Celedinas and MMA have experienced claims advocates with the expertise to support you through the process. We understand how claims can directly and indirectly impact your business, and our goal is to reduce costs associated with claims.
Our professional advisors take a proactive approach in managing your claims – both before and after a loss. To learn more about managing your claims, click here.
Areas of Expertise:
Special Claims Handling
Quantify and manage compliance
Draft service expectations
Identify key individuals
Facilitate communication between the client and the insurance company
Claims Reporting
Counsel client to report incident within 24 hours
Complete documentation on the incident
Initiate and complete an internal investigation
Report directly to insurance company on more problematic claims
Claims Tracking
Track open claims and review action plans
Develop alternate strategies
Determine potential for recovery
Assess litigation strategy
Resolution of coverage disputes
Claims Audits
Verify insurance company’s claims performance
Understand insurance company’s internal procedures and level of experience
Verify compliance with instructions
Conduct personnel interviews and review documentation
Workers’ Compensation Cost Management
Pre- and Post-incident services
24/7 availability
Private industry, insurance company and brokerage experience
TPA Selection
Determine client’s needs
RFP and RFI invitations and evaluate responses
Attend TPA presentations
RMIS System Evaluation
Familiar with top 5 RMIS systems
Web design consultant available to customize loss data importation and manipulation
RFP and RFI engagements
Response evaluation
Service Reviews
Periodic review of overall service
Develop relationships of parties
Establish action plan for current service issues
Determine future needs
Review specific claims