NAICS 524291NFIP ALL FOUR LEVELSHOME STATE TEXASPRODUCER NPN 5700272

Claims Services, Review and Consulting

Full cycle adjusting, intermediary and subcontract capacity, independent claim review and quality assurance, claims operations and efficiency consulting, and building consulting. Delivered to carriers, MGAs, TPAs, program managers, independent adjusting firms, and self insured entities.

Executive General Adjuster25+ years catastropheLarge loss commercialNFIP all four levelsMulti state licensureAvailable as a subcontractor
COVERINGUNDERLAYMENTDECKSTRUCTURESCOPE
Building envelope forensics. Scope, causation, and valuation are settled at the assembly level, course by course.
Who we serve
  • National and regional carriers
  • MGAs and program administrators
  • Third party administrators
  • Independent adjusting firms
  • Self insured entities and pools
  • Public entity and tribal risk programs
Why people call

What brings carriers, TPAs and IA firms here

Six situations account for most of the work this practice takes on.

Large loss

We have a commercial or condominium loss nobody wants

General adjuster level authority, coverage analysis, and settlement negotiation on complex commercial structures, associations, and multi building complexes, including a documented $85 million loss.

Large loss capability
Overflow and surge

We need capacity under our own brand

The firm works as a subcontractor and intermediary to IA firms, TPAs, and program managers, taking overflow and specialty assignments in the partner's systems and under the partner's program.

Intermediary and subcontract capacity
File quality

We need independent review of a book of files

Estimate review, reinspection, closed file audit, and reserve accuracy review delivered as a standalone engagement with a written findings report.

Claim review and quality assurance
Operations

Our cycle times and severity are moving the wrong direction

Touch and cycle time analysis, leakage review, guideline development, quality assurance program design, and vendor panel evaluation, with prioritized recommendations.

Efficiency consulting
Contested causation

Storm damage, or wear and deferred maintenance?

Building consulting and forensic evaluation of roofing, cladding, fenestration, and water intrusion to establish scope, causation, and repair cost on files that will be challenged.

Building consulting
Public entity loss

Our insured is a government or tribal entity with FEMA involved

Where a federal grant and a policy cover the same building, Stafford Act Section 312 governs the offset. This firm works both sides of that seam.

Section 312 explained
Services

What the claims practice delivers

Twenty five years of property and casualty catastrophe experience applied to losses, to books of files, and to the operations that produce them. Assignments are accepted under the client's guidelines and systems, with Xactimate based estimating and multi state reciprocal licensure for nationwide deployment.

01

Large loss and commercial claims

Complex commercial structures, condominium and homeowner associations, and multi building complexes handled end to end, including documented experience on an $85 million Gulf Coast commercial loss drawn from thousands of claims handled over more than 25 years. General adjuster level authority, coverage analysis, business interruption coordination, and settlement negotiation.

Commercial propertyCondominium and HOABusiness interruptionCoverage analysis
02

Daily and catastrophe field adjusting

Rapid response field adjusting and deployment oversight for hurricane, hail, wind, tornado, wildfire, and flood events anywhere in the country. The firm mobilizes on a client's deployment call, scales from single assignments to multi inspector teams, and quality controls inspections at scale.

CAT deploymentDaily assignmentsHurricane, hail, windSurge capacity
03

Desk adjusting and file management

Remote desk adjusting, virtual inspection review, and complete file management to the client's standards. Overflow, large loss, and specialty assignments handled with audit ready documentation from first notice of loss through closeout, with one accountable point of contact who knows the file start to finish.

Desk adjustingVirtual inspectionFNOL to closeoutOverflow
04

Intermediary and subcontract capacity

Capacity delivered through a partner rather than directly. The firm subcontracts to independent adjusting firms, third party administrators, program managers, and staffing partners, working in the partner's systems and under the partner's program and brand. Useful when a partner holds the carrier relationship but needs senior authority, licensed field capacity, or specialty expertise on a file or an event.

IA firm subcontractingTPA supportWhite label capacityDeployment staffing
05

Independent claim review and quality assurance

Estimate review, reinspection, closed file audit, reserve accuracy review, and adjuster and vendor performance review, delivered as standalone engagements. The firm does not need to have handled the file to review it. Deliverables are written findings with the evidence attached, built to hold up in an internal audit, a market conduct examination, or a reinsurance review.

Estimate reviewReinspectionClosed file auditReserve accuracyQA program design
06

Claims operations and efficiency consulting

Diagnostic work on the claims operation itself: cycle time and touch analysis, indemnity leakage and severity review, guideline and best practice development, quality assurance program design, vendor panel evaluation, catastrophe response planning, and staffing model review. The output is a prioritized findings report a claims executive can act on.

Cycle timeLeakage reviewGuidelines and best practicesVendor panelCAT planning
07

Building consulting and scope development

Building and repair consulting on contested losses: scope of loss development, unit cost and estimating methodology, code and ordinance or law requirements that drive the repair, constructability and repair versus replace analysis, and reconciliation of competing contractor estimates.

Scope of lossEstimating methodologyCode and ordinanceRepair versus replace
08

Building envelope and forensic evaluation

Forensic evaluation of roofing, cladding, fenestration, and water intrusion to establish scope, causation, and cost. The analysis distinguishes storm created damage from wear, deferred maintenance, and pre existing conditions, and it holds up on files that go to appraisal or suit.

Roofing and claddingWater intrusionCausationPre existing conditions
09

NFIP flood claims

Certified under the National Flood Insurance Program at every authority level: RCBAP, commercial, homeowners, and mobile home, with the documentation discipline federal and carrier audits require. Write Your Own carrier assignments handled to NFIP standards.

RCBAPCommercial floodHomeownersWYO carriersProof of loss
10

Public entity and grant funded losses

Losses on facilities that also draw federal disaster funding. The firm reconciles carrier settlements against FEMA Public Assistance scopes under Stafford Act Section 312, which is the discipline that keeps obligated grant funds from being deobligated at closeout.

Section 312Duplication of benefitsPublic entityTribal facilities
How a file moves

First notice of loss to closeout

Every assignment follows a documented lifecycle so the file withstands audit, appraisal, or examination.

Step 1

Assignment and FNOL

Intake under client guidelines, coverage confirmation, and contact within service level windows.

Step 2

Inspection

Field or virtual inspection, damage documentation, measurements, and photo record.

Step 3

Scope and estimate

Scope of loss, causation analysis, and Xactimate estimate to client standards.

Step 4

Settlement

Coverage application, negotiation, and reserve reporting through resolution.

Step 5

Closeout

Audit ready file, supplements as warranted, and clean closeout documentation.

How we work

Executive led, not a volume shop

  • Direct accountabilityOne point of contact who knows the file start to finish, not a rotating desk. The professional who scopes the claim owns it through resolution.
  • Defensible documentationScope, causation, and valuation supported well enough to withstand audit, appraisal, or litigation.
  • Built around your programAssignments handled in the client's systems and to the client's guidelines and service standards, including under a partner's brand where the engagement calls for it.
  • Carrier side judgmentLeadership built inside carriers at Farmers Insurance and Zurich North America, so files are managed the way carriers need them managed.
  • Set aside eligibleA Native American owned small business, useful to partners with small and disadvantaged business utilization goals on public entity and government program work.
NAICS codes for this practice area
NAICSDescriptionRole
524291Claims AdjustingPrimary
541350Building Inspection ServicesSecondary
541618Other Management Consulting ServicesSecondary
524210Insurance Agencies and BrokeragesLicensed producer
Licensure and platforms
Home stateTexas, designated
Also licensedLA, OK, KS and others
DeploymentNationwide, reciprocal
NFIPAll four levels
EstimatingXactimate
Producer NPN5700272
For claims and vendor managers

Placing work: frequently asked questions

Q01

What loss sizes and claim types does the firm handle?

The practice runs from daily residential assignments through large loss commercial and condominium claims. The firm's principal managed a single commercial loss of $85 million placed through the London market. Complex files are directed by the firm's executive claims leadership.

Q02

Can the firm act as an intermediary rather than take assignments directly?

Yes. The firm works as a subcontractor and intermediary to independent adjusting firms, third party administrators, program managers, and staffing partners. In that role it takes overflow and specialty assignments under the partner's brand and program, provides senior file oversight, or supplies licensed field capacity on a deployment without holding the carrier relationship.

Q03

Do you do file review and quality assurance without handling the claim?

That is a large part of the practice. Estimate review, reinspection, closed file audit, reserve accuracy review, and vendor and adjuster performance review are all delivered as standalone engagements. The firm does not have to have touched the file to review it.

Q04

What does claims efficiency consulting cover?

Cycle time and touch analysis, leakage and severity review, reserve accuracy, guideline and best practice development, quality assurance program design, vendor panel evaluation, and catastrophe response planning. The output is a written findings report with prioritized recommendations, not a software product.

Q05

Is the firm certified for NFIP flood claims?

Yes. NFIP flood certification is held at all four levels: RCBAP, commercial, homeowners, and mobile home. Write Your Own carrier assignments are handled to NFIP standards.

Q06

Does Okla Risk Advisors work for policyholders as a public adjuster?

No. Okla Risk Advisors is not a public adjusting firm. The claims practice serves insurance carriers, MGAs, TPAs, program managers, independent adjusting firms, and self insured entities. The firm's settlement work for governmental and tribal clients is independent consulting and reconciliation, not policyholder advocacy.

Have a loss, a book of files, or an operation to look at?

Tell us what you need. You will get a candid answer about how the firm can help and who would do the work.