TPA Services

Third Party Claims Administration

litigation-management-profilesVision Risk Services, LLC offers complete third party claims administration that surpasses the leaders in the industry in terms of quality, expertise and technology. We provide a comprehensive claims management program that is customized to meet your organizations’ needs. Our industry experts are facilitated by technological tools that focus on accuracy and efficiency. The Vision team partners with its clients, creating a seamless claims management program. Our claim data is completely open to our clients, eliminating communication barriers that can hinder the success of TPA program. RMIS reporting has never been easier, ranging from instant desktop views directly from your PC to rich analytical reporting through a sophisticated report writer. We understand the need for prompt and accurate reporting . Our collection of data on the front end is supported by intricate table designs to insure that the data that is entered is accurate and supports the integrity of our reports.

Third Party Claims Administration Workers Compensation

periodic-claim-reviewsWe manage our workers’ compensation losses with the utmost of diligence and attention.  The costs associated with workers’ compensation requires expertise, efficiency and detailed analysis.  Our claims examiners fully investigate every loss within 72 hours. Contact is made with the employee, supervisor and physician within 48 hours. Compensability decisions are concluded within 14 days of receipt of assignment. Our emphasis is on returning the injured worker back to full duty, not on the mere processing of the claim. We are result oriented and not task oriented. We measure our results not just on how timely we perform activities but, on the overall quality of our performance and the ultimate results. A solid technology platform is essential in managing a successful workers’ compensation program. In addition, our information system provides efficiency tools for our professionals to make their jobs much easier. 

24 hours claim reporting and scene investigations

Work flow rules integration with electronic diary and e-mail

Real time access to adjuster notes and financials

Imaged documents as attachments to electronic claim file

Third Party Claims Administration General Liability

Immediate investigation is the key to successful management of liability losses. Our standards require that contact is made with the insured and claimant within 24 hours of loss notification. Our field investigators are available 24 hours a day to conduct complete scene analyses and statements. Photographs, statements and any other evidentiary documents are electronically attached to the claim file, making investigative results immediately accessible to authorized users. Our examiners utilize the necessary resources to assess and evaluate liability exposure within 14 days of loss notification. We manage each loss throughout the entire adjudication process, including litigation. Our expertise extends within various industries, including but not limited to construction, retail, petroleum, medical malpractice, transportation, and municipalities.

Our approach to litigation management involves more than legal budgets and bill review. Our knowledge of the litigation process facilitates our ability to direct discovery, prepare for trial, and appropriate resolutions.

24 hour claim reporting and scene investigations

Work flow rules integration with electronic diary and e-mail

Real time access to adjuster notes and financials

Imaged documents as attachments to electronic claim file

Third Party Claims Administration Auto Liability/NoFault

third-party-worker-claims-autoOur team of examiners possess extensive experience in Auto Bodily Injury and Property Damage losses. We contact the insured driver and all claimants within 48 hours of loss notifications. Detailed accident scene investigations are conducted also within 48 hours. Our field investigators photograph and diagram all scenes, and attach their results to the electronic file, creating a virtual description of all accident details. In cases of emergency, we are available 24 hours a day.

We analyze property damage losses and insure that storage and rental car costs are minimized. Our assessment of liability occurs within 14 days of loss notification. We will consult with our clients to insure that appropriate resolutions are reached quickly to avoid unnecessary litigation. Should the case result in litigation, our seasoned claims professionals are prepared to direct the entire process and effectively manage all legal costs.

Administration of No Fault losses is managed very carefully, to insure that claim costs are contained. Timely IME’s, thorough investigations and consistent use of the NY fee schedule proves to reduce No Fault costs Timely IME’s, thorough investigations and consistent use of the NY fee schedule proves to reduce No Fault costs.

24 hour claim reporting and scene investigations

Work flow rules integration with electronic diary and e-mail

Real time access to adjuster notes and financials

Imaged documents as attachments to electronic claim file

Medical bill review integration

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