APA Claims Committee • Advocis

The APA Claims Committee shall:

Oversee the claims adjustment process from the advisor’s perspective
Ensure that the intent of the policy wording is reflected in each claims adjustment decision;
Act as a professional resource, as needed;
Based upon claims adjustment experiences, recommend to the Underwriting Committee that it be aware of potential gaps and/or excesses in the policy wording;
Ensure that the scope of the policy wording includes the types of risks that the average advisor faces in his/her practice;
Advise the Underwriting Committee of any unforeseen trends in claims settlements emanating from a class of risks and/or an individual risk;
Advocate on behalf of a certificate holder when necessary.

To carry out it’s mandate in the interests of the Board of Directors;
To provide expertise and attention to detail on behalf of the Board of Directors in relation to all matters related to the claims adjustment process;
To attend all Committee meetings as called. Meetings can either be in person or via teleconference;
To review, annually, the Terms of Reference and forward recommendations, as required, to the Board of Directors.

The Committee will be composed of a minimum of three certificate holders in good standing, the majority of whom shall be Advocis members.
Staff Liaison shall be the COO or his/her representative.
Appointment shall be by the Board;
Chair to be a member of the Board of Directors and will be appointed by the Board.

Majority – Fifty (50) per cent plus one of the total Claims Committee members, present in person or by phone.

By consensus where possible;
Any question shall be referred to Robert's Rules of Order;
Chair to receive information, agenda and minutes first for approval;
Agenda and meeting material to be distributed at least 3 working days in advance.
Chair shall NOT have a vote.
Any tie will give the Chair a casting vote.