Claims Management and Analytics
BKS Custom Risk Services platform includes a claims unit accountable for proper performance and oversight of all claims processes for our clients’ insurance and risk management programs.
BKS takes an analytics-based approach to managing claims and effectively manages data gathered during the claim process. This ensures proper utilization of data to avoid high-impact claim opportunities from being overlooked.
BKS claims management experts specialize in providing services in the following areas:
- Establishment of tailored claims handling instructions and performance criteria
- Monthly review of the claims administrators’ performance based on established guidelines and criteria
- Ongoing review of case reserving and compliance with industry best practices
- Quarterly review of all open claims above an agreed threshold
- Ongoing oversight of all claims above an agreed threshold
- Defining roles and responsibility of internal & external resources
- Service provider claim management practices (TPA/Carrier)
- Claim service provider communication guidelines
- Adverse event reporting practices
- Claim investigation and documentation
- Medical management of claims
- Disability management programs
- Modified duty work programs
- Claims resolutions strategies
- Claim certification or denial
- Internal claims management practices
- Subrogation
- Primary cost factors action plans
- Reserving practices
- Reserving and settlement authorization
- Litigation management
