CLAIMS REVIEW PROCESS

Being involved in the claim review process can lend a measure of expertise to the process while allowing the positive relationship between you and your client to flourish.  Maintaining a positive working relationship with your claims staff is vital. To assist in this process, our staff will maintain the position of technical advisor ensuring proper claims processes are carried out and drawing attention to alternative options and/or areas where claims processes may be sub par while providing guidance for future claim direction.  This maintains your positive working relationship while ensuring your needs are continually met. 

An effective means of claims review processes include monthly, quarterly or periodic face-to-face meetings wherein the claims staff presents the current claim status and plan for future handling.  Some clients find it cost effective to have claim staff submit regular claim status reports for our review and complete face-to-face claims reviews infrequently. In the event a claim review process completed in this manner – we review each file review and provide a written response posing any questions or guidance deemed appropriate.  This provides documentation necessary to ensure claim progress as well as solidifying your active involvement in your claims processes. 

 Pricing for these services can be done on a time and expense basis or flat monthly fee based on the number of claims involved. 

 

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