Claims Management Services

Using third-party administrators (TPAs) to outsource claims-handling and administration services for self-insured insurance programs can improve efficiency, allow access to superior claims management expertise, and provide cost savings. However, the financial and operational responsibility of self-insured exposures remains with your organization necessitating systematic oversight of TPA performance.

Our claims professionals help you monitor and analyze your TPA’s performance by determining whether your TPA is:

• Providing all agreed-upon services
• Properly reporting, evaluating, and reserving claims
• Supporting overall risk management through integrated claims management and effective communication
• Operating within state-mandated guidelines
• Proactively handling claims to avoid over-payments or leakage
• Actively controlling litigation and medical expenses
• Maximizing available service capabilities (technology, informational resources, etc.) on your behalf