Claims Management
ASC helps public entities, private businesses, insurance agencies and brokers, and other organizations realize significant savings through effective and efficient claims management.
Workers' Compensation, Property & Liability TPA Claims Administration
At ASC, skilled claims management is our sole function. Our skilled and experienced professional staff formulates strategies for effective and prompt claims investigation, evaluation, and resolution areas critical to controlling the costs of your risk management program. Our aggressive, hands-on approach ensures we deliver the best service in the industry.
Quality
Excellent workers' compensation, property and liability claims management is the art of making the best decisions at the proper times to bring claims to a rapid conclusion at the lowest possible cost. Personal commitment and innovation by our claims staff is essential to achieving claims cost containment for you. These results are not just about doing our internal processes well, but they are also about saving our customer's real money.
For example, ASC management aggressively pursues pharmacy network penetration with a goal for every workers' compensation customer to achieve 90% of prescription fills through the network. Pharmacists are incentivized to use third party software to fill prescriptions which denies customers of network savings. A diligent review of the injury reporting process and the treating physician's office procedures holds the key to improving results. Customers also enjoy getting involved with advising pharamacists to honor the preferred network.
Timely
Effective claims management begins with customized claim reporting abilities. ASC partners with Quality Resource Management (QRM) to provide around the clock claim reporting capabilities by phone, fax or internet. QRM enters claims directly into CS STARS' RMIS. Additional features available include:
- Dedicated claim reporting phone lines
- Nurse triage of workers' compensation claims
- Dispatch of appraisers and adjusters to the accident site
This service dovetails into dedicated units. This means on-site adjusters have the required support and can concentrate on adjusting claims in a real-time environment where claim assignments are reported to adjusters immediately.
Accurate
We continually review our operations and procedures—both internally with our staff and externally with our customers—to ensure customer goals and objectives are met. Quality checks and balances are incorporated into each aspect of our functions.
Our exclusive report card system allows customers to see, at a glance, how each claim is processed through the system and whether essential workflows are being accomplished timely and accurately.
Service
ASC’s top priority is providing our customers with optimal service, tailored to defined claims needs. Our personnel and organization reflect our dedication to excellence. Throughout our growth, ASC has continued to adhere to the principle upon which we were founded — delivering claims management expertise and customized solutions to our partners.
We are very selective about the business we pursue. We routinely decline business opportunities that are focused only on the price per claim or those customers who seek handling terms based on one price for life of claim. Great service is not possible under these conditions.
Claims Management Approach
ASC’s approach to proactive workers' compensation, property and liability claims handling leads to a more efficient and competent service that maximizes savings and generates better results sooner.
Our claims staff must meet the following corporate standards:
- Twenty-four-hour, three-point contact
- Continuous re-evaluation of action plans to bring claims to timely resolution
- Maintenance of current diaries to ensure frequent review of claims status
- Ongoing communication with all involved parties
- Close monitoring of outside vendor services
ASC is committed to providing you with:
- Service based on professionalism and integrity
- Staff and organization dedicated to excellence
- Customer-focused management philosophy
- Consistently superior service delivery
- Personal commitment to quality
- Strong, long-term relationships