Claims decisions

Liability decision

Also known as Fault decision, Liability split

A liability decision sets who is at fault for a loss and in what proportion, known as the split. It drives the payout, the recovery, and how well the claim holds up if it is disputed.

Written as a split, such as 100/0 or 70/30, the liability decision follows from the facts of the loss, the policy, and the rules or convention that apply. It looks like a single call, but it rests on dozens of smaller ones underneath.

Why it matters

It sets the amount that gets paid and the recovery that can be pursued. A split that is off by a point or two does not announce itself. It just pays out, on every claim like it.

In Mysa

Mysa hands the adjuster a proposed split with the rule it rests on, a confidence on the judgment, and how the same book decided the last twelve claims like it. The call stays the adjuster’s.

Common questions

What does a liability split mean?

The proportion of fault assigned to each party in a claim, such as 100/0 or 60/40, which decides who pays and how much.