Claims Management

Our long experience in workers compensation plan administration has shown time and again that controlling costs often comes down to simply doing the details better — aggressively managing the many hundreds and thousands of day-to-day, potentially costly administrative and claim-related details.

Claims management is a field where we've focused a great deal of time, expertise and proprietary-system development. We are not claims administrators or adjusters - rather we are your Advocates, helping ensure that your claims philosophy and objectives are implemented by the carrier or adjusting firm. Our TF claims specialists will show you how a clearly-defined management system creates better claims strategies and more consistent and predictable outcomes

As always, communication is key: communication with health care providers, insurers and employees themselves. The goal is to make claims administration the "hub" of your plan, ensuring that plan participants receive the right care, from the right providers, at the right time.

Using proprietary techniques, custom technologies and plenty of well-educated common sense, our approach typically includes:

• Timely, pro-active claims resolution.
• Customized data-capture and trend analyses.
• Development of carrier/administrator's special claim handling.
• Claim management training.
• Consulting expertise in incident/accident investigations.
• Liaison with carrier/administrator adjusters.
• Comprehensive workers compensation program development.
• Reserve and settlement validation and negotiation.
• Managed care network development.

We should make special mention here of our TF Workers Compensation and Injury Management Program. For most firms, this is an area where significant new efficiencies - and cost-savings - can be found. We'll show you how a closely-monitored and fairly-administered program creates a net plus for your employees and you. For details, visit our Workers' Compensation section.

For more details on TF Managed Risk, please Contact Us.