Claims Management

What is claims management?

Simply stated, it's the transactional handling of a company's insurance claims.
At INSURICA, we define claims management a little differently. We view our role as "a partner in your company's profitability."

By thoroughly understanding the complex intricacies of your business, our industry-specific claims experts are able to uncover often overlooked risks and opportunities that have a direct impact on reducing and controlling your claims costs.

As a workers' compensation Third-Party Administrator (TPA), we exceed our clients expectations through timely and professional resolution of all claims.

When it comes to managing your claims, our hands-on approach promotes prompt reporting, early intervention, aggressive investigation and timely settlements. We do this by:

• Reviewing claims for proper coverage when reported and forwarding to the appropriate insurer.
• Promptly paying all claims which are payable within draft authority.
• Assisting insurer and client with information flow, policy information and interpretation.
• Facilitating investigative meetings and payments of bills by the carrier.
• Reviewing individual claims with clients to determine and evaluate status, reserves and disposition of claims.
• Negotiating with insurer on claims where coverage is questionable.