Claims Handling

Claims Handling FAQs

What do I do if I need to report a claim?
If you need to report a claim, or if you have a claims-related question, please contact a NORCAL claims representative.

Regional Claims Reporting Numbers
Central and Northern California and all CMIC clinics (California, Arizona and New Mexico) (800) 416-0791
Southern California and Arizona (800) 356-5513
Alaska (outside Anchorage) (800) 770-3414
Alaska (in Anchorage) (907) 563-3414
Rhode Island (800) 230-1004

When should I contact the NORCAL Claims Department?
Whenever you receive notification of a claim or suit, when a patient complains or threatens legal action, when you have an adverse or unanticipated outcome, or anytime you have a claims-related question. We are always here to help.

How are defense attorneys assigned?
In the event of litigation, NORCAL's claims staff assigns defense counsel from the insured's region who specialize in medical malpractice defense and have proven to be effective advocates on behalf of physicians and other healthcare professionals.

Why do I need to report precautionary incidents?
The earlier we know about an event and are able to conduct some investigation, even preliminarily, the better. We are able to make an earlier assessment of risk and be better prepared in the event the matter proceeds to litigation. In addition, coverage attaches to a claim when the claim is opened, which is important for claims-made coverage.

Do I need to attend trial?
In short, yes. It is critical for you to attend trial on a daily basis. The jury needs to be aware of your concern for and commitment to the case. The jurors will base their impressions of you on your appearance and demeanor. Professional behavior and a genuine expression of interest and concern will signify that you are confident in the healthcare services you rendered and have no apprehension about the trial's possible outcome.

I've heard that NORCAL employs a collaborative team approach to claims handling. What do you mean by this?
We believe in fostering a close and collaborative working relationship between you, your defense attorney, and NORCAL staff. This combination of your clinical knowledge, your attorney's legal experience and our claims expertise allows us to make decisions regarding case evaluation and disposition from a fully informed and objective point of view.

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