Testimonials

“Karen is detail oriented. with her background, skill sets and experience, she has a clear grasp of concepts and readily addresses information to deliver results; she is professional and accomplished”.

Bill Kasper
Executive General Adjuster at York Risk Services Group

"Karen was an asset to our ROCIP (Wrap Up) program. Whatever the claims issue, big or small, Karen worked to resolve it without me having to do a thing."

Tanya DeLeon
Risk Manager, D.C. Water and Sewer Authority DCWASA

Claims Management Services

CMS believes a comprehensive claims management program is vital in order to control the cost of loss and ultimately the cost of risk. Meeting, discussing and understanding the needs and objectives of each client allows the program to be tailored to fit those specific needs.

Our goal is to partner with our clients and work towards a successful cost-effective insurance program. Some of our claims management services include:

    Loss Run/Trending Analysis

    Claim reserving and evaluation

    Claim plan of action assessment

    Claim data integrity

    Insurance carrier/TPA claim audit

    RFP for third party administrators

    Special handling instructions for carrier/TPA

    Coordination and participation of carrier/TPA claim reviews

    Vendor (defense counsel, medical case management, special investigation)

    Evaluation and selection assistance

    Development and enforcement of Return to Work programs

    Accelerated claim closure programs

    Identification and interviewing of close proximity medical/urgent care facilities