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Organised Files

Claim Management

Our Methodology for Managing Workers' Compensation Claims and Optimizing Experience Modification Factors

Unit Statistical Plan Filing Process

Our insurance claims management service focuses on precision and thoroughness from start to finish. We analyze reserve amounts with a keen eye on detail. Evaluate claimants' work capacity, actively monitor rehabilitation efforts, and surveillance activities to uphold the integrity of each claim. With real-time updates, you're kept informed throughout the claim process. 

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Experience Modification Analysis

1. Arithmetic Mistakes

2. Clerical Errors

3. Claim Frequency

4. Claim Severity

5. Missing Payroll

6. Subrogation'

7. Shock Losses

8. Non-Compensable Losses

9. Fraud

And variations on all the above...

Verifying your experience modification is accurate

1. Auditing Policy Terms

2. Applicable rates by class

3. Claims to be included in the experience modification

4. Payroll by class code to be valued in the experience modification

5. Total incurred amounts of losses

6. Pursue experience modification revisions when appropriate

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