ARBITRATION / MEDIATION |
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Arbitration is a form of mediation or conciliation, where the mediating party is given power by the disputant parties to settle the dispute by making a finding. In practice arbitration is generally used as a substitute for judicial systems, particularly when the judicial processes are viewed as too slow, expensive or biased. Arbitration is also used by communities which lack formal law, as a substitute for formal law.
Mediation consists of a process of alternative dispute resolution in which a (generally) neutral third party, the mediator, using appropriate techniques, assists two or more parties to help them negotiate an agreement, with concrete effects, on a matter of common interest. More generally speaking, the term "mediation" covers any activity in which an impartial third party (often a professional) facilitates an agreement on any matter in the common interest of the parties involved.
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CLAIMS |
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A claim is a legal action to obtain money, property or the enforcement of a right protected by law against another party.
Individuals and businesses purchase insurance policies to protect against monetary losses. In the event of a loss, policyholders submit claims, or requests for payment, seeking compensation for their loss. Adjusters, appraisers, examiners, and investigators work primarily for property and casualty insurance companies, for whom they handle a wide variety of claims alleging property damage, liability, or bodily injury. Their main role is to investigate the claims, negotiate settlements, and authorize payments to claimants, all the while mindful not to violate the claimants rights under Federal and State privacy laws. They must determine whether the customers insurance policy covers the loss and how much of the loss should be paid to the claimant. Although many adjusters, appraisers, examiners, and investigators have overlapping functions and may even perform the same job, the insurance industry generally assigns specific roles to each of these claims workers.
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HEALTH CARE MANAGEMENT |
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Managed care is a synonym for PPO, HMO, MCO, and POS.
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Managed care is a concept in U.S. health care which rose to dominance during the presidency of Ronald Reagan as a means to control Medicare payouts. As a major Medicare claims administrator, the Blue Cross-Blue Shield insurance firm was a major architect of managed care. It spread fairly quickly to the health insurance industry in the private sector.
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INSURANCE - GENERAL |
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General insurance policies, including automobile and homeowners policies, provide payments depending on the loss from a particular financial event. General insurance typically comprises any insurance that is not determined to be life insurance, and is called property and casualty insurance in the U.S..
In the UK, General insurance is broadly divided into three areas; personal lines, commercial lines and London market.
The London market insures with large commercial risks, for example insuring supermarkets, football players and other very specific risks.
Commercial lines products are usually designed for relatively small legal entities. These would include workers comp (employers liability), public liability, product liability, commercial fleet and other general insurance products sold in a relatively standard fashion to many organisations.
Personal lines products are designed to be sold in large quantities. This would include autos (private car), homeowners (household), pet insurance, creditor insurance and others.
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LEGAL NURSE CONSULTING |
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A legal nurse consultant is a Registered Nurse who uses existing expertise as a health care professional plus specialized training to consult on medical-related cases.
Very few attourneys understand the complex medical jargon and health care requirements of patients. This results in a demand for legal nurse consultants who can explain the complicated health matters to those in the legal profession.
According to the Houston Chronicle, "Of the approximately 900,000* attorneys in practice today, 25 percent deal with medical malpractice and personal injury cases." These attorneys rely on specially trained legal nurse consultants to help them win their cases.
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MALPRACTICE, LEGAL |
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As the population of lawyers grows, the number of legal malpractice cases will also increase at the same rate. Statistics indicate that the number of legal malpractice cases is increasing at a rate greater than the growth of the legal industry. The reasons for this discrepancy include increased consumerism, higher client expectations, better educated clients, the need for more specialized legal skills, and the growth in similar fields of litigation.
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MALPRACTICE, MEDICAL |
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The basic definition of medical malpractice is an act or omission by a health care provider which deviates from accepted standards of practice in the medical community and causes injury to the patient. The word malpractice has a connotation of greater culpability than negligence. In the United States and other countries, a specific medical malpractice law has developed. In English law, the issue of liability is a subset of professional negligence where, under the Bolam Test, a doctor will be liable unless shown to have acted in accordance with a reasonable body of medical opinion.
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MEDICAL |
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Medical - Having to do with or anything pertaining to Medical treatment, Medical Malpractice, Medical review, Medical Litigation.
Find MEDICAL experts and consultants for MEDICAL litigation support. Available to be MEDICAL expert witnesses and provide MEDICAL forensic consulting in MEDICAL litigation, in addition prepare MEDICAL expert witness reports for use in deposition and/or in-court trial testimony.
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MEDICAL INSURANCE |
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Medical Health insurance is a type of insurance whereby the insurer pays the medical costs of the insured if the insured becomes sick due to covered causes, or due to accidents. The insurer may be a private organization or a government agency. Market-based health care systems such as that in the United States rely primarily on private health insurance.
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PHARMACEUTICAL LITIGATION |
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Thousands of people die from or are seriously injured by prescription and over-the-counter drugs each year. Patients trust these defective drugs will not harm them because they have been approved by the U.S. Food and Drug Administration or been prescribed by doctors or pharmacists they know and trust.
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PHYSICAL THERAPY |
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Physical therapy (also known as physiotherapy) is an allied health profession concerned with the assessment, diagnosis, and treatment of disease and disability through physical means. It is based upon principles of medical science, and is generally held to be within the sphere of conventional (rather than alternative) medicine. Physiotherapy is practiced by physiotherapists (also known as physical therapists, e.g. in the United States), though aspects may also be practiced under supervised delegation by physiotherapy assistants or other health professionals.
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TOXICOLOGY |
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Toxicology is the study of the adverse effects of chemical, physical or biological agents on living organisms and the ecosystem, including the prevention and betterment of such adverse effects.
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