Services

Claims Administration

At the Comp Alliance, we know that the way claims are handled has a tremendous impact on overall costs. Our claims department is staffed with experienced workers’ compensation examiners who are responsive to our members’ needs.

Learn more about how to minimize claim costs, claim reporting, and claim handling:

Full claims administration of NYS Workers’ Compensation Claims, NYS Volunteer Firefighter, and Volunteer Ambulance Workers’ Benefit Laws

Direct member access to designated claims adjusters, manager, and supervisor ensuring proper oversight, handling, and continued communication of all claims

A fully paperless environment

Processing of all initial claims within 48 hours

Calls returned within 24 hours

Professional assistance and guidance with the administration of 207A/C claims

Employees returned to work in the timeliest manner possible

Workers’ Compensation ID Cards for each employee to present to their treating physician, streamlining billing.

Assistance with returning employees to work on light or modified duty

Timely updates for members tracking severe claims

Maintained communication with members throughout the handling of severe claims

Claims training workshops for member personnel responsible for claims communications

Quarterly loss run including detailed information on member’s claims

Completion of all Medicare/CMS Section 111 reporting on behalf of client

Pharmacy Benefit Management and Diagnostic Networks for injured employees

Communication on changes to laws and regulations related to workers’ compensation that may impact members

Risk Management Services

A key part of reducing workers’ compensation costs is preventing accidents from occurring. The Comp Alliance has developed a comprehensive risk management plan to help our members get the most out of our loss control services. Our team of in-house risk management professionals works closely with members to create a safer work environment through training, recommendations, inspections, and other resources.

Comp Alliance Risk Management Service Information Sheets:

municipal worker

Online Training Center

Comp Academy

Periodic inspections of each member’s facilities and operations

Identification of workplace hazards, improvement areas, and hazard mitigation measures

Analysis of members’ loss runs and injury trends

Assistance in the development and implementation of corrective actions for identified hazards

Consultations for employees involved in frequent workplace incidents to correct and minimize the number of repeat accidents or injuries

Review of members’ safety programs and policies

Assistance with formulating or updating safety policies and training programs for mandatory topics

Assistance for members establishing safety committees and ongoing support at safety committee meetings

Monthly articles on safety-related topics

Access to Safety Source, an extensive video library providing expert content on a variety of topics relevant to public entity exposures on mandatory training topics

Regional Safety Training Seminars on mandatory safety topics that are required annually, such as:

  • Hazard Communication (Right-to-Know)
  • Harassment in the Workplace
  • HAZWOPER (Hazardous Waste Operations and Emergency Response)

On-site classroom training for members on:

  • Use of Personal Protective Equipment (PPE)
  • Fall Protection
  • Driver Safety
  • Back Safety
  • Chainsaw Safety

Underwriting

Underwriting members in a group program goes well beyond a simple calculation of funding.

At the Comp Alliance, we analyze all new and existing members who are committed to the philosophy of the program and dedicated to the standards set in our risk management program.

Establishing the annual funding level of the program to cover the anticipated cost of the lifetime of claims

Equitable rate development for all members utilizing loss information, risk management assessments, and experience modification

Reviews of rate adequacy to provide stability for the entire group

Timely and comprehensive response to client inquiries on billing, loss runs, etc.

Reduction of members’ rates where possible through the integration of claims results and loss control practices

Assisting members with compliance with regulatory requirements

Marketing

The Comp Alliance Marketing team prioritizes communication, often the primary contact for members and brokers who work with the program. Our team meets with every member of the program to discuss the services we provide and answer questions.

Individual meetings with members to provide program, service, and plan updates

Frequent communication with members and brokers to keep them abreast of any news

Coordination of services including Risk Management, Claims and Underwriting

New member orientation with introductions to our service team and resources

Loyalty, Safe Workplace, and Leadership award programs

Upcoming Events & Trainings:

Virtual Training Seminar: Mandatory Topics See Event
Virtual Training Seminar: Mandatory Topics See Event
NYSCTFOA Summer Conference See Event