Specialized Claim Services

Our Specialized Claim Services team provides expert claim management services designed to compliment your claim staff.

There is no risk of losing traction when claim loads peak.

PDA will begin working on claims immediately.

You can staff for the valleys and keep employment costs down.  

You only pay PDA when you need assistance.

When employees leave, your team doesn't have to be overloaded.  

PDA will pick up the slack while you hire the right person.

Your best employees will have time to focus on value-added activities.

PDA has 100+ years of collective experience to take complex claims off your plate.

Claim Resolution

Risk Evaluation

Certification PDA conducts comprehensive claim reviews and manages claims identified as needing additional risk analysis. 

Resolution PDA takes action based on the facts of the claim and brings claims to resolution when appropriate. 

Settlement PDA's settlement team will confirm the stability of risk and offer non-disputed settlements.

Offset identification PDA's evaluations include the identification of offsets and overpayment calculations and collections. 

Resource Solutions

Staffing

Short duration PDA's Claim Sourcing Solutions team is available to temporarily free up your resources for other initiates and eliminate pressure during periods of staffing changes.

Long duration PDA's resources can support a variety of projects ranging from a couple of months to years. 

Specialized Expertise

Impartial Evaluation

Complex claims PDA's seasoned professionals can provide a second, objective set of eyes to provide clear claim direction on your most challenging claims. 

Quality review & training PDA can develop and/or manage an existing QA or training program so accuracy, accountability and continuous improvement remain top priorities.

Appeals With extensive industry experience, PDA has the skills, knowledge and resources to conduct appropriate appellate reviews. 

Home office claims PDA resources can evaluate and manage customer’s employee claims “at arm’s length”, thus eliminating intercompany conflicts of interest.

Specialized Claim Services

Our Specialized Claim Services team provides expert claim management services designed to compliment your claim staff.

There is no risk of losing traction when claim loads peak.

PDA will begin working on claims immediately.

You can staff for the valleys and keep employment costs down. 

You only pay PDA when you need assistance.

When employees leave, your team doesn't have to be overloaded. 

PDA will pick up the slack while you hire the right person.

Your best employees will have time to focus on value-added activities.

PDA has 100+ years of collective experience to take complex claims off your plate.

Claim Resolution

Risk Evaluation

Certification PDA conducts comprehensive claim reviews and manages claims identified as needing additional risk analysis. 

Resolution PDA takes action based on the facts of the claim and brings claims to resolution when appropriate. 

Settlement PDA's settlement team will confirm the stability of risk and offer non-disputed settlements.

Offset identification PDA's evaluations include the identification of offsets and overpayment calculations and collections. 

Resource Solutions

Staffing

Short duration PDA's Claim Sourcing Solutions team is available to temporarily free up your resources for other initiates and eliminate pressure during periods of staffing changes.

Long duration PDA's resources can support a variety of projects ranging from a couple of months to years. 

Specialized Expertise

Impartial Evaluation

Complex claims PDA's seasoned professionals can provide a second, objective set of eyes to provide clear claim direction on your most challenging claims. 

Quality review & training PDA can develop and/or manage an existing QA or training program so accuracy, accountability and continuous improvement remain top priorities.

Appeals With extensive industry experience, PDA has the skills, knowledge and resources to conduct appropriate appellate reviews. 

Home office claims PDA resources can evaluate and manage customer’s employee claims “at arm’s length”, thus eliminating intercompany conflicts of interest.