At the Comp Alliance, we know that the manner in which claims are handled has a tremendous impact on the overall costs. Our claims department is staffed with experienced workers' compensation examiners who are responsive to our members' needs.
OUR CLAIMS ADMINISTRATION SERVICES AND FEATURES INCLUDE:
- Full claims administration of NYS Workers’ Compensation Claims and NYS Volunteer Firefighter and Volunteer Ambulance Workers’ Benefit Laws
- Direct member access to designated claims representatives, ensuring continuity of all claims communications
- A fully paperless environment
- Direct member access to designated claims manger/supervisor ensuring, proper oversight and handling of all claim
- Processing of all initial claims within 48 hours
- Calls returned within 24 hours
- Professional assistance and guidance with the administration of 207A/C claims
- Returning employees to work in the timeliest manner possible
- Assist members with returning employees to work on a light duty or modified duty basis
- Timely updates for members tracking severe claims
- Member feedback solicited on the handling of severe claims
- Claims training workshops for member personnel responsible for claims communications
- Quarterly loss run provided to members that includes detailed information on member’s claims
- All Medicare/CMS Section 111 reporting is completed on behalf of the client
- Pharmacy Benefit Management and Diagnostic Networks to injured employees
- Full compliance with all NYS Workers’ Compensation Board electronic reporting requirements
- Updates on changes to the laws or regulations related to workers’ compensation that may impact members claims
