obligations without requiring manual tracking or staff training on which documents to preserve.

Does Regure track legal deadlines automatically?

Yes. Regure parses court orders, discovery requests, and scheduling orders to extract deadlines and due dates. The system calculates deadline dates, creates calendar entries, and sends multi-stage alerts (30/14/7/2 days before deadline) with automatic escalation to supervisors if deadlines approach without action.

Deadline tracking reduces missed deadlines from 2-3 per year (industry average for mid-size casualty teams) to near zero. This prevents sanctions, adverse rulings, and default judgments caused by missed deadlines.

How does reserve development tracking work?

Every reserve change logs in immutable audit trails: old amount, new amount, change reason, adjuster name, supervisor approval (if required), and linked supporting documentation. Reserve development reports visualize reserve history over claim lifetime with annotations explaining changes.

Automated alerts flag claims where reserves haven't changed in 6+ months despite ongoing activity (potential under-reserving) or where reserves increased 3+ times in 12 months (volatile claims requiring management review). This ensures reserve adequacy and helps actuaries model loss development.

Can Regure generate AI case summaries for long-tail claims?

Yes. For complex claims with 100+ documents and multi-year histories, Regure generates AI case summaries highlighting: claim facts, liability theories, treatment history, litigation status, reserve development, settlement negotiations, and current claim posture. Summaries allow new adjusters to understand claims in 10 minutes instead of days reading chronological notes.

Summaries update automatically as new documents arrive and case developments occur, ensuring current information for settlement evaluation and litigation strategy discussions.

How long does implementation take for casualty teams?

Standard implementation is 3-4 weeks for casualty operations. This includes: configuring reserve approval thresholds, setting up defense counsel portal access, implementing litigation hold workflows, training adjusters on legal deadline tracking, and migrating active litigation files (optional). Implementation includes integration with document management systems (NetDocuments, iManage) if used by defense counsel. See carrier implementation examples.

See how Regure manages long-tail casualty claims

Book a 20-minute demo with your actual casualty claim workflows. We'll show you legal document management, reserve tracking, litigation hold automation, and defense counsel collaboration — with your processes.