TPAs

Third party administrators provide vital claims handling services to insurance carriers. When insurance carriers utilize information provided by a third party administrator to partially or completely deny a claim, the administrators often are included in resulting litigation asserting improper claims handling and even bad faith failure to investigate or pay claims. LGWM’s attorneys regularly represent administrators throughout the southeast, and are well acquainted with the defenses to be advanced in these cases.

Cases of Note

• Represented third party administrator in suit alleging the administrator, through its retained defense counsel, breached Alabama’s enhanced duty of good faith by advancing a defense which resulted in dismissal of covered claims.
• Successfully resolved suit against third party administrator alleging wrongful denial of tender of defense under a worker’s compensation policy based on employment status of the putative insured.
• Obtained dismissal of claims alleging that a third party administrator mishandled premium payments intended to procure liquor liability coverage for insured’s restaurant.
• Obtained dismissal of tort of outrage claim against third party administrator arising from the administrator’s handling of claim for worker’s compensation benefits.
• Represented third party administrator in case by insurer seeking indemnity for monies paid to settle underlying claim which the insurer contended would not have been covered but for a mistake by the administrator.