Our Organization was
established in 1996 with a focus on assisting our customers
with specialized claims management and claim consulting
services to simplify our client’s insurance needs and claim
processes.
Our philosophy is to provide
the highest level of
service with integrity and professionalism to reduce our
clients overall loss experience, insurance costs and become
part of their team for success. We custom tailor our
services to meet our client’s needs.
Our services are provided by
highly qualified insurance claim professionals with no less
than 15 years experience in national and international
commercial insurance carrier operations, consulting firms
and third party administrative services.
Our
clients are Self Insurers, Risk Retention Groups, Captives,
Commercial Insurance Carriers and Other Consulting Firms
servicing:
·
Medical Professional
Liability Risks, including: Hospital Professional Liability
and related exposures;
·
Long Term Care Nursing Home
Liability;
·
Pharmaceutical and Medical
Device Claims;
·
Emergency Medical Services
(EMS);
·
Lawyer’s Professional Liability
·
General Liability
·
Transportation Risks
·
Public Entities including Law
Enforcement claims
·
Special
Investigation claims (SIU)
Our
Third Party Administrator and Claim Management Services
focus on:
·
Notification and the
effective reporting of claims
·
Insurance Coverage analyses
of each claim (including other available coverage's)
·
Thorough and timely
investigations
·
Effective litigation
management
·
Timely and accurate reserving
·
Effective and prompt claim
resolution, including appropriate negotiations and cost
benefit analyses
·
Loss Cost and Expense
management
·
Documentation and
Claim File Integrity
·
Policy Aggregate Management
·
Effective and courteous
communications
·
Timely and proper reporting
of claim results, statistics
·
Consistent Data Management
·
Detailed Loss Runs
·
Fraud Management
·
Experienced Supervision
·
A National Defense Counsel
Team hand selected to provide the highest quality of service
in the defense of any litigation brought against our
customers.
We also
provide Claim Consulting and Claim Auditing/Statistical
Reporting Services for:
·
Pre-Bid account audit
and evaluations
·
Loss Portfolio Analyses and
Recommendations
·
Best Practices Claim Reviews
·
Reserve Reviews
·
Litigation Management and
Defense Counsel Assessments
· Operational
and Information System Reviews and Recommendations
·
Claim/Underwriting reviews
·
Large Case Management
·
Special Projects
Data
Management:
Our
electronic claim communication servers provide for on-line
communications with many of our customers. This allows for
data transfers where we record your data into your systems.
We also have customized claims workstations which allow
flexibility in data analysis as well as detailed loss run
information and claims status reports on a prompt basis.
We are also equipped to maintain electronic claim files.