Our Claims Administration services include:

• Members have direct access to a designated claims representative, ensuring continuity of all claims communication.

• Members have direct access to a designated claims supervisor and claims manager ensuring proper oversight and handling of all claims.

• We provide claims training workshops to member personnel responsible for claims communication.

• All initial claims are processed within 48 hours.

• All calls are returned within 24 hours.

• All claims that remain open for more than 90 days are reviewed on a diary by the claims supervisor.

• We assist members in returning their employees to work in the timeliest manner possible.

• We can also assist members in returning employees to work on a light duty or modified duty basis.

• Members are kept fully informed on the status of all their claims.

• Members are sent copies of every form filed with the Workers' Compensation Board

• Members are sent copies of each attorney's report.

• Members are provided with copies of original medical bills so that they can monitor each claim.

• Members are kept informed on a timely basis and their feedback is sought on the handling of severe claims.

• Members receive a quarterly loss run including detailed information on every claim.

• Members are kept up-to-date on material legislative changes related to Workers' Compensation that may impact their claims.

Risk Management & Loss Control Services

Underwriting and Client Services