Field notes / Claims

Subrogation Referral

A referral record that captures the liability evidence, the recovery potential, and the owner.

Subrogation Referral evidence workflow illustration

Why this control matters

Subrogation Referral is a record, not a reminder to be careful. It shows what the team checked, who owned the next step, and what remained open before the claim moved.

The control matters because the referral misses the liability evidence and the recovery window closes.

Open the governing record

Start with the referral form and evidence. Record the source, the date, the owner, and the evidence. The assistant prepares and checks; the adjuster or claim owner keeps the coverage and liability decision.

Where the handoff breaks

The predictable failure is this: the referral misses the liability evidence and the recovery window closes. Use one status set: ready, exception, approved, and closed.

Use the specialist service role as a starting point for scope, source evidence, and decision boundaries.

A worked claim example

A claim shows a third-party fault. The record captures the police report and the referral date. The record shows the original state, the change, the reviewer, and the confirmation.

Weekly review and stop rule

Sample one ordinary claim, one exception, and one corrected file. Count errors by rule rather than by person. When the same gap appears twice, fix the form or the routing rule.

The public guidance from FEMA public assistance guidance can help the accountable team test assumptions without replacing local professional review.

Common questions

Who owns the decision?

The claim owner or adjuster; the assistant prepares and routes the record.

How often is it reviewed?

Weekly and whenever the carrier or queue rule changes.

Plan the next controlled workflow

Bring the queue that consumes the most attention. We will help define its source, acceptance criteria, owner boundary, and review points.

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