Claims governance is the systematic management of how an organisation reports, tracks, substantiates and recovers insurance claims, designed to cut leakage - value lost through under-claiming, missed deadlines, weak evidence and poor coordination - and to lift recovery rates. For a senior executive or board, weak governance quietly erodes the return on every premium paid and leaves recoverable losses on the table. This report sets out how a claims governance framework operates in your chosen jurisdiction and industry, the policy conditions and reporting duties it must satisfy, the scenarios where leakage typically arises, the indicators of an immature process, realistic ranges for the recovery uplift good governance achieves, the controls and roles that underpin it, and when to engage coverage counsel, brokers, loss adjusters and claims specialists to embed and review the process.
Reference material for informed readers, not advice.
