Forensic Claims Analysis

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0><script> (function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){ (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o), m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m) })(window,document,'script','//www.google-analytics.com/analytics.js','ga'); ga('create', 'UA-47423994-1', 'fortunecity.ws'); ga('send', 'pageview'); </script> <center> <br> <div> <script language="javascript" type="text/javascript" src="http://ad.broadcaststation.net/ads/show_ad.php?width=728&height=90"></script> </div> </center> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=170 BGCOLOR="#000099" TEXT="#F7F7FF" background="044aac00erkqpg.gif"> <bR> <bR> <bR> </td> <td valign="top" BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I><B><U>FORENSIC CLAIMS ANALYSIS</U></B></I></div> <div> <I><B>Are your workers' compensation claims costs rising?</B></I></div> <div> <B>Workers' Compensation costs are an escalating expense to most businesses today. Very few companies take an aggressive part in the claims management process. It is typical for a business to hire an insurance carrier and trust the carrier entirely to handle their claims correctly. Most cost reduction efforts are geared towards shopping for lower premiums or loss control efforts. The reality is many insurance carriers and third-party administrators simply handle claims incorrectly or pay claims that should have never been accepted. The unknowing business is charged higher premiums each year or charged expensive per-claim-fees by a third-party administrator. We at Forensic Claims Analysis are here to help businesses get control of their workers' compensation costs by getting to the root of the real issue - </B><I><B><U>Substandard</U></B></I><I><B><U> Claims Handling</U></B></I><I><B><U>.</U></B></I></div> <div> <B>Why do insurance carriers and third-party administrators handle claims incorrectly? There are many reasons for expensive substandard claims handling. The following is a limited list that all companies and risk managers should be aware of when hiring a carrier to handle their claims:</B></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b700c866000000.gif" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Brokers simply make promises that the insurance carrier or third-party administrator cannot deliver to obtain the business. Forensic Analysis can help companies ensure </B><I><B><U>what is promised is delivered</U></B></I><B><U>.</U></B></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b700c866000000.gif" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">The assigned adjuster is overloaded or is handling many other accounts at the same time. </B><I><B><U>The file count for the assigned adjuster handling your companies account </U></B></I><I><B><U>should be clearly defined during negotiations</U></B></I><B><U>.</U></B><B> </B></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b700c866000000.gif" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Many companies do not conduct comprehensive quarterly audits of their workers' compensation claims. Insurance carriers and third party administrators are more apt to handle claims correctly when they are subject to regular independent audits.  Forensic Analysis provides workers' compensation audits that are complete and conducted according to Sawyers Guide to Internal Audit Guidelines. </B><I><B><U>We look at the whole picture to include the claims presently being handled, the carriers internal procedures, how many other accounts the assigned adjuster is handling, vendors the carrier is using on the account to include hidden charges and whether the contract negotiated is being followed by  the insurance carrier or third-party administrator.</U></B></I></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b700c866000000.gif" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">The insurance carrier's assigned adjuster does not have adequate technical knowledge or experience. The trend with many insurance companies or third- party administrators is to place inexperienced adjusters on accounts at their client's expense. </B><I><B><U>Extensive interviews of adjusters should be conducted by all risk managers before entering into a contract to service their companies Workers' Compensation Claims.</U></B></I></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b700c866000000.gif" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Many insurance carriers or third-party administrators simply do not have the tools to handle claims efficiently. Unfortunately, this is usually not discovered until </B><B>after</B><B> the contract is signed and the companies' claims are being handled. </B><I><B><U>Forensic Claims Analysis can also assist companies with this identification process.</U></B></I></div> <div> <I><B><U>What makes Forensic Claims Analysis different?</U></B></I></div> <bR> <div> <B>We can offer private companies and public entities a full package</B><B>. </B><B>We can assist in negotiations with proposed carriers to ensure claims will be handled according to industry standards, conduct audits of past and present claims, provide analysis of the proposed carrier's claims handling methods and assist improving the claims monitoring process from reporting to settlement.  </B><B>Additionally, we also offer our services on Commercial Auto and Commercial Property Claims.</B></div> <bR> <div> <A HREF="id17.htm" TARGET="_top" TITLE="About Us"><U><B>About Us</B></U></A><B>   |   </B><A HREF="id18.htm" TARGET="_top" TITLE="Our Products and Services"><U><B>Our Products and Services</B></U></A><B>   |   </B><A HREF="id19.htm" TARGET="_top" TITLE="FAQ"><U><B>FAQ</B></U></A><B>   |   </B><A HREF="id20.htm" TARGET="_top" TITLE="Contact Us"><U><B>Contact Us</B></U></A></div> <bR> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B>   <SCRIPT>  </SCRIPT>  <form method="POST" action="http://mindit.netmind.com/mindit.shtml" target="_top"> <input type="hidden" name="SOURCE" value="511"> <input type="hidden" name="URL" value="http://www.fortunecity.com/business/notebook/108/TlxTransfer.txt"> <input type="hidden" name="DOC_TITLE" value="forensicclaims_site"> <input type="hidden" name="REDIRECT" value="http://www.fortunecity.com/business/notebook/108/"> <table border="0" cellpadding="5" cellspacing="0"><tr><td align="center"> <font face="arial,helvetica" size="-1"><b>Click to receive email <br>when this web site is updated</b></font></td> </tr><tr><td align="center"> <input type="image" src="http://mindit.netmind.com/images/mindit511.gif" border="0"></td> </tr><tr><td align="center"> <font face="arial,helvetica" size="-2">•<b> Powered by <a href="http://www.netmind.com/" target="_top">NetMind</a> </b>•</font> </td></tr></table></form>   </B></div> </td> </tr></table></body>