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Case Study 1 - Effective Claim Advocacy
 

SITUATION

“Last night’s flood is washing away our corporation’s future. What can you do for us – and fast!”

No one could have anticipated that fourteen inches of rain could fall in less than 24 hours. Since the city’s long term care facility was located on a rise, miles from the nearest lake or river, its management had no coverage for flood damage.

When the basement flooded and the power went out, the walk-in freezers and refrigerators for the facility’s food service were disabled. How could the staff clean up and repair the flood damage -- while it continued to feed and care for the facility’s residents?

 

SOLUTION

RJ Ahmann acted immediately to leverage its longstanding relationship with the facility’s insurance carrier. Within hours, an approved contractor was onsite to supervise cleanup. An emergency generator was brought in, along with temporary food storage equipment.

Once the situation was stabilized, the RJ Ahmann team negotiated with the carrier to reverse its decision to deny parts of the care facility’s initial claim. As a result of our efforts, the carrier reimbursed the client for water seepage, business interruption and, months later, for mold damage. The client experienced no significant disruption of operations and, even more important, the facility’s patients were never at risk.

 

 

 
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