Claims are usually the largest
single component of an organization's cost of risk. Our unique
Claims Management Review is one of the most effective steps an
organization can take to control claim costs. Much more than
an audit is an examination of all aspects of the claims management
program. Our review addresses four critical areas:
The Claims Audit reveals
the type of errors being made in claims adjusting and shows if
errors are within acceptable limits. The Audit identifies needed
control techniques.
The Systems and Procedures
Review evaluates the efficiency of current procedures and
internal controls and recommends improvements to the system.
The Staff Evaluation
determines the capabilities of claims personnel and establishes
training requirements.
The Processing Time Review
analyzes claim processing speed.
Typical Assignments
Claims Management Reviews Assignments
Claims Audits
Evaluating or Selecting Outside
Administrators
Self-Administration Reviews
and Feasibility Studies
