December 2021 E-Bulletin

This month's E-Bulletin topics include:

  1. Concurrent Coverage/Priority of Payment Launching December 13
  2. New Analytic Insights Page Launching December 16
  3. TRS Redirect for PIP and Med Pay Cases
  4. Appropriate Auto Forum Damages
  5. TRS Quality Assurance Webinar – Entering a Decision
  6. Preserving Neutrality, Privacy, and Confidentiality

Concurrent Coverage/Priority of Payment Launching December 13

Illustration of a rocket ship launching from a laptopArbitration Forums, Inc. will be going live with the Concurrent Coverage/Priority of Payment functionality on Monday, December 13, 2021. Members will be able to use this functionality to file cases under the Concurrent Coverage/Priority of Payment Right of Recovery. These cases can be filed for the Collision, Comprehensive/OTC, PIP, or Med Pay coverage types.
 
For assistance with filing and responding to these coverage types, please view the guide available on our website.

Screenshot of the Incident Details tab
 
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New Analytic Insights Page Launching December 16

Illustration of people pointing to and highlighting charts on a computer screenAs announced in the November E-Bulletin, AF will be releasing new offerings for data science and analytic insights. On December 16, we will be launching the Analytic Insights page in the Business Intelligence portal that will showcase the industry’s performance with respect to damage disputes in the Auto arbitration forum. Members will see how well they have recovered or reduced damages with respect to each damage type, as well as how they compare to the industry. 

AF’s data science initiative will evolve in 2022 and beyond. Members will be able to evaluate their recovery efforts based on their own performance and pinpoint what’s worked for them in past negotiations. AF’s data science initiative is aimed at consolidating and sharing what’s most important for members and the success of their recovery efforts. 
 
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TRS Redirect for PIP and Med Pay Cases

Image of paper airplanesAs announced in the November E-Bulletin, AF will be introducing an automatic redirect to TRS for users looking to file PIP and Med Pay cases. Starting January 22, 2022, users attempting to access OLF for PIP/Med Pay cases will be redirected to TRS (Note: NY PIP will remain in OLF). By filing these coverages in TRS, members benefit from reduced cycle time and improved decision quality.  
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Appropriate Auto Forum Damages

Image of a red car with damage to the frontAs a reminder, an automobile property damage claim within the authority of Article First of the Automobile Subrogation Arbitration Agreement includes all automobile property damage claims arising from the payment of losses to an insured, or a self-insured loss, under the first party automobile coverages. It includes claims arising under collision, fire, theft, and comprehensive coverages or self-insured losses of a similar nature. A claim may include an itemized list of losses such as towing, storage, rental reimbursement, and salvage expenses, provided they were paid out of the insured’s policy or incurred by a self-insured pursuant to statute or judicial decision. However, the disputed claim amount may not include a company’s normal operating expenses (costs associated with investigating and adjusting claims).
 

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TRS Quality Assurance Webinar – Entering a Decision

Online WebinarPlease join AF’s Quality Assurance department for a live-facilitated, 30-minute webinar regarding decisions. You are invited to learn some of the insights and conclusions for improvement of decisions, as identified in AF’s TRS QA Review. There will be opportunities to ask questions regarding TRS decision entry functionality. 

This webinar will be available on December 8 and December 14 at 2 PM ET. Visit the webinar page to enroll. 
 
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Preserving Neutrality, Privacy, and Confidentiality

Image of hanging files labeled confidentialObjectivity, neutrality, and confidentiality are the foundations of a credible arbitration system. All decisions must be based solely on the arguments made in the contentions and the evidence submitted by the parties to avoid any perception of bias on the part of the arbitrator. An effort should also be made to keep confidential all information that could be used to personally identify someone in the process.

In addition, an arbitrator must excuse himself/herself from hearing a case if he or she has a direct or indirect interest in the outcome (financial, business, personal, or professional). We also recommend that arbitrators excuse themselves from hearing a case that involves a prior co-worker or claim adversary if their decision could create an appearance of impropriety.

AF policies also help ensure the privacy and confidentiality of our membership's data. The Neutrality, Privacy, and Confidentiality statement reinforces to arbitrators that the information submitted by parties is private and confidential and may only be used to resolve the dispute. It may not be copied or printed or used for any other purpose.
Neutrality, Privacy, and Confidentiality Statement
This decision is according to my understanding of the current local law and the facts presented. I may not render a decision on a case where I or my company is directly or indirectly interested, or where there is even an appearance of bias. Also, I understand as an arbitrator I will have access to confidential material involving company and/or insured information. All information related to this case will be utilized for the sole purpose of rendering this decision. I agree to protect the privacy, security, and confidentiality of all information related to this case. I affirm that I have read and understand the above.
For these reasons, arbitrators acknowledge the Neutrality, Privacy, and Confidentiality Statement on each case they hear.
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