Insurance Claims Management Consulting

While the Fortune 500 corporations employ professional and credentialed claims or risk managers, many small to mid-sized companies do not have these day-to-day insurance experts to protect their business interests or to monitor their workers' compensation program and insurance claims.

• How do you really know if your financial claim reserves are appropriate or over-reserved?
• Do you actually know if your cases are being administered and managed to the industry best claims practices?
• Are the abusive and fraudulent claims being timely, properly investigated, documented and are the investigations used for trial and/or negotiation purposes?
• Does the insurance company cooperate and coordinate their claims work with your collateral and parallel business investigations (such as subrogation, sexual harassment, wrongful discharge, discrimination, internal crimes?)
• Are claims settling and closing in your best interests or the insurance companies best interests?
• Do you participate in the claims decisions and action plans and can you truly forecast the outcomes?
• Have you ever audited your claim file (or seen the real file)?
• Have you attended depositions, WCAB hearings, and trials?
• Do you really have the time to conduct any of these cost savings activities that impact your experience modification factors (x mod) that can reduce or increase your workers' compensation insurance premiums?

We have the solutions to confirm or dispute these matters to you. Most adjusters and examiners try to do their best but there are internal and external industry forces that prevent them from being 100% dedicated to your business interests. With our expertise and your business insights we can control and negate these unconstructive forces. If your workers' compensation claims and program appear sound, we can confirm that and monitor it so it remains reliable. Having an independent claims consultant keeps the claims process honest.

If having a claims manager makes sense to you, please call us.

– Herb Bermudez