Claims Management

Third party administrator ASC helps public entities, private businesses, insurance agencies and brokers, and other organizations realize significant savings through effective and efficient claims management.

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Workers' Comp, 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 third party administrator service in the industry.

Quality

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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

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Effective third party administrator 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

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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 TPA 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

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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 TPA growth, ASC has continued to adhere to the principle upon which we were founded — delivering third party administrator 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 third party administrator service that maximizes savings and generates better results sooner.


Videos

Corporate Standards

ASC's Committment

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Claim Adjuster/Administrator Tenure with ASC

 

"If I were to explain how our team works together to provide great customer service I would start with our understanding of what each customer wants. Our team has worked with the same clients for several years and we provide regular communication. We listen to our clients and understand what is unique and important to each person we deal with. We also listen to our employees and work with them to address their needs and discuss how we can fulfill our customer’s expectations. Our team has a level of respect for our company, our clients and for each other. Our colleagues have a good attitude and strive to succeed and help each other when the need arises." ASC Claim Supervisor, Anthony Grande