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| Claims audits |
| We will conduct
a detailed audit of your claims files - either randomly,
or according to your specifications. Depending on your
requirements, the process may cover the entire claims
file, or concentrate only on selected areas including:
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Litigation management
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Reserving |
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Expense control |
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Subrogation recovery |
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Technical quality |
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Compliance |
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| Key CMR audit features:
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All CMR claims services are
quoted up-front, so there are no surprises. |
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Our teams of accredited claims
experts will focus on your specific requirements. |
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We adhere to accepted insurance
industry standards in conducting all audits. |
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Audits can be completed at
your facility or offsite. |
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We summarize our findings in
a comprehensive written report that includes examples,
statistics, and recommendations where appropriate. |
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Absolute confidentiality is
assured at all times. |
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We're flexible; all CMR claims
services are available bundled or unbundled. |
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| Operational
reviews |
| We
will thoroughly review your entire claims operation, or
concentrate on areas that may be of particular concern
to you. The process includes interview with selected staff,
along with a thorough analysis of workflow, processes,
policies and procedures. |
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| Operational
reviews typically cover a wide array of areas, and can
include cost containment, reserving, litigation management,
training, staffing, authority levels, management controls,
and quality of information technology. |
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| As part
of the review process, we will: |
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Work with you to complete a
needs analysis worksheet. |
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Develop an optional review
plan. |
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Apprise you of the scope and
cost of the process. |
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Perform the audit. |
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Prepare and deliver a formal
written summary of our findings. |
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