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You know that insurance claims can be costly and your claim history has an impact on your insurance premium. We will work to resolve your claims quickly and fairly. To keep you informed of the progress, we will:
- Assist clients in developing processes and procedures to respond to claims.
- Conduct regular meetings with insurers to review open claims and assist in developing resolution strategies.
- Provide regular progress reports on claims.
- Monitor reserves for accuracy and review payments.
- Assist in analyzing claim history for trends and coordinate loss control services.
- Track the progress of subrogated claims until recoveries are obtained or efforts exhausted.
Workers’ compensation claims services
The workers’ compensation claim history has a direct bearing on your experience modification factor that is applied to your premium.
Some of the services we offer are:
- Review for proper claim reserving by the insurance carrier and negotiate the closing of inactive claims prior to the calculation of the mod by the statistical rating bureau.
- Verify the accuracy of your experience modification factor by checking for correct payroll, appropriate employee classification and accurate claim data.
- Work with the statistical rating bureau to obtain corrections to the experience mod when required.
- Assist clients in appropriate post-loss communications/action with employees. An example of this service is implementing a return-to-work program.
- Identify and establish a relationship with an occupational medical clinic to provide care to injured workers.
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