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Course Details

Course Information
  • smart_display Format

    Live Online with Live Q&A

  • signal_cellular_alt Difficulty Level

    Intermediate

  • work Practice Area

    Insurance

Date & Time
  • event Date

    Tuesday, July 22, 2025

  • schedule Time

    1:00 p.m. ET./10:00 a.m. PT

  • timer Program Length

    90 minutes

Credit Information

  • This 90-minute webinar is eligible in most states for 1.5 CLE credits.

$297.00
CLE
ALL

This CLE webinar will discuss potential policyholder claims and insurer defenses and liability when an insurance policy or even a separate stand-alone contract gives the property insurer the exclusive right to manage repairs or restoration following a covered loss at either residential or commercial property. The panel will review breach of contract, bad faith, and negligent construction claims as well what rights policyholders may have under these programs and how to enforce them.

Faculty

Stephanie Corona
Senior Lead Adjuster
ClaimsMate Adjusters, LLC

Ms. Corona is a Senior Lead Adjuster at ClaimsMate Adjusters LLC. 

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Description

A managed repair program or a third-party administrator program means that the company making repairs to the policyholder's property has agreed to follow a predetermined set of rules and the associated price structure of the insurer. This arrangement can create conflicts of interest and could lead to challenges and disputes over scope of work, quality of repairs, and even payment. How a policyholder could contest these issues before work is done as well as the right of insurers to proceed are complex questions.

Policyholders may also allege that contractors who are part of MRPs or TPAs may trespass on the rights and responsibilities of public adjusters when they perform inspections, investigate losses, inspect damages, determine causation, or set the value of repairs. Insurance is a highly regulated industry, and the impact of a regulatory violation would be decided on a case-by-case basis.

Listen as this experienced panel offers guidance about navigating managed repair programs or third-party administrator programs.

Outline

  1. Insurer's right to repair
  2. Definition of managed repair/ spectrum of approaches to managed repair
  3. Disputes
    1. Unfair claims practices
    2. Unauthorized claims adjusting
    3. Breach of contract
    4. Bad faith
    5. Negligent construction

Benefits

The panel will review these and other key issues: 

  • How can a policyholder dispute the scope of repairs before they are completed through managed repair?
  • Do the contractors associated with them violate state laws in the unauthorized practice of public adjusting (UPPA)?
  • Do managed repair programs violate the Unfair Claims Practice Act?
  • If a TPA program demands the vendor(s) cut their reasonable and necessary estimated costs in order to participate in insurance carrier referral programs, then how is the insured fully compensated for their loss?