THIRD PARTY ADMINISTRATORS

WORKERS COMPENSATION CLAIMS HANDLING 

What are the advantages of a TPA  

A General Look ,

Workers’ Comp vs. Health Insurance,

Third Party Administrators ,

Insurance Companies  ,

Insurance Claims Consultants -Lawyers/Technology

Training for Adjusters 

HEALTH CARE REFORM CONSULTING

For agents and brokers  click  here 

We practice in the following States:  Kansas , Indiana, Illinois, Colorado, District of Columbia , Louisiana, Maryland, Missouri, Nebraska, New Jersey, North/ South Dakota, Ohio, Pennsylvania, Tennessee, Virginia, and Wisconsin.

 

There have been requests for this page world-wide.

How to determine if your company should become self-insured?  Add up the premiums your company paid to insurance companies for the past 5 years.  Subtract what the insurance companies paid out in losses for the past 5 years.  If the insurance company collected more premiums dollars than they paid out, your company is a candidate for becoming self-insured.  

 CALL ICC TO  HANDLE YOUR WORKERS' COMPENSATION  CLAIMS 

                                                                     1 (316)  683-0170

 

 

WHY EXTERNAL THIRD PARTY ADMINISTRATION?

nsurance Claims Consultants, a multi divisional company, provides third party administration services for self-insured companies. ICC’s technological approach provides the world’s most efficient optimization technology for claims processing. Our solutions are designed for a range of claims including medical health claim benefits, life, property, casualty, workers’ compensation, professional liability, and others. ICC solutions help uncover hidden service delivery capacity, reduce costs, and improve services.

Within any organization the effective use of resources are paramount to the development of profits and continued growth. With the ever increasing application of the Third Party Administration the ability of an organization to separately function, independent of an insurance company has proven to be a successful alternative.

The advantages of using an external Third Party Administrator:

ICC’s purpose is to provide an innovative solution to third party administration services. Within any organization the effective use of resources are paramount to the development of profits and continued growth. With the ever-increasing application of the Third Party Administration the ability of an organization to separately function, independent of an insurance company, has proven to be a successful alternative. The advantages of using an external Third Party Administrator are:

(a). The cost of a third party administrator is less overhead expense than paying an insurance company. (b) Immediate access to highly trained highly efficient professional people. People that are experienced -eliminating the costly introduction and training curve that is inherent to the introduction of an internal department. (c) People that are motivated to perform at peak proficiency, immediately and continually. (d) People that are not "ON THE CLOCK" and are paid for only what they produce - eliminating costly down time. (e) Expenses directly related to productivity and chargeable directly to specific problems, costs, or incidents.

There is a simple choice when keeping cost to a minimum: Consider the technological approach with ICC, THE experts in Administrative Claims.

 

SPECIAL CONSIDERATIONS APPLICABLE TO WORKERS' COMPENSATION CLAIMS

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wpeC.jpg (1642 bytes) Unwitnessed Monday morning accident.

wpeC.jpg (1642 bytes) Claimant can seldom be reached by phone during the day.

wpeC.jpg (1642 bytes) Claimant repeatedly misses or reschedules doctor's appointments.

wpeC.jpg (1642 bytes) Nature and extent of alleged injuries are inconsistent with how the accident occurred and/or doctor's diagnosis.

wpeC.jpg (1642 bytes) The claimant's co-worker has a prior history of workers' compensation or liability claims.

wpeC.jpg (1642 bytes) The claimant is self-employed or has a job that would allow the claimant to work for cash while collecting temporary disability.

wpeC.jpg (1642 bytes) The claimant's employer is experiencing financial or labor difficulties.

wpeC.jpg (1642 bytes) Claimant's job performance is poor and/or claimant has taken significant sick time for unexplained illness.

ICC PROVIDES

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Investigation of all Workers' Comp Claims

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Third Party Administration in Payment and Denial of Claims

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Development of Safety Programs

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Seminar for Employees

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Safety Inspections

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Medical Reviews

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Workers Compensation

A General Look

 

 
 

 

Workers’ Compensation Laws are similar in concept to that of liability without regard to fault. However,  workers'  compensation  applies only to workplace injuries.

All fifty states have developed comprehensive workers’ compensation statutes, although some states have allowed employees the option as to whether they want to be covered by the statute or whether they do not want the coverage.

The basic concept behind Workers’ Comp is that the statute eliminates an employee’s right to sue the employer for a work-related injury. However, it does imposes automatic liability for compensation upon the employer.

Workers’ Comp has replaced the rights of recovery as it is normally conceived under common law. Workers’ Comp. has created a system in which injured employees receive definite compensation according to scheduled and non-scheduled injuries.

If the injury is work-related, the employer must pay, regardless of who is at fault, however, there are exception that vary from State to State.

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At ICC we have an experienced team that thoroughly examines all aspects for a Workers’ Comp Claim. ICC investigates and reveals whether an injury is a Workers’ Comp injury or an injury that is applicable under an organization’s health plan.

The philosophy behind the comprehensive comparative investigation is that ICC is able to save and organization money. The ICC team has national credentials to provide investigative services for organizations throughout the nation.

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ICC is able to handle self-insured companies under their Workers’ Comp.

ICC provides these services:

1) Investigation of all Workers’ Comp. Claims;

2) Payment and Denial of Workers’ Comp. Claims in accordance with those   regulatory statutes;

3) Recommendation of safety programs to reduce Workers’ Comp. Injuries;

4) Conducts Workers’ Comp Seminars for Employees on the proper procedures of presenting a claim;

5) Closely work with the State’s Work Comp Division in reducing complaints and injuries;

6) Conducts Safety Inspections;

7) Conducts Medical Reviews for necessary treatment.

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         ICC provides these services:

1) Investigation of all Workers’ Comp Claims

a) obtain recorded statements
b) medical review
c) accident site investigation
d) surveillance to determine extent of injury
e) fraud investigation
f) recommendations

2) Expert Witness and Testimony;

3) Recommendation or Denial of Workers’ Comp payments in accordance with those regulatory statutes;

4) Recommendation of safety programs to reduce Workers’ Comp Injuries;

5) Conduct Workers’ Comp Seminars for Employees on proper procedures in presenting a claim;

6) Work with the State’s Work Comp Division to reducing complaints and injuries;

7) Conduct Safety Inspections;

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The ICC team provides expert services to attorneys and their clients.

These services include, but are not limited to:

1) Investigation of all Workers’ Comp Claims

2) Obtain recorded statements

3) Medical review reports

4) Accident site investigation

6) Surveillance to determine extent of injury

7) Fraud investigation

8) Expert Witness and Testimony

9) Determination and investigation as to whether an injury is Work Comp or Health Insurance related.

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     TO CONTACT ICC     button1.gif (1820 bytes)   CLICK  HERE

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Insurance Claims Consultants

Call us today for more information . . .

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Risk Management - Third Party Administration -  Work

Insurance Claims Consultants ®

(316) 683-0170
fax (316) 683-0194
P.O. Box 8873
Wichita, KS 67208-8873

Click here to email us

legal notice* Insurance Claims Consultants® is our company's registered  trade name and is not permitted to be used by any other company. An ® following our name indicates the trademark name has been registered in the US.