Claims Management

Lower Cost of Risk

Lowering insurance costs tomorrow starts with managing claims effectively today. Combining experience with advocacy, our claims support ensures the insurance products we offer respond appropriately and with fair settlement.

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Workers' Compensation Claims

Effective Workers' Compensation claims management reduces both direct and indirect costs; Those costs associated with the injury itself and those costs resulting from the administration and loss of productivity. Support services are structured to minimize the impact of claims. 

  • Review and monitoring of new claims

  • Review and monitoring of prior years' claims that impact current or future costs and Experience Modification

  • Coordination of claims review meetings at critical times

  • Consultation and strategy with any claims related matters

  • Review and selection of Medical Providers/Networks as required

  • Assistance with first aid and return to work/transitional work programs

  • Arrangement of claims handling instructions and service agreements with insurers

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Property/Casualty Claims

When a claim inevitably occurs, the One Risk Group, LLC account team facilitates reporting and management of the claim with your designated insurer. Our management system allows for diary and follow up as a claim progresses toward settlement. Additional support for more complex claims is available from our advocates that have legal and extensive claims handling experience.

  • 24 hour claims reporting

  • Intake claim and facilitate insurance carrier reporting and adjuster assigment

  • Diary the claim as it progresses to settlement

  • Review insurance policy wording and negotiate coverage as required

  • Review reserves for appropriate levels based on claim type, severity and other circumstances

  • Subrogation assistance as required

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