LEGACY & RUN-OFF

Legacy & Run-Off Claim Handling

Handling of legacy, run-off and transferred portfolios, where the jurisdictional footprint is enumerable at transition and the authority position can therefore be established before the first file is touched rather than discovered during it.

Legacy and run-off claim portfolio handling environment.
01Take on a closed or transferred portfolio
02Establish the authority position before handling begins
03Reconstruct file histories to an examinable standard
04Close long-tail exposure in an orderly way

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?

01

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.
02

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.
03

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.

Portfolio intake and jurisdictional mappingAuthority verification per jurisdiction before handlingFile reconstruction and documentation remediationLong-tail claim handlingReserve and status reportingOrderly closure documentation

WHEN THIS SERVICE FITS

Built around a defined operational question.

SCOPE

What the engagement can include.

The exact scope is established by the authorized assignment, applicable licensing or professional requirements, and client guidelines.

01Portfolio intake
02Jurisdictional authority map
03File reconstruction
04Long-tail claim operations
05Exception remediation
06Closure documentation

OPERATING MODEL

Controlled from assignment through handoff.

01

Inventory

Enumerate jurisdictions, lines, open files, authorities, systems and material obligations.

02

Qualify

Verify entity/individual authority and required programme controls before handling begins.

03

Operate

Handle only the approved functions with reconstructible file events and escalation.

04

Reconcile

Report status, exceptions, residual exposure and closure evidence against the transition baseline.

WORK PRODUCT

What the matter can produce.

  • Portfolio authority map
  • File reconstruction evidence
  • Exception log
  • Status/closure reporting

CONTROL BOUNDARY

What keeps the work defensible.

  • No file is handled before required authority is resolved.
  • Legacy source records are preserved rather than silently rewritten.
  • Coverage/legal questions remain with authorized decision-makers and counsel.
  • Performance claims require measured programme data, not generic promises.

CONNECTED SERVICES

Build the right service stack for the matter.

STAFFING & MANAGED CAPACITYClaims Staffing & Managed CapacityPre-cleared claims capacity, placed by jurisdiction.Explore →LICENSURE & COMPLIANCE OPERATIONSLicensure & Claims Compliance OperationsOperation of the licensure and claims-compliance control layer.Explore →MANAGED CLAIM REVIEWManaged Claim ReviewStructured file review, exception identification, and governed escalation.Explore →

SERVICE FAQ

Procurement and operating questions.

Why is run-off different from ordinary staffing?

The portfolio and jurisdictional footprint can be enumerated at transition, allowing authority and documentation gaps to be resolved before handling begins.

Can you reconstruct old files?

That can be part of the transition, with gaps and unavailable records stated rather than invented.

Can this include investigations?

Yes, if separately authorized and role separation is maintained.

Do you guarantee closure timing?

No. Timing depends on the portfolio, jurisdiction and claim facts.

WHERE THIS SITS IN MODLAN

TPA / Claims / Adjusting

Develop and administer the claim record under the client’s authority and guidelines.

Explore the operating family →
CLAIMS OPERATIONSTechnology relationship

CST or integration services may add approved intelligence or interoperability, but they do not replace claim authority.

View the full MODLAN service ecosystem →

HOW THIS SERVICE CAN SCALE

From assignment to enterprise program—without changing who owns the decision.

01Assignment

A defined objective, scope, owner, evidence/data path, and handoff for a specific matter or task.

02Capacity

Recurring or overflow use of the same capability under established client rules, controls, and escalation paths.

03Program

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.

Who owns the decision?Identify the carrier, TPA, counsel, program owner, or other accountable authority.
What system remains authoritative?Define where the source record lives and what MODLAN may read, create, return, or reconcile.
What evidence or data is necessary?Minimize collection and access to what the authorized purpose actually requires.
What ends the engagement?Define handoff, closure, retention, disposition, and unresolved-exception ownership.
PROGRAM FITTPA Program

See how this service can operate inside a broader claims program while client authority remains controlling.

Explore program architecture →

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.

01 · ClaimsClaims operationsContinue →02 · IntegrationIntegration servicesContinue →03 · IntelligenceCST Protocol™Continue →

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.

Start the Conversation →