Third Party Administration – EMC Risk Services, LLC
For many larger businesses, self insurance offers an alternative to the traditional insurance market. If a business is self-insured or has a large deductible policy, EMC Risk Services, LLC, a multi-line, third-party administrator, can conduct an in-depth assessment of the claims management and loss control needs. Based on that assessment, we can custom design a claims management program which incorporates the business services needed.
In addition, EMC Risk Services, LLC offers access to valuable claims investigation and management, loss control, excess insurance and other insurance products. By providing these services on a fee basis, EMC Risk Services, LLC can help a company reduce the incidence and severity of losses while managing the cost of claims.
Access to Additional Insurance Coverage
We know some businesses that are self-insured may not be insured for all
risks. These companies may still require some traditional insurance coverage
to complement their existing insurance program. Whether it’s workers’
compensation, general liability, property, umbrella, excess, or errors and
omissions coverage, EMC Risk Services, LLC can partner with EMC Insurance
Companies to address the additional insurance needs. Businesses with large
deductible policies may use EMC Risk Services as well.
Claims Investigation and Management Services
With access to claim service offices strategically located throughout the
country, EMC Risk Services, LLC can quickly respond to situations to
provide prompt and fair claim service. If your company has a substantial
volume of claims, we can offer a full-time adjuster on site.
Claims Cost Management Services
By providing business clients with access to the following proven claims cost
management programs, EMC Risk Services, LLC strives to manage claim
costs which could result in significant savings for a client's business.
Medical Management Services
A workers’ compensation study, conducted by the National Council on Compensation
Insurance, demonstrated the impact medical management services can have on a
company’s bottom line. For example, the average claim cost dropped 22 percent
and claims closed 27 percent faster when medical management techniques were applied.
EMC’s approach to medical management services helps employees received high-quality medical care while focusing on getting injured employees back to work as quickly as possible. A full range of services, which can be tailored to fit your business needs, are provided by our staff of nurses, medical consultants, case managers and vocational rehabilitation specialists. Medical management services include:
- Access to preferred provider organization (PPO) networks
- Medical bill review
- Utilization review of procedures, treatment plans and inpatient hospital stays
- Case management- medical and vocational
- Pharmacy benefit program specific to workers’ compensation
- Life care plans
- Claim file review by certified legal nurse consultants
Physical Damage Auto Reviews
As the cost of vehicles and their repair continues to increase, so has the
need to better monitor the repair process. Using special software, the
estimatics program at EMC Risk Services, LLC provides reviews of vehicle
estimates, including an audit of used parts, industry standards, and parts
and labor prices. The application of this technology by a staff of
Automotive Service Excellence-rated professionals, combined with a
replacement glass network, assures you of appropriate vehicle repairs for
business fleet or individual needs. Estimatics is also available for heavy equipment.
Claims Audits
EMC Risk Services, LLC can conduct a review or audit of current insurance
plans to determine the quality of existing claims programs. Cost containment
programs can be offered following an evaluation.
Management Information Reports and Systems
Special reports and systems have been designed to keep risk managers
informed of the status of all active claims. Using a Microsoft Windows-based program,
EMC Risk Services, LLC offers on-line computer service, allowing immediate access
to adjuster notes and other special reports designed to meet your needs. EMC Risk Services,
LLC tailors our claims system to include the business entities.
Loss Control Services
With participation and the involvement of business management team, an
effective loss prevention program can help protect the company's most
valuable assets—the people and property. A program may involve a number of
the following services, resulting in loss reductions for your company. To
view all the loss control services available from EMC,
click here.
