Tough on Claims Advocacy
Risk Strategies' Claim Advocacy Group is where the rubber meets the road. Consultancy, with a capital "C," is rooted deep within these services as we strive to make every aspect of your experience with us as pain-free and efficient as possible.
This is the 4th Section Heading
Set up Internal Claim Reporting Procedures
- Determine exposures
- Evaluate current procedures
- Revise or write claims manual
Evaluate Performance of Carrier or Third Party Claim Administrator
Determine Adequacy of Accident Investigation Procedures
- Reserve adequacy
- Adherence to claim instructions
- Qualitative analysis
- Loss
Identify and Coordinate Activities of Relevant Claim Specialists
- Industry experts
- Fraud investigators
- Defense counsel
- Business interruption specialists
- Managed care
Manage File Review Process (Continuous)
- Identify cases
- Schedule reviews with claim adjusters and client participants
- Develop action plan on each claim
- Document and follow-up
- Schedule reviews on a periodic basis
- Loss
- Identify opportunities for significant reserve reductions
- Identify claims for closure
- Assemble claims closure team
- Develop process improvement plan
- Incentive compensation
- Loss
Workers Compensation Cost Containment Program
- Identify and quantify costs
- Develop plan for change
- Evaluate claim management process
- Improve accident investigation procedures
- Determine and communicate responsibility/accountability
- Set up cost containment procedures
- Perform claim audits and reviews