Claim Integrity Review

Claim Integrity Review

Claim Integrity Review

Claim integrity review verifies that submitted claims reflect actual claimants with genuine product use and qualifying injuries. It identifies duplicate submissions across firms, diagnoses unsupported by underlying records, exposure periods inconsistent with product availability, and deceased claimants filed as living.

It is typically performed by claims administrators and defense teams during settlement administration.

Alternative Names:

Claim Verification, Integrity Screening

Why it Matters?

Integrity problems in mass tort inventories are well documented and have produced congressional attention and judicial findings in several proceedings. For defendants funding a settlement, integrity review is what ensures money reaches genuine claimants rather than fabricated ones, and it is worth negotiating into the settlement architecture rather than raising afterward. Verification against manufacturing and distribution records is the most reliable method for product use claims.

Frequently Confused with

Related terms

Frequently asked questions

What integrity problems appear in mass tort inventories?

What integrity problems appear in mass tort inventories?

Duplicate filings across firms, diagnoses unsupported by records, exposure dates inconsistent with product availability, and claims filed for deceased or unlocatable claimants.

When should integrity review occur?

When should integrity review occur?

Ideally as part of the settlement architecture rather than afterward, so verification standards are agreed before funds are committed.