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:
 
Litigation management
Reserving
Expense control
Subrogation recovery
Technical quality
Compliance
   
Key CMR audit features:
All CMR claims services are quoted up-front, so there are no surprises.
Our teams of accredited claims experts will focus on your specific requirements.
We adhere to accepted insurance industry standards in conducting all audits.
Audits can be completed at your facility or offsite.
We summarize our findings in a comprehensive written report that includes examples, statistics, and recommendations where appropriate.
Absolute confidentiality is assured at all times.
We're flexible; all CMR claims services are available bundled or unbundled.
   
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.
 
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.
 
As part of the review process, we will:
Work with you to complete a needs analysis worksheet.
Develop an optional review plan.
Apprise you of the scope and cost of the process.
Perform the audit.
Prepare and deliver a formal written summary of our findings.
 

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100 West Main Street
Lansdale, PA 19446
Phone: (215) 957-5095, Fax: (215) 956-0713
Email: claims@cmr-claims.com
© copyright 2010 Claims Management Resources, LLC All rights reserved.