Consulting Services

Consulting Module #7

Extended Duration Claims

Does your claim model encourage a premature transfer of claims to your stable handling unit, thereby resulting in an inefficient allocation of resources, an inability to identify and manage risk, and missed opportunities?

PDA Offering

PDA evaluates your entire process, from the protocols in place to identify and transfer claims to extended duration, to the workflow and practices that apply to managing claims once they’re there. In addition, we have the knowledge and experience to conduct segment reviews, identify risk, and develop effective measurements.

Consulting Module #7

Extended Duration Claims


Does your claim model encourage a premature transfer of claims to your stable handling unit, thereby resulting in an inefficient allocation of resources, an inability to identify and manage risk, and missed opportunities?


PDA Offering

PDA evaluates your entire process, from the protocols in place to identify and transfer claims to extended duration, to the workflow and practices that apply to managing claims once they’re there. In addition, we have the knowledge and experience to conduct segment reviews, identify risk, and develop effective measurements.

Outcomes

Establishes protocols that identify those extended duration claims that require continued risk management.

Improves customer service through efficient claim segmentation.

Provides recommendations for the development of non-disputed settlement programs.

Safeguards the financial integrity of the claim block through appropriate offset identification and management.

Outcomes

Establishes protocols that identify those extended duration claims that require continued risk management.

Improves customer service through efficient claim segmentation.

Provides recommendations for the development of non-disputed settlement programs.

Safeguards the financial integrity of the claim block through appropriate offset identification and management.

Duration

  • Review Policies & Procedures
  • Interview Key Resources
  • Review Random Sampling of Claims 
  • Record Observations and Recommendations

Develop Report with Observations and Actionable Recommendations

Duration

  • Review Policies & Procedures
  • Interview Key Resources
  • Review Random Sampling of Claims
  • Record Observations and Recommendations

Develop Report with Observations and Actionable Recommendations

For more information contact Mark Sawyer

(207)747-4308

Consulting Modules

#1
STD Claim
Management