APPRAISAL & UMPIRE
Appraisal & Umpire Services
Participation as appraiser or umpire where a policy's appraisal provision has been invoked, confined to competing valuations of physical damage. Coverage questions, policy interpretation and legal rights remain outside the appraisal and are routed to counsel.
BUYER LENS
Know what this service should answer before you scope it.
Which part of the claim lifecycle needs capacity, control, review, or orchestration while the client remains the source of authority?
Good reasons to start here
- A program needs assignment-level or recurring operating capacity.
- Multiple claim functions need a common governance and handoff model.
- Quality, routing, escalation, or lifecycle visibility needs stronger structure.
What to have defined
- Program authority, system-of-record ownership, and operating objectives.
- Client guidelines, role boundaries, and escalation ownership.
- The minimum data, evidence, and integration context required for the authorized purpose.
What this should inform
A governed operating path for the file or program without silently transferring claim authority.
ACCOUNTABLE OWNERCarrier or TPA program owner.CAPABILITIES
Disciplined support built around the matter.
MODLAN scopes each engagement to the authorized assignment, applicable requirements, available evidence, and client objectives. Work is documented for clarity, defensibility, and appropriate downstream review.
Appraiser participationUmpire participationDocumented valuation basisScope discipline against coverage questionsSeparate-credential verification where a jurisdiction licenses appraisalWritten award documentation
WHEN THIS SERVICE FITS
Built around a defined operational question.
- A policy appraisal process has been validly invoked and a qualified appraiser or umpire role is permitted for the matter/jurisdiction.
- The dispute is confined to valuation rather than policy interpretation or legal rights.
SCOPE
What the engagement can include.
The exact scope is established by the authorized assignment, applicable licensing or professional requirements, and client guidelines.
OPERATING MODEL
Controlled from assignment through handoff.
Gate
Verify engagement authority, qualifications, jurisdiction, and the permitted scope of appraisal.
Frame
Separate valuation questions from coverage/legal questions.
Evaluate
Review authorized physical-damage valuation evidence within the role assigned.
Document
Preserve valuation basis, communications, limitations and the resulting award/process record.
WORK PRODUCT
What the matter can produce.
- Valuation work product
- Scope/boundary record
- Award/process documentation
- Qualification/authority record
CONTROL BOUNDARY
What keeps the work defensible.
- Coverage and policy interpretation route to counsel/authorized decision-makers.
- Professional or statutory qualification requirements are verified before assignment.
- MODLAN does not represent appraisal authority where the actual entity/person is not authorized.
- Independence/conflict requirements are preserved for the assigned role.
SERVICE FAQ
Procurement and operating questions.
Does an appraiser decide coverage?
No. Valuation and coverage/legal interpretation remain separate.
Can MODLAN act as umpire everywhere?
No. Availability depends on the engagement, jurisdiction, qualifications and conflict posture.
Can technical experts support the valuation?
Yes, where appropriately retained and within their own professional scope.
Is the award guaranteed?
No. The service supports the appraisal process; outcomes depend on the matter and governing process.
WHERE THIS SITS IN MODLAN
Enterprise Service Delivery
Apply the appropriate MODLAN operating capacity to the defined matter or program objective.
Explore the operating family →MODLAN SERVICESTechnology relationship
Technology is used only where it adds approved value and does not erase the accountable human or system-of-record boundary.
View the full MODLAN service ecosystem →HOW THIS SERVICE CAN SCALE
From assignment to enterprise program—without changing who owns the decision.
A defined objective, scope, owner, evidence/data path, and handoff for a specific matter or task.
Recurring or overflow use of the same capability under established client rules, controls, and escalation paths.
The service becomes one governed lane inside a broader multi-service operating model with explicit dependencies.
PROCUREMENT & IMPLEMENTATION
Questions to resolve before this service enters production.
Enterprise delivery depends on the operating context around the service—not merely the capability itself.
PROGRAM FITTPA Program
Explore program architecture →See how this service can operate inside a broader claims program while client authority remains controlling.
DECISION CONTEXT
This service does not operate in isolation.
The engagement should connect to the correct buyer, adjacent operating layer, and assurance boundary without blurring professional authority or the source of record.
ENTERPRISE JOURNEY
Connect this service to the rest of the operating model.
Move from service selection into the adjacent operational, evidence, integration, assurance, or intelligence layer that the matter actually requires.
MODLAN SYSTEMS
Bring the right people, evidence, and intelligence to the problem.
Contact MODLAN to discuss the authorized scope, geography, timing, and operational requirements for your matter.