We hear it all the time: “I have to monitor my claims to keep costs down, but it takes up too much time—and I’m not even keeping costs down!”
There IS a solution: Claims Administration by WilliamsRipa & Associates.
Not only does our Claims Administration Program give you back your valuable time, it is designed specifically to seek out waste and excess hidden in claims. Thanks to our multi-tiered approach that we apply to every claim, claims are closed faster and employees return to work in a timely manner—all to free up your time while keeping your costs down.
Your customized program will employ an array of practices that cover the breadth and depth of claims administration. Some of these include:
- Utilizing a specifically defined network of doctors to whom patients are referred
- Monitoring patients’ treatments closely, ensuring that no one gets “lost” in the process
- Fastidious oversight to make sure that treatments like physical therapy are not prescribed excessively or unnecessarily
- Using negotiated prices on services within acceptable state, usual and customary, or negotiated scheduled guidelines
Service expectations
- Intake of the Employee Report of Accident (EROA) and initial claimant file
- Investigation of doctor’s first report, injured person's statement, supervisor statement, and witness statement
- First contact with injured, employer, and medical case manager
- Reporting on behalf of the insured to insurer (carrier)
- Meeting to set up report specifications
- Monthly reports
- Quarterly claims meetings
- Reserve schedules
- File custody for the life of the contract
- Indemnity worksheet
- Zero balance accounts without reconciliation (does not include banking fees)
- Weekly provider payments
- Administration from subrogation to conclusion, putting third party on notice
- Medical case management, pre-authorization, private investigations, and peer review referrals
The result is a better understanding of your claims, a better understanding on preventing these claims, a reduced rate of claims, and a reduction in the cost of your claims.
WHY CHOOSE US?
We have spent many years honing our Claims Administration Program to maximize savings for our clients. We consistently review the claims and cases — especially severe cases — which are evaluated weekly and discussed with the client and case manager and still our adjusters carry less than 100 claims and average closing them in 68 days.
Find out how much money—and time—you could be saving with our Claims Administration Program. Call WilliamsRipa & Associates at (972) 931-8307 today for a free consultation.